CPT code 64738: Nerve neurectomy, jaw nerve2026 Medicare rate & RVUs in Montana

In Montana, Medicare pays $416.12 for 64738 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 64738 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 64738 covers

This operation surgically interrupts or removes a nerve serving the jaw, rather than simply releasing pressure around it. It may be performed for selected cases of severe neuralgic pain involving the jaw when the surgeon’s plan is to treat the identified nerve. Oral and maxillofacial surgeons, neurosurgeons, or other surgeons experienced with nerve procedures may perform it in an operating room.

Select the code based on the nerve treated, not just the location where the patient feels pain. The operative report should identify the jaw nerve and describe the surgical work, indication, and laterality. The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; 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 Montana compares for 64738

Across 109 of 109 payment localities, the facility rate for 64738 runs from $376.35 in Arkansas to $517.86 in Alaska. Montana pays $416.12. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

64738 rates by state

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

See 64738 in every payment locality

How the 64738 rate is calculated

Each of 64738’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 64738

64738 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 64738

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

How 64738 has changed in Montana

Price 64738 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

• Absarokee
• Acton
• Alberton
• Alder
• Alzada
• Amsterdam
• Anaconda-Deer Lodge County
• Antelope

Browse all communities in Montana

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