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.
In Plain Language
back nerve surgery for leg blood flow; thoracolumbar sympathetic surgery
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 |
| Total RVU | 14.34 |
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 14.34, this code ranks in the 71st percentile among Surgery codes — 1.8x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64809?
CPT 64809 (Sympathectomy thoracolumbar) is a Surgery code. Surgical sympathectomy of the thoracolumbar sympathetic chain, typically performed to treat lower extremity vascular insufficiency or pain syndromes.
What is the wRVU value for CPT 64809?
The work RVU for CPT 64809 is 14.34. This code is primarily used by Thoracic Surgery, Vascular Surgery, General Surgery. It has a 90-day global period.
When is CPT 64809 used?
Indicated for lower extremity CRPS, Raynaud's phenomenon, or vascular insufficiency when conservative measures fail. May involve endoscopic or open approach.
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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.