64804 Sympathectomy cervicothorac
Also known as: cervicothoracic sympathectomy, upper thoracic sympathectomy
Surgical sympathectomy involving both the cervical and upper thoracic sympathetic chain. Treats sympathetic dysfunction in the upper extremity and chest wall.
Clinical Context
Indicated for extensive upper extremity CRPS, Raynaud's phenomenon, or hyperhidrosis involving the upper body. Requires disruption of both cervical and first thoracic sympathetic ganglia.
RVU Breakdown
| Work RVU | 15.51 |
| Practice Expense RVU | 13.86 |
| Malpractice RVU | 6.55 |
| Total RVU | 35.92 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.