CPT code 64766: Nerve neurotomy, hip or thigh nerve2026 Medicare rate & RVUs in Minnesota
Reports operative incision or division of a peripheral nerve in the hip or thigh to interrupt nerve transmission for a targeted clinical purpose.
In Minnesota, Medicare pays $566.87 for 64766 in a facility. There’s no office rate.
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.
On this page 11 sections
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 Minnesota 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. Minnesota pays $566.87. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Minnesota · this page$566.87
- Los Angeles, CA · California$645.02+$78.15
- Washington, DC area · District of Columbia$685.08+$118.21
- Miami, FL · Florida$754.56+$187.69
- Chicago, IL · Illinois$729.15+$162.28
- Manhattan, NY · New York$723.70+$156.83
- Alaska · Alaska$750.32+$183.45
Other areas in Minnesota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $607.23 |
| Merced, CACalifornia | — | $607.23 |
| Modesto, CACalifornia | — | $607.23 |
| Napa, CACalifornia | — | $669.58 |
| Oxnard, CACalifornia | — | $637.39 |
| Redding, CACalifornia | — | $607.23 |
| Rest of CaliforniaCalifornia | — | $607.23 |
| Riverside, CACalifornia | — | $633.79 |
| Sacramento, CACalifornia | — | $628.32 |
| Salinas, CACalifornia | — | $625.87 |
| San Diego, CACalifornia | — | $634.48 |
| Marin County, CACalifornia | — | $696.32 |
| San Francisco, CACalifornia | — | $693.50 |
| San Benito County, CACalifornia | — | $714.60 |
| Santa Clara County, CACalifornia | — | $703.08 |
| San Luis Obispo, CACalifornia | — | $617.01 |
| Santa Cruz, CACalifornia | — | $635.53 |
| Santa Maria, CACalifornia | — | $626.54 |
| Santa Rosa, CACalifornia | — | $641.26 |
| Stockton, CACalifornia | — | $607.23 |
| Vallejo, CACalifornia | — | $665.53 |
| Visalia, CACalifornia | — | $607.23 |
| Yuba City, CACalifornia | — | $607.23 |
| ColoradoColorado | — | $618.70 |
| ConnecticutConnecticut | — | $659.66 |
| DelawareDelaware | — | $609.03 |
| Fort Lauderdale, FLFlorida | — | $688.47 |
| Rest of FloridaFlorida | — | $650.24 |
| Atlanta, GAGeorgia | — | $639.80 |
| Rest of GeorgiaGeorgia | — | $609.92 |
| Hawaii, Guam, HIHawaii | — | $614.87 |
| IowaIowa | — | $549.30 |
| IdahoIdaho | — | $556.73 |
| East St. Louis, ILIllinois | — | $684.38 |
| Rest of IllinoisIllinois | — | $645.43 |
| Suburban Chicago, ILIllinois | — | $690.83 |
| IndianaIndiana | — | $559.40 |
| KansasKansas | — | $555.66 |
| KentuckyKentucky | — | $586.30 |
| New Orleans, LALouisiana | — | $616.43 |
| Rest of LouisianaLouisiana | — | $588.95 |
| Metropolitan Boston, MAMassachusetts | — | $666.24 |
| Rest of MassachusettsMassachusetts | — | $618.76 |
| Baltimore area, MDMaryland | — | $659.75 |
| Rest of MarylandMaryland | — | $617.60 |
| Rest of MaineMaine | — | $569.08 |
| Southern Maine, MEMaine | — | $585.97 |
| Detroit, MIMichigan | — | $667.45 |
| Rest of MichiganMichigan | — | $609.48 |
| Metropolitan Kansas City, MOMissouri | — | $602.80 |
| Metropolitan St. Louis, MOMissouri | — | $607.83 |
| Rest of MissouriMissouri | — | $585.04 |
| MississippiMississippi | — | $565.35 |
| MontanaMontana | — | $618.42 |
| North CarolinaNorth Carolina | — | $573.44 |
| North DakotaNorth Dakota | — | $569.38 |
| NebraskaNebraska | — | $549.55 |
| New HampshireNew Hampshire | — | $617.56 |
| Northern New JerseyNew Jersey | — | $680.03 |
| Rest of New JerseyNew Jersey | — | $659.88 |
| New MexicoNew Mexico | — | $616.36 |
| NevadaNevada | — | $604.98 |
| NYC suburbs and Long Island, NYNew York | — | $752.29 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $671.46 |
| Queens, NYNew York | — | $716.33 |
| Rest of New YorkNew York | — | $582.61 |
| OhioOhio | — | $599.46 |
| OklahomaOklahoma | — | $575.77 |
| Portland, OROregon | — | $627.56 |
| Rest of OregonOregon | — | $593.07 |
| Metropolitan Philadelphia, PAPennsylvania | — | $649.45 |
| Rest of PennsylvaniaPennsylvania | — | $595.38 |
| Puerto RicoPuerto Rico | — | $619.84 |
| Rhode IslandRhode Island | — | $623.00 |
| South CarolinaSouth Carolina | — | $588.87 |
| South DakotaSouth Dakota | — | $563.58 |
| TennesseeTennessee | — | $559.53 |
| Austin, TXTexas | — | $622.95 |
| Beaumont, TXTexas | — | $592.23 |
| Brazoria, TXTexas | — | $600.78 |
| Dallas, TXTexas | — | $608.69 |
| Fort Worth, TXTexas | — | $607.49 |
| Galveston, TXTexas | — | $605.21 |
| Houston, TXTexas | — | $650.60 |
| Rest of TexasTexas | — | $598.95 |
| UtahUtah | — | $596.49 |
| VirginiaVirginia | — | $590.36 |
| Virgin Islands, VIUnited States Virgin Islands | — | $619.84 |
| VermontVermont | — | $575.39 |
| Rest of WashingtonWashington | — | $614.85 |
| King County, WAWashington | — | $670.47 |
| WisconsinWisconsin | — | $551.71 |
| West VirginiaWest Virginia | — | $624.49 |
| WyomingWyoming | — | $597.05 |
64766 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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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
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 Minnesota 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
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.23 | × 1.000 | 9.2300 |
| Practice expense | 6.81 | × 1.029 | 7.0075 |
| Malpractice | 2.48 | × 0.296 | 0.7341 |
| Total RVUs | 16.9716 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$566.87
Facility: (9.23 × 1 + 6.81 × 1.029 + 2.48 × 0.296) × $33.4009 = $566.87
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.11/0.76/0.13 | Share 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.
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).
How 64766 has changed in Minnesota
64766 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $566.87 | RVU26D |
| 2026-07-01 | Not available in this setting | $566.87 | RVU26C |
| 2026-04-01 | Not available in this setting | $566.87 | RVU26B |
| 2026-01-01 | Not available in this setting | $566.87 | RVU26A |
| 2025-10-01 | Not available in this setting | $577.94 | RVU25D |
| 2025-07-01 | Not available in this setting | $577.94 | RVU25C |
| 2025-04-01 | Not available in this setting | $577.94 | RVU25B |
| 2025-01-01 | Not available in this setting | $577.94 | RVU25A |
| 2024-10-01 | Not available in this setting | $589.94 | RVU24D |
| 2024-07-01 | Not available in this setting | $589.94 | RVU24C |
| 2024-04-01 | Not available in this setting | $589.94 | RVU24B |
| 2024-03-09 | Not available in this setting | $589.94 | RVU24AR |
| 2024-01-01 | Not available in this setting | $580.31 | RVU24A |
| 2023-10-01 | Not available in this setting | $597.90 | RVU23D |
| 2023-07-01 | Not available in this setting | $597.90 | RVU23C |
| 2023-04-01 | Not available in this setting | $597.90 | RVU23B |
| 2023-01-01 | Not available in this setting | $597.90 | RVU23A |
| 2022-10-01 | Not available in this setting | $609.20 | RVU22D |
| 2022-07-01 | Not available in this setting | $609.20 | RVU22C |
| 2022-04-01 | Not available in this setting | $609.20 | RVU22B |
| 2022-01-01 | Not available in this setting | $609.20 | RVU22A |
| 2021-10-01 | Not available in this setting | $606.90 | RVU21D |
| 2021-07-01 | Not available in this setting | $606.90 | RVU21C |
| 2021-04-01 | Not available in this setting | $606.90 | RVU21B |
| 2021-01-01 | Not available in this setting | $606.90 | RVU21A |
| 2020-10-01 | Not available in this setting | $611.72 | RVU20D |
| 2020-07-01 | Not available in this setting | $611.72 | RVU20C |
| 2020-04-01 | Not available in this setting | $611.72 | RVU20B |
| 2020-01-01 | Not available in this setting | $611.72 | RVU20A |
| 2019-10-01 | Not available in this setting | $605.58 | RVU19D |
| 2019-07-01 | Not available in this setting | $605.58 | RVU19C |
| 2019-04-01 | Not available in this setting | $601.40 | RVU19B |
| 2019-01-01 | Not available in this setting | $601.40 | RVU19A |
| 2018-10-01 | Not available in this setting | $602.10 | RVU18D |
| 2018-07-01 | Not available in this setting | $602.10 | RVU18C |
| 2018-04-01 | Not available in this setting | $602.10 | RVU18B |
| 2018-01-01 | Not available in this setting | $602.10 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $561.64 | RVU17D |
| 2017-07-01 | Not available in this setting | $561.64 | RVU17C |
| 2017-04-01 | Not available in this setting | $561.64 | RVU17B |
| 2017-01-01 | Not available in this setting | $561.64 | RVU17A |
| 2016-10-01 | Not available in this setting | $590.75 | RVU16D |
| 2016-07-01 | Not available in this setting | $590.75 | RVU16C |
| 2016-04-01 | Not available in this setting | $590.75 | RVU16B |
| 2016-01-01 | Not available in this setting | $590.75 | RVU16A |
| 2015-10-01 | Not available in this setting | $562.48 | RVU15D |
| 2015-07-01 | Not available in this setting | $562.48 | RVU15C |
| 2015-04-01 | Not available in this setting | $559.68 | RVU15B |
| 2015-01-01 | Not available in this setting | $559.68 | RVU15A |
| 2014-10-01 | Not available in this setting | $556.44 | RVU14D |
| 2014-07-01 | Not available in this setting | $556.44 | RVU14C |
| 2014-04-01 | Not available in this setting | $556.44 | RVU14B |
| 2014-01-01 | Not available in this setting | $556.44 | RVU14A |
| 2013-10-01 | Not available in this setting | $576.08 | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Minnesota rate applies
Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.
- Ada
- Adams
- Adrian
- Afton
- Aitkin
- Akeley
- Albany
- Albert Lea
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
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