CPT code 64713: Nerve revision, major peripheral nerve, arm2026 Medicare rate & RVUs in California

Reports open revision of a major peripheral nerve in the arm when prior surgery or injury leaves a nerve requiring operative correction.

CMS RVU26DEffective Oct 1, 202629 payment localities620 Medicare services in 2024

CMS doesn’t publish an office rate for 64713 in California.

—Office (non-facility)
$739.11–$873.16Hospital 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 64713 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 64713 covers

This code describes open revision surgery on a major peripheral nerve in the arm. A surgeon may explore and revise a nerve affected by recurrent compression, scar tethering, or another problem after prior surgery or injury. It is typically performed by an orthopedic, hand, or peripheral nerve surgeon in a hospital operating room or ambulatory surgery center. The operative report should identify the nerve and arm, the reason revision is needed, prior treatment when relevant, and the work performed to address the problem.

Report this code for the arm nerve revision service, rather than a code that specifies a different nerve or site. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery 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 64713 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

64713 office and facility rates by payment locality
Payment localityOfficeFacility
Bakersfield, CAUnavailable$746.14
Chico, CAUnavailable$739.11
El Centro, CAUnavailable$739.54
Fresno, CAUnavailable$739.11
Hanford, CAUnavailable$739.11
Los Angeles, CAUnavailable$784.08
Madera, CAUnavailable$739.11
Marin County, CAUnavailable$851.75
Merced, CAUnavailable$739.11
Modesto, CAUnavailable$739.11

How the 64713 rate is calculated

Each of 64713’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 · 64713

RVUs × geographic indexes × conversion factor

Office or facility?

Work11.12

11.12 RVUs× 1.000 GPCI

Practice expense8.61

8.61 RVUs× 1.000 GPCI

Malpractice2.58

2.58 RVUs× 1.000 GPCI

Adjusted RVUs

22.3100

Conversion factor

$33.4009

Medicare rate

$745.17

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

Payment rules and modifiers for 64713

64713 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 64713

Nerve revision, major peripheral nerve, arm

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 · 64713

Nerve revision, major peripheral nerve, arm

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

64713 without 50 · national facility

$745.17

Nerve revision, major peripheral nerve, arm

64713-50 · Bilateral: 150%

$1,117.76

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

64713 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 64713

    Nerve revision, major peripheral nerve, arm11.12 wRVU

    Not priced

  • 64708

    Nerve neuroplasty, major arm or leg nerve6.2 wRVU

    Not priced

  • 64718

    Ulnar nerve surgery, at the elbow7.08 wRVU

    Not priced

  • 64719

    Ulnar nerve surgery, at wrist4.85 wRVU

    Not priced

  • 64721

    Carpal tunnel release, median nerve at carpal tunnel4.85 wRVU

    $482.64

How to choose

64708Nerve neuroplastyMajor arm or leg nerve
64713 identifies revision of a major nerve in the arm. 64708 is the broader major peripheral nerve neuroplasty code covering the arm or leg.
64718Ulnar nerve surgeryAt the elbow
Use 64718 for the specified ulnar nerve procedure at the elbow; 64713 is the arm nerve revision code when that more specific site and nerve code does not describe the service.
64719Ulnar nerve surgeryAt wrist
64719 identifies ulnar nerve surgery at the wrist. 64713 applies to major arm nerve revision outside that specifically coded service.
64721Carpal tunnel releaseMedian nerve at carpal tunnel
64721 describes median nerve surgery at the carpal tunnel. It is not the general code for revision of a major arm nerve.

64713 billing questions

How does this code differ from 64708?

64713 is for revision of a major nerve in the arm. Use 64708 when the performed neuroplasty falls within that code’s broader arm-or-leg service rather than this arm revision service.

Should a specific nerve code be used instead?

When the operation is specifically a revision of the ulnar nerve at the elbow or wrist, compare 64718 or 64719, respectively. The operative site and actual procedure determine the appropriate code.

What documentation supports reporting 64713?

Document the arm nerve treated, the reason revision was necessary, relevant prior surgery or injury, and the operative steps. The record should make clear that the service was a revision rather than a different nerve procedure.

How is related postoperative care handled?

CMS assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

How does CMS handle bilateral reporting and other procedures in the same session?

Bilateral reporting with modifier 50 is paid at 150%. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are paid at 50%.

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 64713PPRRVU2026_Oct_nonQPP.csv, line 7,205 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 64713 pays in California?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 64713 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Build my fee sheet