64809 Sympathectomy thoracolumbar
Also known as: thoracolumbar sympathectomy, lower thoracic sympathectomy
Surgical sympathectomy of the thoracolumbar sympathetic chain, typically performed to treat lower extremity vascular insufficiency or pain syndromes.
Clinical Context
Indicated for lower extremity CRPS, Raynaud's phenomenon, or vascular insufficiency when conservative measures fail. May involve endoscopic or open approach.
RVU Breakdown
| Work RVU | 14.34 |
| Practice Expense RVU | 12.38 |
| Malpractice RVU | 6.04 |
| Total RVU | 32.76 |
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.