CPT code 64728: Carpal tunnel decompression, median nerve2026 Medicare rate & RVUs in New Mexico
Surgical decompression of the median nerve at the wrist is reported when operative treatment relieves pressure within the carpal tunnel.
In New Mexico, Medicare pays $1,241.34 for 64728 in the office and $122.17 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.
On this page 11 sections
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 New Mexico 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. New Mexico pays $1,241.34. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$1,241.34
- Los Angeles, CA · California$1,571.86+$330.52
- Washington, DC area · District of Columbia$1,570.41+$329.07
- Miami, FL · Florida$1,406.35+$165.01
- Chicago, IL · Illinois$1,360.29+$118.95
- Manhattan, NY · New York$1,555.19+$313.85
- Alaska · Alaska$1,465.46+$224.12
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $1,183.96 | $116.05 |
| ArkansasArkansas | $1,163.64 | $115.26 |
| ArizonaArizona | $1,303.31 | $120.67 |
| Bakersfield, CACalifornia | $1,461.14 | $123.50 |
| Chico, CACalifornia | $1,460.37 | $122.74 |
| El Centro, CACalifornia | $1,460.41 | $122.78 |
| Fresno, CACalifornia | $1,460.37 | $122.74 |
| Hanford, CACalifornia | $1,460.37 | $122.74 |
| Madera, CACalifornia | $1,460.37 | $122.74 |
| Merced, CACalifornia | $1,460.37 | $122.74 |
| Modesto, CACalifornia | $1,460.37 | $122.74 |
| Napa, CACalifornia | $1,740.65 | $132.07 |
| Oxnard, CACalifornia | $1,569.12 | $126.52 |
| Redding, CACalifornia | $1,460.37 | $122.74 |
| Rest of CaliforniaCalifornia | $1,460.37 | $122.74 |
| Riverside, CACalifornia | $1,463.00 | $125.37 |
| Sacramento, CACalifornia | $1,545.49 | $126.08 |
| Salinas, CACalifornia | $1,540.06 | $125.53 |
| San Diego, CACalifornia | $1,586.08 | $126.39 |
| Marin County, CACalifornia | $1,857.67 | $136.81 |
| San Francisco, CACalifornia | $1,857.40 | $136.54 |
| San Benito County, CACalifornia | $1,899.48 | $139.56 |
| Santa Clara County, CACalifornia | $1,898.36 | $138.44 |
| San Luis Obispo, CACalifornia | $1,513.90 | $123.78 |
| Santa Cruz, CACalifornia | $1,608.87 | $126.00 |
| Santa Maria, CACalifornia | $1,548.50 | $125.43 |
| Santa Rosa, CACalifornia | $1,625.86 | $127.13 |
| Stockton, CACalifornia | $1,460.37 | $122.74 |
| Vallejo, CACalifornia | $1,740.26 | $131.68 |
| Visalia, CACalifornia | $1,460.37 | $122.74 |
| Yuba City, CACalifornia | $1,460.37 | $122.74 |
| ColoradoColorado | $1,422.05 | $123.47 |
| ConnecticutConnecticut | $1,442.39 | $127.95 |
| DelawareDelaware | $1,327.75 | $121.93 |
| Fort Lauderdale, FLFlorida | $1,365.71 | $129.38 |
| Rest of FloridaFlorida | $1,292.31 | $125.54 |
| Atlanta, GAGeorgia | $1,364.85 | $124.85 |
| Rest of GeorgiaGeorgia | $1,210.15 | $121.49 |
| Hawaii, Guam, HIHawaii | $1,510.22 | $122.55 |
| IowaIowa | $1,232.40 | $115.67 |
| IdahoIdaho | $1,239.24 | $116.41 |
| East St. Louis, ILIllinois | $1,251.59 | $128.76 |
| Rest of IllinoisIllinois | $1,239.26 | $124.97 |
| Suburban Chicago, ILIllinois | $1,383.48 | $130.06 |
| IndianaIndiana | $1,248.06 | $116.68 |
| KansasKansas | $1,219.57 | $116.26 |
| KentuckyKentucky | $1,204.19 | $119.19 |
| New Orleans, LALouisiana | $1,270.69 | $122.23 |
| Rest of LouisianaLouisiana | $1,199.56 | $119.44 |
| Metropolitan Boston, MAMassachusetts | $1,587.37 | $130.13 |
| Rest of MassachusettsMassachusetts | $1,408.84 | $123.69 |
| Baltimore area, MDMaryland | $1,437.27 | $127.70 |
| Rest of MarylandMaryland | $1,358.23 | $123.12 |
| Rest of MaineMaine | $1,240.43 | $117.60 |
| Southern Maine, MEMaine | $1,328.89 | $119.40 |
| Detroit, MIMichigan | $1,304.98 | $127.23 |
| Rest of MichiganMichigan | $1,235.78 | $121.49 |
| MinnesotaMinnesota | $1,373.51 | $117.64 |
| Metropolitan Kansas City, MOMissouri | $1,266.93 | $120.91 |
| Metropolitan St. Louis, MOMissouri | $1,283.31 | $121.43 |
| Rest of MissouriMissouri | $1,171.05 | $119.01 |
| MississippiMississippi | $1,167.92 | $117.10 |
| MontanaMontana | $1,343.03 | $122.57 |
| North CarolinaNorth Carolina | $1,256.75 | $118.05 |
| North DakotaNorth Dakota | $1,338.29 | $117.82 |
| NebraskaNebraska | $1,242.21 | $115.72 |
| New HampshireNew Hampshire | $1,393.09 | $122.58 |
| Northern New JerseyNew Jersey | $1,548.45 | $132.71 |
| Rest of New JerseyNew Jersey | $1,461.96 | $129.21 |
| NevadaNevada | $1,342.96 | $121.27 |
| NYC suburbs and Long Island, NYNew York | $1,590.97 | $139.83 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $1,467.05 | $130.64 |
| Queens, NYNew York | $1,578.93 | $136.33 |
| Rest of New YorkNew York | $1,278.43 | $118.98 |
| OhioOhio | $1,234.81 | $120.52 |
| OklahomaOklahoma | $1,208.06 | $118.18 |
| Portland, OROregon | $1,480.62 | $124.68 |
| Rest of OregonOregon | $1,335.69 | $120.10 |
| Metropolitan Philadelphia, PAPennsylvania | $1,397.26 | $126.75 |
| Rest of PennsylvaniaPennsylvania | $1,240.53 | $120.14 |
| Puerto RicoPuerto Rico | $1,356.62 | $122.73 |
| Rhode IslandRhode Island | $1,384.98 | $124.23 |
| South CarolinaSouth Carolina | $1,247.24 | $119.53 |
| South DakotaSouth Dakota | $1,337.73 | $117.26 |
| TennesseeTennessee | $1,226.06 | $116.65 |
| Austin, TXTexas | $1,414.52 | $123.26 |
| Beaumont, TXTexas | $1,230.44 | $119.82 |
| Brazoria, TXTexas | $1,330.80 | $121.32 |
| Dallas, TXTexas | $1,337.74 | $122.16 |
| Fort Worth, TXTexas | $1,325.40 | $122.02 |
| Galveston, TXTexas | $1,333.68 | $121.75 |
| Houston, TXTexas | $1,338.07 | $126.15 |
| Rest of TexasTexas | $1,278.79 | $120.56 |
| UtahUtah | $1,267.54 | $120.30 |
| VirginiaVirginia | $1,319.53 | $119.81 |
| Virgin Islands, VIUnited States Virgin Islands | $1,356.62 | $122.73 |
| VermontVermont | $1,326.64 | $118.38 |
| Rest of WashingtonWashington | $1,408.28 | $123.13 |
| King County, WAWashington | $1,628.67 | $131.16 |
| WisconsinWisconsin | $1,285.22 | $116.01 |
| West VirginiaWest Virginia | $1,183.43 | $122.84 |
| WyomingWyoming | $1,340.97 | $120.50 |
64728 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.
$1,163.64
$1,679.93
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $1,465.46 | 1 |
| AL | $1,183.96 | 1 |
| AR | $1,163.64 | 1 |
| AZ | $1,303.31 | 1 |
| CA | $1,460.37–$1,899.48 | 29 |
| CO | $1,422.05 | 1 |
| CT | $1,442.39 | 1 |
| DC | $1,570.41 | 1 |
| DE | $1,327.75 | 1 |
| FL | $1,292.31–$1,406.35 | 3 |
| GA | $1,210.15–$1,364.85 | 2 |
| GU | $1,510.22 | 1 |
| HI | $1,510.22 | 1 |
| IA | $1,232.40 | 1 |
| ID | $1,239.24 | 1 |
| IL | $1,239.26–$1,383.48 | 4 |
| IN | $1,248.06 | 1 |
| KS | $1,219.57 | 1 |
| KY | $1,204.19 | 1 |
| LA | $1,199.56–$1,270.69 | 2 |
| MA | $1,408.84–$1,587.37 | 2 |
| MD | $1,358.23–$1,570.41 | 3 |
| ME | $1,240.43–$1,328.89 | 2 |
| MI | $1,235.78–$1,304.98 | 2 |
| MN | $1,373.51 | 1 |
| MO | $1,171.05–$1,283.31 | 3 |
| MS | $1,167.92 | 1 |
| MT | $1,343.03 | 1 |
| NC | $1,256.75 | 1 |
| ND | $1,338.29 | 1 |
| NE | $1,242.21 | 1 |
| NH | $1,393.09 | 1 |
| NJ | $1,461.96–$1,548.45 | 2 |
| NM | $1,241.34 | 1 |
| NV | $1,342.96 | 1 |
| NY | $1,278.43–$1,590.97 | 5 |
| OH | $1,234.81 | 1 |
| OK | $1,208.06 | 1 |
| OR | $1,335.69–$1,480.62 | 2 |
| PA | $1,240.53–$1,397.26 | 2 |
| PR | $1,356.62 | 1 |
| RI | $1,384.98 | 1 |
| SC | $1,247.24 | 1 |
| SD | $1,337.73 | 1 |
| TN | $1,226.06 | 1 |
| TX | $1,230.44–$1,414.52 | 8 |
| UT | $1,267.54 | 1 |
| VA | $1,319.53–$1,570.41 | 2 |
| VI | $1,356.62 | 1 |
| VT | $1,326.64 | 1 |
| WA | $1,408.28–$1,628.67 | 2 |
| WI | $1,285.22 | 1 |
| WV | $1,183.43 | 1 |
| WY | $1,340.97 | 1 |
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.
How the rate is built · 64728
RVUs × geographic indexes × conversion factor
Work2.70
2.70 RVUs× 1.000 GPCI
Practice expense37.27
37.27 RVUs× 1.000 GPCI
Malpractice0.24
0.24 RVUs× 1.000 GPCI
Adjusted RVUs
40.2100
Conversion factor
$33.4009
Medicare rate
$1,343.05
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,214
- Code
- 64728
- Physician work
- 2.70
- Practice expense
- 37.27
- Malpractice
- 0.24
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.70 | × 1.000 | 2.7000 |
| Practice expense | 37.27 | × 0.917 | 34.1766 |
| Malpractice | 0.24 | × 1.201 | 0.2882 |
| Total RVUs | 37.1648 | ||
| Conversion factor | × 33.4009 | ||
Office rate, New Mexico$1241.34
Office: (2.7 × 1 + 37.27 × 0.917 + 0.24 × 1.201) × $33.4009 = $1241.34
Facility: (2.7 × 1 + 0.73 × 0.917 + 0.24 × 1.201) × $33.4009 = $122.17
Payment rules and modifiers for 64728
The CMS indicators that decide how 64728 is paid alongside other services.
CMS payment indicators · 64728
Carpal tunnel decompression, median nerve
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
64728 without 50 · national office
$1,343.05
Carpal tunnel decompression, median nerve
64728-50 · Bilateral: 150%
$2,014.58
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
How 64728 has changed in New Mexico
64728 · Office / nonfacility
$1241.34
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
No ratechanged to$1241.34
Held through RVU26B, RVU26C, RVU26D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $1,241.34 | $122.17 | RVU26D |
| 2026-07-01 | $1,241.34 | $122.17 | RVU26C |
| 2026-04-01 | $1,241.34 | $122.17 | RVU26B |
| 2026-01-01 | $1,241.34 | $122.17 | RVU26A |
| 2025-10-01 | Not in this release | Not in this release | RVU25D |
| 2025-07-01 | Not in this release | Not in this release | RVU25C |
| 2025-04-01 | Not in this release | Not in this release | RVU25B |
| 2025-01-01 | Not in this release | Not in this release | RVU25A |
| 2024-10-01 | Not in this release | Not in this release | RVU24D |
| 2024-07-01 | Not in this release | Not in this release | RVU24C |
| 2024-04-01 | Not in this release | Not in this release | RVU24B |
| 2024-03-09 | Not in this release | Not in this release | RVU24AR |
| 2024-01-01 | Not in this release | Not in this release | RVU24A |
| 2023-10-01 | Not in this release | Not in this release | RVU23D |
| 2023-07-01 | Not in this release | Not in this release | RVU23C |
| 2023-04-01 | Not in this release | Not in this release | RVU23B |
| 2023-01-01 | Not in this release | Not in this release | RVU23A |
| 2022-10-01 | Not in this release | Not in this release | RVU22D |
| 2022-07-01 | Not in this release | Not in this release | RVU22C |
| 2022-04-01 | Not in this release | Not in this release | RVU22B |
| 2022-01-01 | Not in this release | Not in this release | RVU22A |
| 2021-10-01 | Not in this release | Not in this release | RVU21D |
| 2021-07-01 | Not in this release | Not in this release | RVU21C |
| 2021-04-01 | Not in this release | Not in this release | RVU21B |
| 2021-01-01 | Not in this release | Not in this release | RVU21A |
| 2020-10-01 | Not in this release | Not in this release | RVU20D |
| 2020-07-01 | Not in this release | Not in this release | RVU20C |
| 2020-04-01 | Not in this release | Not in this release | RVU20B |
| 2020-01-01 | Not in this release | Not in this release | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
64728 billing questions
How is this code distinguished from 64721?
Use the code that matches the documented operation: this code identifies median nerve decompression at the carpal tunnel, while 64721 describes neuroplasty and/or transposition at that site. Review the operative report for the procedure actually performed.
Can this be reported with an endoscopic carpal tunnel release?
CPT 29848 describes endoscopic release at the carpal tunnel and is generally an alternative code for that operative approach, not an additional charge for the same decompression.
Is same-day postoperative care included?
Yes. The 0-day global period includes same-day preoperative and postoperative care.
How is bilateral surgery reported?
For bilateral procedures, report modifier 50; CMS pays the bilateral service at 150%.
When can an assistant-at-surgery be paid?
Payment for an assistant at surgery requires documentation of medical necessity. Co-surgeon and team-surgery payment is 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
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