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.
In Plain Language
neck and upper chest nerve surgery; combined sympathetic surgery
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 |
| Total RVU | 15.51 |
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 15.51, this code ranks in the 74th percentile among Surgery codes — 1.9x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64804?
CPT 64804 (Sympathectomy cervicothorac) is a Surgery code. Surgical sympathectomy involving both the cervical and upper thoracic sympathetic chain. Treats sympathetic dysfunction in the upper extremity and chest wall.
What is the wRVU value for CPT 64804?
The work RVU for CPT 64804 is 15.51. This code is primarily used by Thoracic Surgery, Vascular Surgery, Pain Management. It has a 90-day global period.
When is CPT 64804 used?
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.
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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.