CPT code 64727: Internal neurolysis, microscope-assisted nerve dissection2026 Medicare rate & RVUs in Mississippi

Reports microscope-assisted dissection within a peripheral nerve to free internal fascicles from scar or adhesions during a neuroplasty procedure.

CMS RVU26DEffective Oct 1, 2026One payment locality11.4K Medicare services in 2024

In Mississippi, Medicare pays $137.77 for 64727 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$137.77Hospital or facility

Check a contract rate as a % of Medicare · 64727 nationwide

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

We’ll open 64727 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Mississippi
  2. What 64727 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 64727 covers

The surgeon uses an operating microscope to separate nerve fascicles from internal scar or adhesions as part of peripheral nerve surgery. This is an intraoperative maneuver performed by surgeons treating peripheral nerve injury or entrapment, commonly in a hospital operating room or ambulatory surgery center. It describes dissection within the nerve, not simply exposing the nerve or freeing it from tissue around its outer surface.

Report 64727 only with a qualifying primary neuroplasty procedure; it is an add-on and is paid within that primary procedure’s global period. The operative report should identify the nerve and site, describe the internal fascicular dissection, and support use of the operating microscope. Do not use it for external neurolysis or decompression alone. The primary procedure accounts for the operative service to which this additional work is attached.

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 Mississippi compares for 64727

Across 109 of 109 payment localities, the facility rate for 64727 runs from $135.76 in Arkansas to $193.80 in Alaska. Mississippi pays $137.77. The RVUs are the same everywhere; the geographic indexes change the dollars.

64727 in Mississippi vs other payment areas
  1. Mississippi · this page$137.77
  2. Los Angeles, CA · California$152.66+$14.89
  3. Washington, DC area · District of Columbia$157.69+$19.92
  4. Miami, FL · Florida$159.69+$21.92
  5. Chicago, IL · Illinois$157.09+$19.32
  6. Manhattan, NY · New York$162.24+$24.47
  7. Alaska · Alaska$193.80+$56.03

Other areas in Mississippi first, then benchmark localities. Bars start at $0.

Every other payment area

64727 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$136.77
ArkansasArkansas—$135.76
ArizonaArizona—$142.61
Bakersfield, CACalifornia—$146.88
Chico, CACalifornia—$146.04
El Centro, CACalifornia—$146.09
Fresno, CACalifornia—$146.04
Hanford, CACalifornia—$146.04

64727 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.

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64727 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

See 64727 in every payment locality

How the 64727 rate is calculated

Each of 64727’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 · 64727

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.02

3.02 RVUs× 1.000 GPCI

Practice expense1.06

1.06 RVUs× 1.000 GPCI

Malpractice0.26

0.26 RVUs× 1.000 GPCI

Adjusted RVUs

4.3400

Conversion factor

$33.4009

Medicare rate

$144.96

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

The exact Mississippi inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,213

Code
64727
Physician work
3.02
Practice expense
1.06
Malpractice
0.26

GPCI2026.csv

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Facility calculation for 64727 in Mississippi
ComponentRVULocality factorAdjusted
Physician work3.02× 1.0003.0200
Practice expense1.06× 0.8610.9127
Malpractice0.26× 0.7390.1921
Total RVUs4.1248
Conversion factor× 33.4009

Facility rate, Mississippi$137.77

Facility: (3.02 × 1 + 1.06 × 0.861 + 0.26 × 0.739) × $33.4009 = $137.77

Open 64727 in the RVU calculator

Payment rules and modifiers for 64727

The CMS indicators that decide how 64727 is paid alongside other services.

CMS payment indicators · 64727

Internal neurolysis, microscope-assisted nerve dissection

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
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.

How 64727 has changed in Mississippi

64727 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$137.77RVU26D
2026-07-01Not available in this setting$137.77RVU26C
2026-04-01Not available in this setting$137.77RVU26B
2026-01-01Not available in this setting$137.77RVU26A
2025-10-01Not available in this setting$160.94RVU25D
2025-07-01Not available in this setting$160.94RVU25C
2025-04-01Not available in this setting$160.94RVU25B
2025-01-01Not available in this setting$160.94RVU25A
2024-10-01Not available in this setting$165.23RVU24D
2024-07-01Not available in this setting$165.23RVU24C
2024-04-01Not available in this setting$165.23RVU24B
2024-03-09Not available in this setting$165.23RVU24AR
2024-01-01Not available in this setting$162.53RVU24A
2023-10-01Not available in this setting$166.96RVU23D
2023-07-01Not available in this setting$166.96RVU23C
2023-04-01Not available in this setting$166.96RVU23B
2023-01-01Not available in this setting$166.96RVU23A
2022-10-01Not available in this setting$168.19RVU22D
2022-07-01Not available in this setting$168.19RVU22C
2022-04-01Not available in this setting$168.19RVU22B
2022-01-01Not available in this setting$168.19RVU22A
2021-10-01Not available in this setting$168.99RVU21D
2021-07-01Not available in this setting$168.99RVU21C
2021-04-01Not available in this setting$168.99RVU21B
2021-01-01Not available in this setting$168.99RVU21A
2020-10-01Not available in this setting$171.42RVU20D
2020-07-01Not available in this setting$171.42RVU20C
2020-04-01Not available in this setting$171.42RVU20B
2020-01-01Not available in this setting$171.42RVU20A
2019-10-01Not available in this setting$169.48RVU19D
2019-07-01Not available in this setting$169.48RVU19C
2019-04-01Not available in this setting$169.48RVU19B
2019-01-01Not available in this setting$169.48RVU19A
2018-10-01Not available in this setting$169.92RVU18D
2018-07-01Not available in this setting$169.92RVU18C
2018-04-01Not available in this setting$169.92RVU18B
2018-01-01Not available in this setting$169.92RVU18AR1
2017-10-01Not available in this setting$172.38RVU17D
2017-07-01Not available in this setting$172.38RVU17C
2017-04-01Not available in this setting$172.38RVU17B
2017-01-01Not available in this setting$172.38RVU17A
2016-10-01Not available in this setting$174.14RVU16D
2016-07-01Not available in this setting$174.14RVU16C
2016-04-01Not available in this setting$174.14RVU16B
2016-01-01Not available in this setting$174.14RVU16A
2015-10-01Not available in this setting$175.21RVU15D
2015-07-01Not available in this setting$175.21RVU15C
2015-04-01Not available in this setting$174.33RVU15B
2015-01-01Not available in this setting$174.33RVU15A
2014-10-01Not available in this setting$174.35RVU14D
2014-07-01Not available in this setting$174.35RVU14C
2014-04-01Not available in this setting$174.35RVU14B
2014-01-01Not available in this setting$174.35RVU14A
2013-10-01Not available in this setting$171.09RVU13D
2013-07-01Not available in this setting$171.09RVU13C
2013-04-01Not available in this setting$171.09RVU13B
2013-01-01Not available in this setting$171.09RVU13AR

Price 64727 for an earlier date of service

Where the Mississippi rate applies

Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Aberdeen
  • Ackerman
  • Agricola
  • Alcorn State University
  • Algoma
  • Alligator
  • Amory

Browse all communities in Mississippi

64727 billing questions

Can 64727 be reported by itself?

No. It is an add-on code and must be reported with a qualifying primary neuroplasty procedure.

Does microscope use alone support 64727?

No. The operative work must include internal dissection of nerve fascicles, not merely microscope use or exposure of the nerve.

Is external neurolysis enough to report this code?

No. Freeing a nerve from surrounding tissue without intraneural fascicular dissection does not describe internal neurolysis.

What documentation supports 64727?

Document the nerve and operative site, the internal fascicular dissection performed, and use of an operating microscope, along with the primary neuroplasty.

How does the global period affect this add-on?

CMS pays 64727 within the global period of the primary procedure with which it is reported.

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 64727PPRRVU2026_Oct_nonQPP.csv, line 7,213 (RVU26D)
Geographic factors for MississippiGPCI2026.csv, line 67 (RVU26D)

Open CMS sourceHow we calculate rates

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