CPT code 64763: Nerve neurotomy, major nerve, hip or thigh2026 Medicare rate & RVUs

Reports surgical neurotomy of a major peripheral nerve in the hip or thigh when the operative service matches this anatomic and nerve classification.

CMS RVU26DEffective Oct 1, 2026109 payment localities16 Medicare services in 2024

Medicare pays $504.35 for 64763 nationally in a facility.

Medicare rate · 64763

Nerve neurotomy, major nerve, hip or thigh

Office or facility?

Work RVUs
7.37
Total RVUs
15.10
Global days
090

National rate · 2026

$504.35

Facility setting, before claim adjustments.

See every locality for 64763 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 64763 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 64763 covers

This code represents surgical interruption of a major peripheral nerve in the hip or thigh. The surgeon identifies and exposes the targeted nerve, then performs the neurotomy as part of an operative treatment plan. The procedure is generally performed in a hospital or other surgical setting by a surgeon managing a nerve-related condition. The operative report should identify the nerve and its location so the service can be distinguished from neurotomy of another nerve or a procedure that removes a nerve lesion.

Select the code based on the documented nerve, its hip or thigh location, and the service performed; the CPT distinction between this code and its sibling concerns the nerve classification. Keep the operative report and diagnosis documentation available to support that choice and any reported laterality. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is 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.

Where 64763 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

64763 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$451.75
AlaskaUnavailable$610.40
ArizonaUnavailable$488.91
ArkansasUnavailable$445.31
Atlanta, GAUnavailable$521.40
Austin, TXUnavailable$508.50
Bakersfield, CAUnavailable$501.77
Baltimore area, MDUnavailable$537.93
Beaumont, TXUnavailable$482.37
Brazoria, TXUnavailable$490.12

64763 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
64763 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

How the 64763 rate is calculated

Each of 64763’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 · 64763

RVUs × geographic indexes × conversion factor

Office or facility?

Work7.37

7.37 RVUs× 1.000 GPCI

Practice expense5.76

5.76 RVUs× 1.000 GPCI

Malpractice1.97

1.97 RVUs× 1.000 GPCI

Adjusted RVUs

15.1000

Conversion factor

$33.4009

Medicare rate

$504.35

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 64763

64763 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 64763

Nerve neurotomy, major nerve, hip or thigh

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)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
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 · 64763

Nerve neurotomy, major nerve, hip or thigh

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

64763 without 50 · national facility

$504.35

Nerve neurotomy, major nerve, hip or thigh

64763-50 · Bilateral: 150%

$756.53

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

64763 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 64763

    Nerve neurotomy, major nerve, hip or thigh7.37 wRVU

    Not priced

  • 64766

    Nerve neurotomy, hip or thigh nerve9.23 wRVU

    Not priced

  • 64712

    Nerve revision, sciatic nerve7.87 wRVU

    Not priced

  • 64786

    Neuroma excision, sciatic nerve15.84 wRVU

    Not priced

How to choose

64766Nerve neurotomyHip or thigh nerve
This is the related hip or thigh nerve neurotomy code for a different CPT nerve classification. Use the documented target nerve and applicable CPT distinction to choose.
64712Nerve revisionSciatic nerve
64712 is directed specifically to the sciatic nerve. This code is selected for a major peripheral nerve in the hip or thigh when that classification fits.
64786Neuroma excisionSciatic nerve
64786 addresses removal of a sciatic nerve lesion. This code reports neurotomy, not excision of a nerve lesion.

64763 billing questions

How do I distinguish this code from 64766?

Both concern a hip or thigh nerve neurotomy. Choose between them using the CPT nerve classification and the operative documentation; do not select based on location alone.

What documentation supports reporting this service?

Document the targeted nerve, its hip or thigh location, the indication, and the neurotomy performed. The record should support why the nerve falls within this code's classification rather than its sibling.

Does the 90-day global period include postoperative visits?

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

How is bilateral reporting handled?

For a bilateral procedure, modifier 50 is paid at 150%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, and team surgery 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
RVUs for 64763PPRRVU2026_Oct_nonQPP.csv, line 7,225 (RVU26D)

Open CMS sourceHow we calculate rates

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