CPT code 64728: Carpal tunnel decompression, median nerve2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $1,570.41 for 64728 in the office and $132.70 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 64728 nationwide

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

What 64728 covers

A surgeon decompresses the median nerve where it passes through the carpal tunnel at the wrist, relieving pressure associated with carpal tunnel syndrome. The procedure is generally performed by a hand, orthopedic, plastic, or neurosurgeon in an operating room or ambulatory surgery setting. The operative report should identify the median nerve and carpal tunnel as the site and describe the decompression performed.

Report this code when the documented service is median nerve decompression at the carpal tunnel; distinguish it from other nerve procedures by the nerve and operative work described. This minor procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; 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.

How Washington, DC area compares for 64728

Across 109 of 109 payment localities, the office rate for 64728 runs from $1,163.64 in Arkansas to $1,899.48 in San Benito County, CA. Washington, DC area pays $1,570.41. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

64728 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 64728 in every payment locality

How the 64728 rate is calculated

Each of 64728’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.

Payment rules and modifiers for 64728

The CMS indicators that decide how 64728 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

Codes related to 64728

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

How 64728 has changed in Washington, DC area

Price 64728 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

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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

Open CMS sourceHow we calculate rates