CPT code 64766: Nerve neurotomy, hip or thigh nerve2026 Medicare rate & RVUs in Delaware

Reports operative incision or division of a peripheral nerve in the hip or thigh to interrupt nerve transmission for a targeted clinical purpose.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Delaware, Medicare pays $609.03 for 64766 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$609.03Hospital or facility

Check a contract rate as a % of Medicare · 64766 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 64766 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 64766 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 64766 covers

This code describes an operation that incises or divides a peripheral nerve located in the hip or thigh, interrupting its nerve transmission. A surgeon performs the procedure when the treatment plan calls for intentional interruption of that nerve; the operative report should identify the nerve and explain the clinical reason for treating it. The code is specific to the nerve’s hip or thigh location, not simply the site of an incision or the patient’s symptoms.

Select this code when the documented procedure is nerve incision or division, rather than removal of a nerve lesion. The operative note should support the nerve treated, its location, the work performed, and the reason for the intervention. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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 may be made; 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 Delaware compares for 64766

Across 109 of 109 payment localities, the facility rate for 64766 runs from $546.34 in Arkansas to $754.56 in Miami, FL. Delaware pays $609.03. The RVUs are the same everywhere; the geographic indexes change the dollars.

64766 in Delaware vs other payment areas
  1. Delaware · this page$609.03
  2. Los Angeles, CA · California$645.02+$35.99
  3. Washington, DC area · District of Columbia$685.08+$76.05
  4. Miami, FL · Florida$754.56+$145.53
  5. Chicago, IL · Illinois$729.15+$120.12
  6. Manhattan, NY · New York$723.70+$114.67
  7. Alaska · Alaska$750.32+$141.29

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

Every other payment area

64766 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$554.20
ArkansasArkansas—$546.34
ArizonaArizona—$599.61
Bakersfield, CACalifornia—$613.89
Chico, CACalifornia—$607.23
El Centro, CACalifornia—$607.64
Fresno, CACalifornia—$607.23
Hanford, CACalifornia—$607.23

64766 rates by state

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

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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
64766 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 64766 in every payment locality

How the 64766 rate is calculated

Each of 64766’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 · 64766

RVUs × geographic indexes × conversion factor

Office or facility?

Work9.23

9.23 RVUs× 1.000 GPCI

Practice expense6.81

6.81 RVUs× 1.000 GPCI

Malpractice2.48

2.48 RVUs× 1.000 GPCI

Adjusted RVUs

18.5200

Conversion factor

$33.4009

Medicare rate

$618.58

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

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,226

Code
64766
Physician work
9.23
Practice expense
6.81
Malpractice
2.48

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Facility calculation for 64766 in Delaware
ComponentRVULocality factorAdjusted
Physician work9.23× 1.0059.2761
Practice expense6.81× 0.9886.7283
Malpractice2.48× 0.8992.2295
Total RVUs18.2340
Conversion factor× 33.4009

Facility rate, Delaware$609.03

Facility: (9.23 × 1.005 + 6.81 × 0.988 + 2.48 × 0.899) × $33.4009 = $609.03

Open 64766 in the RVU calculator

Payment rules and modifiers for 64766

64766 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 64766

Nerve neurotomy, hip or thigh 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)2Paid.
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 · 64766

Nerve neurotomy, hip or thigh 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

64766 without 50 · national facility

$618.58

Nerve neurotomy, hip or thigh nerve

64766-50 · Bilateral: 150%

$927.87

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 64766 has changed in Delaware

64766 · 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$609.03RVU26D
2026-07-01Not available in this setting$609.03RVU26C
2026-04-01Not available in this setting$609.03RVU26B
2026-01-01Not available in this setting$609.03RVU26A
2025-10-01Not available in this setting$623.09RVU25D
2025-07-01Not available in this setting$623.09RVU25C
2025-04-01Not available in this setting$623.09RVU25B
2025-01-01Not available in this setting$623.09RVU25A
2024-10-01Not available in this setting$637.21RVU24D
2024-07-01Not available in this setting$637.21RVU24C
2024-04-01Not available in this setting$637.21RVU24B
2024-03-09Not available in this setting$637.21RVU24AR
2024-01-01Not available in this setting$626.81RVU24A
2023-10-01Not available in this setting$646.55RVU23D
2023-07-01Not available in this setting$646.55RVU23C
2023-04-01Not available in this setting$646.55RVU23B
2023-01-01Not available in this setting$646.55RVU23A
2022-10-01Not available in this setting$660.36RVU22D
2022-07-01Not available in this setting$660.36RVU22C
2022-04-01Not available in this setting$660.36RVU22B
2022-01-01Not available in this setting$660.36RVU22A
2021-10-01Not available in this setting$656.82RVU21D
2021-07-01Not available in this setting$656.82RVU21C
2021-04-01Not available in this setting$656.82RVU21B
2021-01-01Not available in this setting$656.82RVU21A
2020-10-01Not available in this setting$671.19RVU20D
2020-07-01Not available in this setting$671.19RVU20C
2020-04-01Not available in this setting$671.19RVU20B
2020-01-01Not available in this setting$671.19RVU20A
2019-10-01Not available in this setting$672.57RVU19D
2019-07-01Not available in this setting$672.57RVU19C
2019-04-01Not available in this setting$659.66RVU19B
2019-01-01Not available in this setting$659.66RVU19A
2018-10-01Not available in this setting$668.46RVU18D
2018-07-01Not available in this setting$668.46RVU18C
2018-04-01Not available in this setting$668.46RVU18B
2018-01-01Not available in this setting$668.46RVU18AR1
2017-10-01Not available in this setting$593.90RVU17D
2017-07-01Not available in this setting$593.90RVU17C
2017-04-01Not available in this setting$593.90RVU17B
2017-01-01Not available in this setting$593.90RVU17A
2016-10-01Not available in this setting$635.11RVU16D
2016-07-01Not available in this setting$635.11RVU16C
2016-04-01Not available in this setting$635.11RVU16B
2016-01-01Not available in this setting$635.11RVU16A
2015-10-01Not available in this setting$601.48RVU15D
2015-07-01Not available in this setting$601.48RVU15C
2015-04-01Not available in this setting$598.49RVU15B
2015-01-01Not available in this setting$598.49RVU15A
2014-10-01Not available in this setting$583.00RVU14D
2014-07-01Not available in this setting$583.00RVU14C
2014-04-01Not available in this setting$583.00RVU14B
2014-01-01Not available in this setting$583.00RVU14A
2013-10-01Not available in this setting$599.77RVU13D
2013-07-01Not available in this setting$599.77RVU13C
2013-04-01Not available in this setting$599.77RVU13B
2013-01-01Not available in this setting$599.77RVU13AR

Price 64766 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

64766 billing questions

How is this code distinguished from 64763?

Both CMS short descriptors identify incision of a hip or thigh nerve. Use the code whose full CPT descriptor and documented nerve procedure match the operation; the short descriptor alone does not distinguish the services.

Can nerve lesion removal be reported instead?

Not when the documented work is nerve incision or division. For a procedure that excises a sciatic nerve lesion, evaluate 64786 instead and ensure the operative report supports lesion removal.

What should the operative report document?

Identify the nerve and its hip or thigh location, describe the incision or division performed, and state the clinical purpose. Documentation should make clear that the work was nerve interruption rather than lesion excision.

How does the 90-day global period affect postoperative visits?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period. Report a separate service only when applicable coding rules support it.

How is bilateral surgery reported?

For bilateral procedures, report modifier 50; CMS pays the bilateral procedure at 150%. The record should support treatment of the nerve on both sides.

May an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made for this procedure. Co-surgeons and team surgery are 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 64766PPRRVU2026_Oct_nonQPP.csv, line 7,226 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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