64823 Sympathectomy superficial palmar
Also known as: superficial palmar sympathectomy, palmar plexus sympathectomy
Surgical sympathectomy of the superficial palmar arterial plexus in the hand. Removes sympathetic innervation to improve blood flow to the entire hand.
Clinical Context
Indicated for severe Raynaud's phenomenon or critical hand ischemia affecting the palm. Comprehensive approach to sympathetic denervation of the hand.
RVU Breakdown
| Work RVU | 10.67 |
| Practice Expense RVU | 9.22 |
| Malpractice RVU | 2.27 |
| Total RVU | 22.16 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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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.