CPT code 64719: Ulnar nerve surgery, at wrist2026 Medicare rate & RVUs in Montana

In Montana, Medicare pays $387.72 for 64719 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 64719 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 64719 covers

This operation frees the ulnar nerve from constricting tissue or repositions it at the wrist. It is commonly performed for ulnar nerve compression in or near Guyon canal, which may cause symptoms in the ring and small fingers or weakness in the hand. Hand, orthopedic, plastic, or neurosurgeons may perform it in a hospital or ambulatory surgery setting. The wrist location distinguishes it from surgery on the ulnar nerve at the elbow.

Report the service when the operative note supports surgical treatment of the ulnar nerve at the wrist, such as release of compression or nerve repositioning; a diagnosis of ulnar neuropathy alone does not establish the procedure. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery, and 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 Montana compares for 64719

Across 109 of 109 payment localities, the facility rate for 64719 runs from $344.92 in Arkansas to $476.35 in San Benito County, CA. Montana pays $387.72. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

64719 rates by state

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

See 64719 in every payment locality

How the 64719 rate is calculated

Each of 64719’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 64719

64719 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 64719

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

How 64719 has changed in Montana

Price 64719 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

• Absarokee
• Acton
• Alberton
• Alder
• Alzada
• Amsterdam
• Anaconda-Deer Lodge County
• Antelope

Browse all communities in Montana

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