CPT code 64740: Nerve neurotomy, tongue nerve2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $480.16 for 64740 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 64740 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 64740 covers

The surgeon exposes and deliberately divides the nerve supplying the tongue to interrupt its function. This is a targeted nerve procedure, not tongue-tissue removal or simple nerve decompression. It may be performed by an oral and maxillofacial surgeon, otolaryngologist, or other surgeon treating selected patients with persistent nerve-mediated tongue symptoms, such as refractory neuropathic pain.

Report the service when the operative note supports deliberate division of the tongue nerve, including the nerve treated and the reason for the procedure. This major surgery includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral procedures, modifier 50 is paid at 150%. Assistant-at-surgery payment may be allowed; 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 64740

Across 109 of 109 payment localities, the facility rate for 64740 runs from $388.26 in Arkansas to $531.46 in Alaska. Washington, DC area pays $480.16. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

64740 rates by state

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

See 64740 in every payment locality

How the 64740 rate is calculated

Each of 64740’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 64740

64740 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 64740

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

How 64740 has changed in Washington, DC area

Price 64740 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

Browse all communities in District of Columbia

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