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CPT code 64722: Nerve decompression, unspecified nerve2026 Medicare rate & RVUs

Reports surgical release of a compressed peripheral nerve when the operative nerve does not fit a more specifically named decompression code.

CMS RVU26DEffective Oct 1, 2026109 payment localities2.8K Medicare services in 2024

Medicare pays $373.09 for 64722 nationally in a facility.

Medicare rate · 64722

Nerve decompression, unspecified nerve

Office or facility?

Work RVUs
4.7
Total RVUs
11.17
Global days
090

National rate · 2026

$373.09

Facility setting, before claim adjustments.

See every locality for 64722 →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 64722 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 64722 covers

A surgeon exposes a compressed peripheral nerve and releases constricting tissue to relieve pressure on the nerve. The code is for an unspecified nerve, so the operative report should identify the nerve and anatomic site even though the code does not name either. Peripheral nerve decompression is typically performed in an operating room or ambulatory surgery setting for a documented entrapment or other compression problem.

Select this code when a more specific nerve or site code does not describe the operation. Document the nerve, location, compression findings, and release performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be allowed; 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 64722 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

64722 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$334.62
AlaskaUnavailable$446.57
ArizonaUnavailable$362.20
ArkansasUnavailable$329.86
Atlanta, GAUnavailable$383.88
Austin, TXUnavailable$379.56
Bakersfield, CAUnavailable$378.76
Baltimore area, MDUnavailable$397.46
Beaumont, TXUnavailable$354.34
Brazoria, TXUnavailable$364.58

64722 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
64722 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 64722 rate is calculated

Each of 64722’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 · 64722

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.70

4.70 RVUs× 1.000 GPCI

Practice expense5.36

5.36 RVUs× 1.000 GPCI

Malpractice1.11

1.11 RVUs× 1.000 GPCI

Adjusted RVUs

11.1700

Conversion factor

$33.4009

Medicare rate

$373.09

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

Payment rules and modifiers for 64722

64722 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 64722

Nerve decompression, unspecified nerve

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 · 64722

Nerve decompression, unspecified nerve

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

64722 without 51 · national facility

$373.09

Nerve decompression, unspecified nerve

64722-51 · Second procedure: 50%

$186.55

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

64722 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 64722

    Nerve decompression, unspecified nerve4.7 wRVU

    Not priced

  • 64721

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

    $482.64

  • 64726

    Nerve decompression, plantar digital nerve4.16 wRVU

    Not priced

  • 64718

    Ulnar nerve surgery, at the elbow7.08 wRVU

    Not priced

How to choose

64721Carpal tunnel releaseMedian nerve at carpal tunnel
64721 identifies median nerve surgery at the carpal tunnel. Use 64722 only when the decompressed nerve and site do not fit a more specific code.
64726Nerve decompressionPlantar digital nerve
64726 is specific to a plantar digital nerve. 64722 is the unspecified-nerve option when that named nerve and site are not involved.
64718Ulnar nerve surgeryAt the elbow
64718 identifies ulnar nerve surgery at the elbow. Choose it for that named nerve and site rather than reporting an unspecified-nerve decompression.

Codes related to 64722

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

Codes related to 64722
CodeHow it relatesNational office range
Used instead
64721Carpal tunnel release, median nerve at carpal tunnelSpecific option for decompression of the median nerve at the carpal tunnel.$426.06–$612.23
64726Nerve decompression, plantar digital nerveSpecific option for decompression of a plantar digital nerve.No office rate
64718Ulnar nerve surgery, at the elbowUse the site-specific ulnar nerve code when the operation is at the elbow.No office rate

64722 billing questions

When should this code be chosen instead of a named-nerve decompression code?

Use it when the operation decompresses a nerve that is not represented by a more specific nerve or site code. The operative report should still name the nerve and its location.

Can it be reported for carpal tunnel release?

For decompression of the median nerve at the carpal tunnel, compare the specific carpal tunnel code 64721 rather than defaulting to an unspecified-nerve code.

How does the multiple-procedure rule affect payment?

When this and other procedures are performed in the same session, Medicare pays the highest-valued procedure in full and applies the standard 50% reduction to the others.

Should modifier 50 be appended for bilateral decompression?

No. CMS identifies bilateral adjustment as inappropriate for this code.

What should the operative note support?

Document the nerve and anatomic site, the compression addressed, and the release performed. These details support use of this unspecified code rather than a more specific nerve code.

How are assistant and co-surgeon services handled?

Assistant-at-surgery payment may be allowed. Co-surgeon payment requires supporting documentation, while team surgery is not permitted.

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 64722PPRRVU2026_Oct_nonQPP.csv, line 7,211 (RVU26D)

Open CMS sourceHow we calculate rates

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