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CPT code 64716: Cranial nerve surgery, release or repositioning2026 Medicare rate & RVUs

Report cranial nerve neuroplasty or transposition when a surgeon directly frees or repositions a cranial nerve during operative treatment.

CMS RVU26DEffective Oct 1, 2026109 payment localities1.5K Medicare services in 2024

Medicare pays $469.95 for 64716 nationally in a facility.

Medicare rate · 64716

Cranial nerve surgery, release or repositioning

Office or facility?

Work RVUs
6.82
Total RVUs
14.07
Global days
090

National rate · 2026

$469.95

Facility setting, before claim adjustments.

See every locality for 64716 →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 64716 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 64716 covers

This operation involves surgically freeing a cranial nerve from restrictive scar or surrounding tissue, and/or mobilizing it into a different position to address tethering or compression. Neurosurgeons and head-and-neck surgeons may perform this work in an operating room when a cranial nerve is directly exposed and treated; incidental nerve exposure during a nearby operation is not enough to support the service.

The operative report should identify the cranial nerve and describe the release or repositioning performed, rather than only exploration or intentional nerve transection. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is not appropriate for this cranial-nerve service. 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 64716 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

64716 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$427.81
AlaskaUnavailable$579.84
ArizonaUnavailable$458.10
ArkansasUnavailable$422.59
Atlanta, GAUnavailable$481.61
Austin, TXUnavailable$477.84
Bakersfield, CAUnavailable$478.82
Baltimore area, MDUnavailable$497.57
Beaumont, TXUnavailable$448.89
Brazoria, TXUnavailable$461.49

64716 rates by state

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

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Local rates. Clear comparisons.

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

View every state and territory as a table
64716 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 64716 rate is calculated

Each of 64716’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 · 64716

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.82

6.82 RVUs× 1.000 GPCI

Practice expense6.10

6.10 RVUs× 1.000 GPCI

Malpractice1.15

1.15 RVUs× 1.000 GPCI

Adjusted RVUs

14.0700

Conversion factor

$33.4009

Medicare rate

$469.95

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

Payment rules and modifiers for 64716

64716 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 64716

Cranial nerve surgery, release or repositioning

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)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 · 64716

Cranial nerve surgery, release or repositioning

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

64716 without 51 · national facility

$469.95

Cranial nerve surgery, release or repositioning

64716-51 · Second procedure: 50%

$234.98

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

64716 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 64716

    Cranial nerve surgery, release or repositioning6.82 wRVU

    Not priced

  • 64727

    Internal neurolysis, microscope-assisted nerve dissection3.02 wRVU

    Not priced

  • 64742

    Facial nerve surgery, extracranial nerve division6.68 wRVU

    Not priced

  • 64708

    Nerve neuroplasty, major arm or leg nerve6.2 wRVU

    Not priced

  • 64732

    Brow nerve surgery, supraorbital or supratrochlear nerve4.77 wRVU

    Not priced

How to choose

64727Internal neurolysisMicroscope-assisted nerve dissection
64727 is an add-on for qualifying internal neurolysis performed with a neuroplasty; it is not the primary cranial nerve release or repositioning service.
64742Facial nerve surgeryExtracranial nerve division
Use 64742 for intentional facial nerve transection. Use 64716 when the cranial nerve is freed or repositioned rather than cut.
64708Nerve neuroplastyMajor arm or leg nerve
64708 addresses revision of an arm or leg nerve. Select 64716 when the nerve treated is cranial.
64732Brow nerve surgerySupraorbital or supratrochlear nerve
64732 represents transection of the supraorbital nerve; 64716 describes cranial nerve release or repositioning.

Codes related to 64716

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

Codes related to 64716
CodeHow it relatesNational office range
Add-on codes
64727Internal neurolysis, microscope-assisted nerve dissectionAdd-on for qualifying internal neurolysis reported with a neuroplasty.No office rate
Used instead
64742Facial nerve surgery, extracranial nerve divisionUsed for intentional facial nerve transection rather than release or repositioning.No office rate
64732Brow nerve surgery, supraorbital or supratrochlear nerveRepresents transection of the supraorbital nerve, not cranial nerve neuroplasty.No office rate
64708Nerve neuroplasty, major arm or leg nerveFor revision of a peripheral arm or leg nerve rather than a cranial nerve.No office rate

64716 billing questions

How is this different from transecting a cranial nerve?

This code describes freeing or repositioning a cranial nerve. A procedure that intentionally cuts a nerve is a different service, such as the facial nerve procedure represented by 64742.

Can internal neurolysis be reported with this service?

CPT 64727 is an add-on for qualifying internal neurolysis performed with a neuroplasty. The operative documentation should support that distinct work.

What should the operative report document?

Identify the cranial nerve and explain the actual release or repositioning performed. A note describing only exposure, inspection, or transection does not establish this service.

Should modifier 50 be used for work on both sides?

No. Modifier 50 is not appropriate for this cranial-nerve service.

How does the 90-day global affect postoperative claims?

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

How are multiple procedures in the same session paid?

The highest-valued procedure is paid in full; other procedures in the session are subject to the standard 50% multiple-procedure reduction.

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 64716PPRRVU2026_Oct_nonQPP.csv, line 7,207 (RVU26D)

Open CMS sourceHow we calculate rates

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