CPT code 64718: Ulnar nerve surgery, at the elbow2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $568.03 for 64718 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 64718 nationwide

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

What 64718 covers

This operation addresses the ulnar nerve where it passes the elbow, often for cubital tunnel syndrome or nerve compression, tethering, or irritation. The surgeon frees the nerve from constricting tissue and may move it to a new position when the clinical findings call for transposition. Orthopedic, hand, plastic, or neurosurgeons commonly perform the procedure in an operating room, usually in a facility setting.

Report the code when the operative work involves the ulnar nerve at the elbow; a transposition is not required in every case. The operative report should identify the nerve and elbow site, the condition treated, and the release or repositioning performed. This major surgery has a 90-day global period that includes the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are 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.

How Delaware compares for 64718

Across 109 of 109 payment localities, the facility rate for 64718 runs from $510.98 in Arkansas to $707.60 in San Benito County, CA. Delaware pays $568.03. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

64718 rates by state

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

See 64718 in every payment locality

How the 64718 rate is calculated

Each of 64718’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 64718

64718 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

Codes related to 64718

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

How 64718 has changed in Delaware

Price 64718 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

• Arden
• Ardencroft
• Ardentown
• Bear
• Bellefonte
• Bethany Beach
• Bethel
• Blades

Browse all communities in Delaware

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