64802 Sympathectomy cervical
Also known as: cervical sympathectomy, superior cervical ganglionectomy
Surgical sectioning of sympathetic nerve fibers in the cervical region to treat vascular insufficiency, pain, or other sympathetic dysfunction of the upper extremity.
In Plain Language
neck nerve surgery for blood flow; cervical sympathetic surgery
Clinical Context
Indicated for severe Raynaud's phenomenon, complex regional pain syndrome (CRPS), or vascular insufficiency unresponsive to conservative treatment. Reduces sympathetic tone to improve blood flow.
RVU Breakdown
| Work RVU | 10.11 |
| Total RVU | 10.11 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 10.11, this code ranks in the 59th percentile among Surgery codes — 1.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64802?
CPT 64802 (Sympathectomy cervical) is a Surgery code. Surgical sectioning of sympathetic nerve fibers in the cervical region to treat vascular insufficiency, pain, or other sympathetic dysfunction of the upper extremity.
What is the wRVU value for CPT 64802?
The work RVU for CPT 64802 is 10.11. This code is primarily used by Vascular Surgery, Thoracic Surgery, Hand Surgery. It has a 90-day global period.
When is CPT 64802 used?
Indicated for severe Raynaud's phenomenon, complex regional pain syndrome (CRPS), or vascular insufficiency unresponsive to conservative treatment. Reduces sympathetic tone to improve blood flow.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.