CPT code 64712: Nerve revision, sciatic nerve2026 Medicare rate & RVUs

Medicare pays $557.46 for 64712 nationally in a facility.

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

What 64712 covers

This code represents an operation to revise the sciatic nerve, such as surgically freeing it from restrictive scar tissue or addressing an altered nerve course. It is performed by a surgeon working around the nerve, commonly in an operating room, when the documented problem calls for operative revision rather than a nonsurgical treatment for sciatica. The operative note should identify the sciatic nerve and describe the revision performed and the findings that required it.

Select this code for the sciatic nerve rather than a different major peripheral nerve or a lumbar plexus nerve. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, Medicare pays the highest-valued procedure in full and applies the standard multiple procedure reduction to the others. For bilateral reporting with modifier 50, Medicare pays 150%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is 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 64712 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

64712 rates by state

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

How the 64712 rate is calculated

Each of 64712’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.

Payment rules and modifiers for 64712

64712 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

64712 compared with similar codes

How to choose

64708Nerve neuroplastyMajor arm or leg nerve

Choose 64712 for revision of the sciatic nerve. Code 64708 is for another major peripheral nerve in an arm or leg.

64713Nerve revisionMajor peripheral nerve, arm

Code 64713 represents an additional major peripheral nerve, not the primary sciatic nerve revision. Report it only when the operative work includes another qualifying nerve.

64714Nerve surgeryLumbar plexus

Code 64714 concerns the lumbar plexus. Identify whether the operative target is that plexus or the sciatic nerve before selecting the code.

Codes related to 64712

Related codes aren’t interchangeable: bill the code that matches the service performed.

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

Open CMS sourceHow we calculate rates