CPT code 64702: Nerve neuroplasty, one digit2026 Medicare rate & RVUs

Surgical neuroplasty frees one or both digital nerves within the same finger or toe when scar tethering or focal compression requires operative release.

CMS RVU26DEffective Oct 1, 2026109 payment localities1.4K Medicare services in 2024

Medicare pays $488.66 for 64702 nationally in a facility.

Medicare rate · 64702

Nerve neuroplasty, one digit

Office or facility?

Work RVUs
6.1
Total RVUs
14.63
Global days
090

National rate · 2026

$488.66

Facility setting, before claim adjustments.

See every locality for 64702 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 64702 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 64702 covers

This code describes operative freeing of one or both digital nerves in a single finger or toe. The surgeon exposes the affected nerve and releases tissue tethering or constricting it; the service is directed to a digital nerve, not a larger nerve in the hand, foot, arm, or leg. Hand, orthopedic, plastic, and foot surgeons may perform it when examination and operative findings support focal digital nerve involvement.

Select the code when the treated nerve or nerves are in the same digit, and document the digit, side, nerve involvement, and release performed. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for this service; co-surgeon and team-surgery designations are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 64702 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

64702 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$441.79
AlaskaUnavailable$590.33
ArizonaUnavailable$475.71
ArkansasUnavailable$435.96
Atlanta, GAUnavailable$500.56
Austin, TXUnavailable$499.33
Bakersfield, CAUnavailable$502.15
Baltimore area, MDUnavailable$518.68
Beaumont, TXUnavailable$463.71
Brazoria, TXUnavailable$480.04

64702 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

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64702 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 64702 rate is calculated

Each of 64702’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 64702

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.10

6.10 RVUs× 1.000 GPCI

Practice expense7.44

7.44 RVUs× 1.000 GPCI

Malpractice1.09

1.09 RVUs× 1.000 GPCI

Adjusted RVUs

14.6300

Conversion factor

$33.4009

Medicare rate

$488.66

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 64702

64702 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 64702

Nerve neuroplasty, one digit

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.11/0.76/0.13Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 64702

Nerve neuroplasty, one digit

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

64702 without 51 · national facility

$488.66

Nerve neuroplasty, one digit

64702-51 · Second procedure: 50%

$244.33

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

64702 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 64702

    Nerve neuroplasty, one digit6.1 wRVU

    Not priced

  • 64704

    Nerve neuroplasty, hand or foot nerve4.57 wRVU

    Not priced

  • 64708

    Nerve neuroplasty, major arm or leg nerve6.2 wRVU

    Not priced

  • 64726

    Nerve decompression, plantar digital nerve4.16 wRVU

    Not priced

  • 64776

    Neuroma excision, digital nerve, hand or foot5.46 wRVU

    Not priced

How to choose

64704Nerve neuroplastyHand or foot nerve
64702 is for one or both digital nerves in the same finger or toe. Consider 64704 for neuroplasty of a nerve of the hand or foot outside that digital-nerve service.
64708Nerve neuroplastyMajor arm or leg nerve
64708 addresses neuroplasty of a major peripheral nerve in the arm or leg. It is not the code for freeing a digital nerve within one finger or toe.
64726Nerve decompressionPlantar digital nerve
64726 specifically describes decompression of a plantar digital nerve. Distinguish that foot-specific decompression service from neuroplasty of a digital nerve reported with 64702.
64776Neuroma excisionDigital nerve, hand or foot
64776 reports excision of a digital nerve neuroma. Choose it when the operative service removes the neuroma rather than freeing the nerve from constricting or tethering tissue.

64702 billing questions

Can this code cover both digital nerves in one finger or toe?

Yes. It covers one or both digital nerves when they are in the same digit. Document the digit and which nerve or nerves were treated.

When should 64704 be considered instead?

Use 64702 for digital nerve work in a single finger or toe. Code 64704 describes neuroplasty of a nerve of the hand or foot outside that digital-nerve circumstance.

Can modifier 50 be used when both sides are treated?

No. CMS identifies bilateral adjustment as inappropriate for this code. The code's unit is based on the digital nerve or nerves treated within the same digit.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant surgeon or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this service. Co-surgeon and team-surgery designations are not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 64702PPRRVU2026_Oct_nonQPP.csv, line 7,201 (RVU26D)

Open CMS sourceHow we calculate rates

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