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CPT code 64726: Nerve decompression, plantar digital nerve2026 Medicare rate & RVUs

Reports operative release of a compressed plantar digital nerve, such as in forefoot nerve entrapment, when the nerve is decompressed rather than excised.

CMS RVU26DEffective Oct 1, 2026109 payment localities292 Medicare services in 2024

Medicare pays $258.19 for 64726 nationally in a facility.

Medicare rate · 64726

Nerve decompression, plantar digital nerve

Office or facility?

Work RVUs
4.16
Total RVUs
7.73
Global days
090

National rate · 2026

$258.19

Facility setting, before claim adjustments.

See every locality for 64726 →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 64726 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 64726 covers

A foot and ankle surgeon or podiatric surgeon uses this code for operative release of a compressed plantar digital nerve in the forefoot. A common clinical setting is symptomatic interdigital nerve compression, including a Morton-type neuroma, when the procedure relieves pressure on the nerve rather than removing it. The operative note should identify the affected nerve and site and describe the release performed.

Report the procedure for the plantar digital nerve decompression itself; do not select it for excision of an interdigital neuroma. Medicare assigns a 90-day global period, which includes the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for this service, 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.

Where 64726 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

64726 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$238.85
AlaskaUnavailable$328.03
ArizonaUnavailable$252.87
ArkansasUnavailable$236.44
Atlanta, GAUnavailable$263.17
Austin, TXUnavailable$262.91
Bakersfield, CAUnavailable$265.28
Baltimore area, MDUnavailable$271.47
Beaumont, TXUnavailable$247.73
Brazoria, TXUnavailable$255.20

64726 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
64726 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 64726 rate is calculated

Each of 64726’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 · 64726

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.16

4.16 RVUs× 1.000 GPCI

Practice expense3.14

3.14 RVUs× 1.000 GPCI

Malpractice0.43

0.43 RVUs× 1.000 GPCI

Adjusted RVUs

7.7300

Conversion factor

$33.4009

Medicare rate

$258.19

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

Payment rules and modifiers for 64726

64726 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 64726

Nerve decompression, plantar digital 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)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
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 · 64726

Nerve decompression, plantar digital 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

64726 without 51 · national facility

$258.19

Nerve decompression, plantar digital nerve

64726-51 · Second procedure: 50%

$129.10

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

64726 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 64726

    Nerve decompression, plantar digital nerve4.16 wRVU

    Not priced

  • 28080

    Neuroma excision, single interdigital nerve4.74 wRVU

    $547.44

  • 64704

    Nerve neuroplasty, hand or foot nerve4.57 wRVU

    Not priced

  • 64727

    Internal neurolysis, microscope-assisted nerve dissection3.02 wRVU

    Not priced

How to choose

28080Neuroma excisionSingle interdigital nerve
Choose 28080 for excision of an interdigital neuroma. Choose 64726 when the plantar digital nerve is decompressed rather than removed.
64704Nerve neuroplastyHand or foot nerve
64704 describes neuroplasty of a nerve of the hand or foot more generally; 64726 is specific to plantar digital nerve decompression.
64727Internal neurolysisMicroscope-assisted nerve dissection
64727 is an add-on for internal neurolysis when performed with an eligible primary nerve procedure; it is not a substitute for 64726.

Codes related to 64726

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

Codes related to 64726
CodeHow it relatesNational office range
Add-on codes
64727Internal neurolysis, microscope-assisted nerve dissectionAdd-on code for internal neurolysis when performed with eligible nerve decompression procedures.No office rate
Used instead
28080Neuroma excision, single interdigital nerveUsed for excision of an interdigital neuroma rather than decompression of the plantar digital nerve.$486.26–$720.20
64704Nerve neuroplasty, hand or foot nerveCovers neuroplasty of a hand or foot nerve when the more specific plantar digital nerve service is not performed.No office rate

64726 billing questions

How does this differ from excision of a Morton-type neuroma?

Use 64726 when the operative service decompresses the plantar digital nerve. For excision of an interdigital neuroma, consider 28080 instead.

What documentation supports reporting 64726?

Document the compression symptoms, the plantar digital nerve and forefoot site treated, and the operative release that decompressed the nerve.

Is modifier 50 appropriate when both feet are treated?

No. CMS identifies the bilateral adjustment as inapplicable to this code and modifier 50 as inappropriate.

What postoperative care is included?

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

Can an assistant surgeon or co-surgeon be paid?

Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are 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 64726PPRRVU2026_Oct_nonQPP.csv, line 7,212 (RVU26D)

Open CMS sourceHow we calculate rates

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