CPT code 64726: Nerve decompression, plantar digital nerve2026 Medicare rate & RVUs in California
Reports operative release of a compressed plantar digital nerve, such as in forefoot nerve entrapment, when the nerve is decompressed rather than excised.
CMS doesn’t publish an office rate for 64726 in California.
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
On this page 9 sections
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 in California
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | Unavailable | $265.28 |
| Chico, CA | Unavailable | $263.96 |
| El Centro, CA | Unavailable | $264.03 |
| Fresno, CA | Unavailable | $263.96 |
| Hanford, CA | Unavailable | $263.96 |
| Los Angeles, CA | Unavailable | $278.25 |
| Madera, CA | Unavailable | $263.96 |
| Marin County, CA | Unavailable | $306.62 |
| Merced, CA | Unavailable | $263.96 |
| Modesto, CA | Unavailable | $263.96 |
| Napa, CA | Unavailable | $293.23 |
| Oxnard, CA | Unavailable | $275.75 |
| Redding, CA | Unavailable | $263.96 |
| Rest of California | Unavailable | $263.96 |
| Riverside, CA | Unavailable | $268.65 |
| Sacramento, CA | Unavailable | $273.62 |
| Salinas, CA | Unavailable | $272.51 |
| San Benito County, CA | Unavailable | $313.17 |
| San Diego, CA | Unavailable | $276.34 |
| San Francisco, CA | Unavailable | $306.13 |
| San Luis Obispo, CA | Unavailable | $268.47 |
| Santa Clara County, CA | Unavailable | $311.17 |
| Santa Cruz, CA | Unavailable | $276.99 |
| Santa Maria, CA | Unavailable | $272.83 |
| Santa Rosa, CA | Unavailable | $279.61 |
| Stockton, CA | Unavailable | $263.96 |
| Vallejo, CA | Unavailable | $292.52 |
| Visalia, CA | Unavailable | $263.96 |
| Yuba City, CA | Unavailable | $263.96 |
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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.11/0.76/0.13 | Share 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.
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%).
64726 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
Fee sheets · Coming soon
Put 64726 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist