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

Reports operative revision of the sciatic nerve, typically when prior surgery, scarring, or altered anatomy requires surgical work on the nerve.

CMS RVU26DEffective Oct 1, 202629 payment localities1.1K Medicare services in 2024

CMS doesn’t publish an office rate for 64712 in California.

—Office (non-facility)
$558.79–$665.75Hospital or facility

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 9 sections
  1. Rate in California
  2. What 64712 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

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 in California

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

29 of 29 payment localities

64712 office and facility rates by payment locality
Payment localityOfficeFacility
Bakersfield, CAUnavailable$563.41
Chico, CAUnavailable$558.79
El Centro, CAUnavailable$559.07
Fresno, CAUnavailable$558.79
Hanford, CAUnavailable$558.79
Los Angeles, CAUnavailable$593.03
Madera, CAUnavailable$558.79
Marin County, CAUnavailable$649.85
Merced, CAUnavailable$558.79
Modesto, CAUnavailable$558.79

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.

How the rate is built · 64712

RVUs × geographic indexes × conversion factor

Office or facility?

Work7.87

7.87 RVUs× 1.000 GPCI

Practice expense7.14

7.14 RVUs× 1.000 GPCI

Malpractice1.68

1.68 RVUs× 1.000 GPCI

Adjusted RVUs

16.6900

Conversion factor

$33.4009

Medicare rate

$557.46

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

Payment rules and modifiers for 64712

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

CMS payment indicators · 64712

Nerve revision, sciatic nerve

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)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
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 · 64712

Nerve revision, sciatic nerve

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 50 · payment effect

With and without the modifier

64712 without 50 · national facility

$557.46

Nerve revision, sciatic nerve

64712-50 · Bilateral: 150%

$836.19

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

64712 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 64712

    Nerve revision, sciatic nerve7.87 wRVU

    Not priced

  • 64708

    Nerve neuroplasty, major arm or leg nerve6.2 wRVU

    Not priced

  • 64713

    Nerve revision, major peripheral nerve, arm11.12 wRVU

    Not priced

  • 64714

    Nerve surgery, lumbar plexus10.29 wRVU

    Not priced

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.

64712 billing questions

How do I distinguish this from 64708?

Use 64712 when the nerve being revised is the sciatic nerve. Code 64708 is for a major peripheral nerve of the arm or leg other than the sciatic nerve.

Can 64713 be reported with this code?

Code 64713 describes work on an additional major peripheral nerve. Report it with 64712 only when the operative record supports work on another qualifying nerve.

What documentation supports reporting 64712?

Document the sciatic nerve as the operative target, the reason revision was needed, and the specific surgical work and findings. The record should distinguish this work from treatment of symptoms alone.

Does the 90-day global period include related postoperative care?

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

How are bilateral and multiple procedures handled?

Medicare pays bilateral reporting with modifier 50 at 150%. For multiple procedures in one session, the highest-valued procedure is paid in full and the others are subject to the standard reduction.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; team surgery is 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 64712PPRRVU2026_Oct_nonQPP.csv, line 7,204 (RVU26D)

Open CMS sourceHow we calculate rates

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