CPT code 64727: Internal neurolysis, microscope-assisted nerve dissection2026 Medicare rate & RVUs in South Dakota
Reports microscope-assisted dissection within a peripheral nerve to free internal fascicles from scar or adhesions during a neuroplasty procedure.
In South Dakota, Medicare pays $139.19 for 64727 in a facility. There’s no office rate.
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.
On this page 11 sections
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 South Dakota 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. South Dakota pays $139.19. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$139.19
- Los Angeles, CA · California$152.66+$13.47
- Washington, DC area · District of Columbia$157.69+$18.50
- Miami, FL · Florida$159.69+$20.50
- Chicago, IL · Illinois$157.09+$17.90
- Manhattan, NY · New York$162.24+$23.05
- Alaska · Alaska$193.80+$54.61
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $146.04 |
| Merced, CACalifornia | — | $146.04 |
| Modesto, CACalifornia | — | $146.04 |
| Napa, CACalifornia | — | $158.30 |
| Oxnard, CACalifornia | — | $150.95 |
| Redding, CACalifornia | — | $146.04 |
| Rest of CaliforniaCalifornia | — | $146.04 |
| Riverside, CACalifornia | — | $148.90 |
| Sacramento, CACalifornia | — | $150.33 |
| Salinas, CACalifornia | — | $149.69 |
| San Diego, CACalifornia | — | $150.95 |
| Marin County, CACalifornia | — | $164.36 |
| San Francisco, CACalifornia | — | $164.07 |
| San Benito County, CACalifornia | — | $167.68 |
| Santa Clara County, CACalifornia | — | $166.47 |
| San Luis Obispo, CACalifornia | — | $147.57 |
| Santa Cruz, CACalifornia | — | $150.66 |
| Santa Maria, CACalifornia | — | $149.63 |
| Santa Rosa, CACalifornia | — | $152.03 |
| Stockton, CACalifornia | — | $146.04 |
| Vallejo, CACalifornia | — | $157.88 |
| Visalia, CACalifornia | — | $146.04 |
| Yuba City, CACalifornia | — | $146.04 |
| ColoradoColorado | — | $146.53 |
| ConnecticutConnecticut | — | $151.53 |
| DelawareDelaware | — | $144.16 |
| Fort Lauderdale, FLFlorida | — | $152.44 |
| Rest of FloridaFlorida | — | $147.77 |
| Atlanta, GAGeorgia | — | $147.57 |
| Rest of GeorgiaGeorgia | — | $142.80 |
| Hawaii, Guam, HIHawaii | — | $146.15 |
| IowaIowa | — | $136.71 |
| IdahoIdaho | — | $137.55 |
| East St. Louis, ILIllinois | — | $150.93 |
| Rest of IllinoisIllinois | — | $146.77 |
| Suburban Chicago, ILIllinois | — | $153.33 |
| IndianaIndiana | — | $137.91 |
| KansasKansas | — | $137.25 |
| KentuckyKentucky | — | $140.29 |
| New Orleans, LALouisiana | — | $144.05 |
| Rest of LouisianaLouisiana | — | $140.52 |
| Metropolitan Boston, MAMassachusetts | — | $155.01 |
| Rest of MassachusettsMassachusetts | — | $146.69 |
| Baltimore area, MDMaryland | — | $151.22 |
| Rest of MarylandMaryland | — | $145.68 |
| Rest of MaineMaine | — | $138.84 |
| Southern Maine, MEMaine | — | $141.44 |
| Detroit, MIMichigan | — | $149.68 |
| Rest of MichiganMichigan | — | $143.00 |
| MinnesotaMinnesota | — | $139.87 |
| Metropolitan Kansas City, MOMissouri | — | $142.60 |
| Metropolitan St. Louis, MOMissouri | — | $143.28 |
| Rest of MissouriMissouri | — | $139.85 |
| MississippiMississippi | — | $137.77 |
| MontanaMontana | — | $144.94 |
| North CarolinaNorth Carolina | — | $139.45 |
| North DakotaNorth Dakota | — | $139.80 |
| NebraskaNebraska | — | $136.83 |
| New HampshireNew Hampshire | — | $145.33 |
| Northern New JerseyNew Jersey | — | $157.57 |
| Rest of New JerseyNew Jersey | — | $153.09 |
| New MexicoNew Mexico | — | $143.77 |
| NevadaNevada | — | $143.55 |
| NYC suburbs and Long Island, NYNew York | — | $165.55 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $154.69 |
| Queens, NYNew York | — | $161.70 |
| Rest of New YorkNew York | — | $140.61 |
| OhioOhio | — | $141.95 |
| OklahomaOklahoma | — | $139.23 |
| Portland, OROregon | — | $148.28 |
| Rest of OregonOregon | — | $142.24 |
| Metropolitan Philadelphia, PAPennsylvania | — | $149.90 |
| Rest of PennsylvaniaPennsylvania | — | $141.58 |
| Puerto RicoPuerto Rico | — | $145.22 |
| Rhode IslandRhode Island | — | $147.11 |
| South CarolinaSouth Carolina | — | $140.97 |
| TennesseeTennessee | — | $137.72 |
| Austin, TXTexas | — | $146.23 |
| Beaumont, TXTexas | — | $141.16 |
| Brazoria, TXTexas | — | $143.54 |
| Dallas, TXTexas | — | $144.49 |
| Fort Worth, TXTexas | — | $144.25 |
| Galveston, TXTexas | — | $144.03 |
| Houston, TXTexas | — | $148.78 |
| Rest of TexasTexas | — | $142.31 |
| UtahUtah | — | $141.95 |
| VirginiaVirginia | — | $141.80 |
| Virgin Islands, VIUnited States Virgin Islands | — | $145.22 |
| VermontVermont | — | $140.32 |
| Rest of WashingtonWashington | — | $146.07 |
| King County, WAWashington | — | $156.45 |
| WisconsinWisconsin | — | $137.46 |
| West VirginiaWest Virginia | — | $144.06 |
| WyomingWyoming | — | $142.70 |
64727 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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
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 South Dakota 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
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.02 | × 1.000 | 3.0200 |
| Practice expense | 1.06 | × 1.000 | 1.0600 |
| Malpractice | 0.26 | × 0.336 | 0.0874 |
| Total RVUs | 4.1674 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, South Dakota$139.19
Facility: (3.02 × 1 + 1.06 × 1 + 0.26 × 0.336) × $33.4009 = $139.19
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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. |
How 64727 has changed in South Dakota
64727 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $139.19 | RVU26D |
| 2026-07-01 | Not available in this setting | $139.19 | RVU26C |
| 2026-04-01 | Not available in this setting | $139.19 | RVU26B |
| 2026-01-01 | Not available in this setting | $139.19 | RVU26A |
| 2025-10-01 | Not available in this setting | $166.61 | RVU25D |
| 2025-07-01 | Not available in this setting | $166.61 | RVU25C |
| 2025-04-01 | Not available in this setting | $166.61 | RVU25B |
| 2025-01-01 | Not available in this setting | $166.61 | RVU25A |
| 2024-10-01 | Not available in this setting | $170.30 | RVU24D |
| 2024-07-01 | Not available in this setting | $170.30 | RVU24C |
| 2024-04-01 | Not available in this setting | $170.30 | RVU24B |
| 2024-03-09 | Not available in this setting | $170.30 | RVU24AR |
| 2024-01-01 | Not available in this setting | $167.52 | RVU24A |
| 2023-10-01 | Not available in this setting | $171.23 | RVU23D |
| 2023-07-01 | Not available in this setting | $171.23 | RVU23C |
| 2023-04-01 | Not available in this setting | $171.23 | RVU23B |
| 2023-01-01 | Not available in this setting | $171.23 | RVU23A |
| 2022-10-01 | Not available in this setting | $171.21 | RVU22D |
| 2022-07-01 | Not available in this setting | $171.21 | RVU22C |
| 2022-04-01 | Not available in this setting | $171.21 | RVU22B |
| 2022-01-01 | Not available in this setting | $171.21 | RVU22A |
| 2021-10-01 | Not available in this setting | $171.14 | RVU21D |
| 2021-07-01 | Not available in this setting | $171.14 | RVU21C |
| 2021-04-01 | Not available in this setting | $171.14 | RVU21B |
| 2021-01-01 | Not available in this setting | $171.14 | RVU21A |
| 2020-10-01 | Not available in this setting | $176.05 | RVU20D |
| 2020-07-01 | Not available in this setting | $176.05 | RVU20C |
| 2020-04-01 | Not available in this setting | $176.05 | RVU20B |
| 2020-01-01 | Not available in this setting | $176.05 | RVU20A |
| 2019-10-01 | Not available in this setting | $177.27 | RVU19D |
| 2019-07-01 | Not available in this setting | $177.27 | RVU19C |
| 2019-04-01 | Not available in this setting | $177.27 | RVU19B |
| 2019-01-01 | Not available in this setting | $177.27 | RVU19A |
| 2018-10-01 | Not available in this setting | $177.80 | RVU18D |
| 2018-07-01 | Not available in this setting | $177.80 | RVU18C |
| 2018-04-01 | Not available in this setting | $177.80 | RVU18B |
| 2018-01-01 | Not available in this setting | $177.80 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $177.67 | RVU17D |
| 2017-07-01 | Not available in this setting | $177.67 | RVU17C |
| 2017-04-01 | Not available in this setting | $177.67 | RVU17B |
| 2017-01-01 | Not available in this setting | $177.67 | RVU17A |
| 2016-10-01 | Not available in this setting | $176.87 | RVU16D |
| 2016-07-01 | Not available in this setting | $176.87 | RVU16C |
| 2016-04-01 | Not available in this setting | $176.87 | RVU16B |
| 2016-01-01 | Not available in this setting | $176.87 | RVU16A |
| 2015-10-01 | Not available in this setting | $177.80 | RVU15D |
| 2015-07-01 | Not available in this setting | $177.80 | RVU15C |
| 2015-04-01 | Not available in this setting | $176.91 | RVU15B |
| 2015-01-01 | Not available in this setting | $176.91 | RVU15A |
| 2014-10-01 | Not available in this setting | $176.50 | RVU14D |
| 2014-07-01 | Not available in this setting | $176.50 | RVU14C |
| 2014-04-01 | Not available in this setting | $176.50 | RVU14B |
| 2014-01-01 | Not available in this setting | $176.50 | RVU14A |
| 2013-10-01 | Not available in this setting | $172.13 | RVU13D |
| 2013-07-01 | Not available in this setting | $172.13 | RVU13C |
| 2013-04-01 | Not available in this setting | $172.13 | RVU13B |
| 2013-01-01 | Not available in this setting | $172.13 | RVU13AR |
Where the South Dakota rate applies
South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Agar
- Agency Village
- Akaska
- Albee
- Alcester
- Alexandria
- Allen
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
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