CPT code 64744: Occipital neurectomy, greater occipital nerve2026 Medicare rate & RVUs in New Mexico

Surgical transection or avulsion of the greater occipital nerve, generally reported for operative treatment of persistent occipital neuralgia.

CMS RVU26DEffective Oct 1, 2026One payment locality69 Medicare services in 2024

In New Mexico, Medicare pays $534.86 for 64744 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$534.86Hospital or facility

Check a contract rate as a % of Medicare · 64744 nationwide

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

We’ll open 64744 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 64744 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 64744 covers

This operation intentionally interrupts or removes the greater occipital nerve in the posterior scalp and occipital region, usually to treat persistent occipital neuralgia when surgical neurectomy is selected. The surgeon identifies the targeted nerve and divides or avulses it. This is a destructive nerve procedure, rather than decompression, and is generally performed in an operating room.

Report 64744 for operative treatment of the greater occipital nerve. The operative report should identify the nerve, side, indication, and transection or avulsion performed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented 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 64744

Across 109 of 109 payment localities, the facility rate for 64744 runs from $464.94 in Arkansas to $673.69 in NYC suburbs and Long Island, NY. New Mexico pays $534.86. The RVUs are the same everywhere; the geographic indexes change the dollars.

64744 in New Mexico vs other payment areas
  1. New Mexico · this page$534.86
  2. Los Angeles, CA · California$574.10+$39.24
  3. Washington, DC area · District of Columbia$610.38+$75.52
  4. Miami, FL · Florida$673.48+$138.62
  5. Chicago, IL · Illinois$646.43+$111.57
  6. Manhattan, NY · New York$644.93+$110.07
  7. Alaska · Alaska$618.06+$83.20

Other areas in New Mexico first, then benchmark localities. Bars start at $0.

Every other payment area

64744 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$473.38
ArkansasArkansas—$464.94
ArizonaArizona—$522.20
Bakersfield, CACalifornia—$541.56
Chico, CACalifornia—$535.46
El Centro, CACalifornia—$535.85
Fresno, CACalifornia—$535.46
Hanford, CACalifornia—$535.46

64744 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
64744 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 64744 in every payment locality

How the 64744 rate is calculated

Each of 64744’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 · 64744

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.58

5.58 RVUs× 1.000 GPCI

Practice expense8.30

8.30 RVUs× 1.000 GPCI

Malpractice2.35

2.35 RVUs× 1.000 GPCI

Adjusted RVUs

16.2300

Conversion factor

$33.4009

Medicare rate

$542.10

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

7,221

Code
64744
Physician work
5.58
Practice expense
8.30
Malpractice
2.35

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 64744 in New Mexico
ComponentRVULocality factorAdjusted
Physician work5.58× 1.0005.5800
Practice expense8.30× 0.9177.6111
Malpractice2.35× 1.2012.8224
Total RVUs16.0135
Conversion factor× 33.4009

Facility rate, New Mexico$534.86

Facility: (5.58 × 1 + 8.3 × 0.917 + 2.35 × 1.201) × $33.4009 = $534.86

Open 64744 in the RVU calculator

Payment rules and modifiers for 64744

64744 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 64744

Occipital neurectomy, greater occipital nerve

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.11/0.76/0.13Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 64744

Occipital neurectomy, greater occipital nerve

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

64744 without 50 · national facility

$542.10

Occipital neurectomy, greater occipital nerve

64744-50 · Bilateral: 150%

$813.15

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).

When to use modifier 50

How 64744 has changed in New Mexico

64744 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$534.86RVU26D
2026-07-01Not available in this setting$534.86RVU26C
2026-04-01Not available in this setting$534.86RVU26B
2026-01-01Not available in this setting$534.86RVU26A
2025-10-01Not available in this setting$497.24RVU25D
2025-07-01Not available in this setting$497.24RVU25C
2025-04-01Not available in this setting$497.24RVU25B
2025-01-01Not available in this setting$497.24RVU25A
2024-10-01Not available in this setting$508.95RVU24D
2024-07-01Not available in this setting$508.95RVU24C
2024-04-01Not available in this setting$508.95RVU24B
2024-03-09Not available in this setting$508.95RVU24AR
2024-01-01Not available in this setting$500.64RVU24A
2023-10-01Not available in this setting$509.79RVU23D
2023-07-01Not available in this setting$509.79RVU23C
2023-04-01Not available in this setting$509.79RVU23B
2023-01-01Not available in this setting$509.79RVU23A
2022-10-01Not available in this setting$507.92RVU22D
2022-07-01Not available in this setting$507.92RVU22C
2022-04-01Not available in this setting$507.92RVU22B
2022-01-01Not available in this setting$507.92RVU22A
2021-10-01Not available in this setting$505.32RVU21D
2021-07-01Not available in this setting$505.32RVU21C
2021-04-01Not available in this setting$505.32RVU21B
2021-01-01Not available in this setting$505.32RVU21A
2020-10-01Not available in this setting$509.60RVU20D
2020-07-01Not available in this setting$509.60RVU20C
2020-04-01Not available in this setting$509.60RVU20B
2020-01-01Not available in this setting$509.60RVU20A
2019-10-01Not available in this setting$523.09RVU19D
2019-07-01Not available in this setting$523.09RVU19C
2019-04-01Not available in this setting$516.80RVU19B
2019-01-01Not available in this setting$516.80RVU19A
2018-10-01Not available in this setting$520.29RVU18D
2018-07-01Not available in this setting$520.29RVU18C
2018-04-01Not available in this setting$520.29RVU18B
2018-01-01Not available in this setting$520.29RVU18AR1
2017-10-01Not available in this setting$507.57RVU17D
2017-07-01Not available in this setting$507.57RVU17C
2017-04-01Not available in this setting$507.57RVU17B
2017-01-01Not available in this setting$507.57RVU17A
2016-10-01Not available in this setting$506.56RVU16D
2016-07-01Not available in this setting$506.56RVU16C
2016-04-01Not available in this setting$506.56RVU16B
2016-01-01Not available in this setting$506.56RVU16A
2015-10-01Not available in this setting$517.78RVU15D
2015-07-01Not available in this setting$517.78RVU15C
2015-04-01Not available in this setting$515.20RVU15B
2015-01-01Not available in this setting$515.20RVU15A
2014-10-01Not available in this setting$489.10RVU14D
2014-07-01Not available in this setting$489.10RVU14C
2014-04-01Not available in this setting$489.10RVU14B
2014-01-01Not available in this setting$489.10RVU14A
2013-10-01Not available in this setting$484.15RVU13D
2013-07-01Not available in this setting$484.15RVU13C
2013-04-01Not available in this setting$484.15RVU13B
2013-01-01Not available in this setting$484.15RVU13AR

Price 64744 for an earlier date of service

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

Browse all communities in New Mexico

64744 billing questions

Is 64744 used for occipital nerve decompression?

No. 64744 describes transection or avulsion of the greater occipital nerve; decompression is a different operative approach. Code the procedure actually performed.

What operative documentation supports 64744?

Document the greater occipital nerve, the treated side, the clinical indication, and whether the nerve was transected or avulsed.

How is bilateral surgery reported?

CMS lists bilateral reporting with modifier 50, paid at 150%. The operative documentation should support treatment on both sides.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant surgeon be paid for 64744?

Assistant-at-surgery payment is allowed only when medical necessity is documented. CMS does not permit co-surgeon or team-surgery payment for this code.

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
RVUs for 64744PPRRVU2026_Oct_nonQPP.csv, line 7,221 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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