CPT code 64714: Nerve surgery, lumbar plexus2026 Medicare rate & RVUs in California

CMS doesn’t publish an office rate for 64714 in California.

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

What 64714 covers

This operation addresses the lumbar plexus, a network of nerves in the lower back and pelvis. The surgeon may free it from restrictive tissue or reposition it as part of treatment for a documented nerve problem. Neurosurgeons, orthopedic surgeons, and other surgeons with peripheral nerve expertise may perform the procedure, usually in an operating room. The operative report should identify the lumbar plexus as the target and describe the work performed.

Select the code by the nerve treated: a procedure on the lumbar plexus is distinct from work on the sciatic nerve or a less specifically identified major peripheral nerve. Document the indication, anatomy, and whether the nerve was released, repositioned, or both. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For same-session procedures, the highest-valued procedure is paid in full and other procedures at 50%. 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 64714 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

How the 64714 rate is calculated

Each of 64714’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 64714

64714 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

64714 compared with similar codes

How to choose

64712Nerve revisionSciatic nerve

Choose 64714 for the lumbar plexus and 64712 for the sciatic nerve. The operative anatomy determines the code.

64713Nerve revisionMajor peripheral nerve, arm

64713 addresses the brachial plexus in the arm; 64714 addresses the lumbar plexus in the lower back and pelvis.

64708Nerve neuroplastyMajor arm or leg nerve

64708 is for a major peripheral nerve in the arm or leg that is not covered by a more specific named-nerve code. Use 64714 when the lumbar plexus is treated.

Codes related to 64714

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