CPT code 64771: Cranial nerve transection, other nerve, intracranial2026 Medicare rate & RVUs in Delaware

Reports intentional division or avulsion of an intracranial cranial nerve not represented by a more specifically named transection code.

CMS RVU26DEffective Oct 1, 2026One payment locality114 Medicare services in 2024

In Delaware, Medicare pays $552.24 for 64771 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$552.24Hospital or facility

Check a contract rate as a % of Medicare · 64771 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 64771 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 64771 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 64771 covers

A surgeon reports this service when an intracranial cranial nerve is intentionally divided or avulsed. It represents destructive nerve surgery, rather than nerve decompression, repair, or removal of a nerve lesion. Neurosurgeons and other surgeons qualified to perform intracranial nerve procedures typically perform it in an operating room. The operative report should identify the nerve, its intracranial location, and the transection or avulsion performed.

Select this code when the treated nerve and operative approach fit the “other cranial nerve” category, rather than a separately named cranial nerve procedure. Documentation should establish the surgical intent and distinguish the work from procedures that preserve or decompress the nerve. Medicare 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 the same session, the highest-valued procedure is paid in full and others are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. 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 64771

Across 109 of 109 payment localities, the facility rate for 64771 runs from $500.56 in Arkansas to $685.39 in Alaska. Delaware pays $552.24. The RVUs are the same everywhere; the geographic indexes change the dollars.

64771 in Delaware vs other payment areas
  1. Delaware · this page$552.24
  2. Los Angeles, CA · California$597.87+$45.63
  3. Washington, DC area · District of Columbia$622.14+$69.90
  4. Miami, FL · Florida$643.88+$91.64
  5. Chicago, IL · Illinois$625.46+$73.22
  6. Manhattan, NY · New York$644.12+$91.88
  7. Alaska · Alaska$685.39+$133.15

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

Every other payment area

64771 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$506.97
ArkansasArkansas—$500.56
ArizonaArizona—$544.16
Bakersfield, CACalifornia—$568.08
Chico, CACalifornia—$563.97
El Centro, CACalifornia—$564.21
Fresno, CACalifornia—$563.97
Hanford, CACalifornia—$563.97

64771 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
64771 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 64771 in every payment locality

How the 64771 rate is calculated

Each of 64771’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 · 64771

RVUs × geographic indexes × conversion factor

Office or facility?

Work7.95

7.95 RVUs× 1.000 GPCI

Practice expense7.31

7.31 RVUs× 1.000 GPCI

Malpractice1.47

1.47 RVUs× 1.000 GPCI

Adjusted RVUs

16.7300

Conversion factor

$33.4009

Medicare rate

$558.80

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

7,227

Code
64771
Physician work
7.95
Practice expense
7.31
Malpractice
1.47

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Facility calculation for 64771 in Delaware
ComponentRVULocality factorAdjusted
Physician work7.95× 1.0057.9897
Practice expense7.31× 0.9887.2223
Malpractice1.47× 0.8991.3215
Total RVUs16.5336
Conversion factor× 33.4009

Facility rate, Delaware$552.24

Facility: (7.95 × 1.005 + 7.31 × 0.988 + 1.47 × 0.899) × $33.4009 = $552.24

Open 64771 in the RVU calculator

Payment rules and modifiers for 64771

64771 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 64771

Cranial nerve transection, other nerve, intracranial

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)0The 150% bilateral adjustment doesn’t apply.
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 · 64771

Cranial nerve transection, other nerve, intracranial

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 51 · payment effect

With and without the modifier

64771 without 51 · national facility

$558.80

Cranial nerve transection, other nerve, intracranial

64771-51 · Second procedure: 50%

$279.40

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 64771 has changed in Delaware

64771 · 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$552.24RVU26D
2026-07-01Not available in this setting$552.24RVU26C
2026-04-01Not available in this setting$552.24RVU26B
2026-01-01Not available in this setting$552.24RVU26A
2025-10-01Not available in this setting$596.98RVU25D
2025-07-01Not available in this setting$596.98RVU25C
2025-04-01Not available in this setting$596.98RVU25B
2025-01-01Not available in this setting$596.98RVU25A
2024-10-01Not available in this setting$580.59RVU24D
2024-07-01Not available in this setting$580.59RVU24C
2024-04-01Not available in this setting$580.59RVU24B
2024-03-09Not available in this setting$580.59RVU24AR
2024-01-01Not available in this setting$571.12RVU24A
2023-10-01Not available in this setting$589.83RVU23D
2023-07-01Not available in this setting$589.83RVU23C
2023-04-01Not available in this setting$589.83RVU23B
2023-01-01Not available in this setting$589.83RVU23A
2022-10-01Not available in this setting$597.54RVU22D
2022-07-01Not available in this setting$597.54RVU22C
2022-04-01Not available in this setting$597.54RVU22B
2022-01-01Not available in this setting$597.54RVU22A
2021-10-01Not available in this setting$625.83RVU21D
2021-07-01Not available in this setting$625.83RVU21C
2021-04-01Not available in this setting$625.83RVU21B
2021-01-01Not available in this setting$625.83RVU21A
2020-10-01Not available in this setting$641.26RVU20D
2020-07-01Not available in this setting$641.26RVU20C
2020-04-01Not available in this setting$641.26RVU20B
2020-01-01Not available in this setting$641.26RVU20A
2019-10-01Not available in this setting$629.53RVU19D
2019-07-01Not available in this setting$629.53RVU19C
2019-04-01Not available in this setting$629.53RVU19B
2019-01-01Not available in this setting$629.53RVU19A
2018-10-01Not available in this setting$628.37RVU18D
2018-07-01Not available in this setting$628.37RVU18C
2018-04-01Not available in this setting$628.37RVU18B
2018-01-01Not available in this setting$628.37RVU18AR1
2017-10-01Not available in this setting$634.94RVU17D
2017-07-01Not available in this setting$634.94RVU17C
2017-04-01Not available in this setting$634.94RVU17B
2017-01-01Not available in this setting$634.94RVU17A
2016-10-01Not available in this setting$632.43RVU16D
2016-07-01Not available in this setting$632.43RVU16C
2016-04-01Not available in this setting$632.43RVU16B
2016-01-01Not available in this setting$632.43RVU16A
2015-10-01Not available in this setting$631.97RVU15D
2015-07-01Not available in this setting$631.97RVU15C
2015-04-01Not available in this setting$628.83RVU15B
2015-01-01Not available in this setting$628.83RVU15A
2014-10-01Not available in this setting$608.02RVU14D
2014-07-01Not available in this setting$608.02RVU14C
2014-04-01Not available in this setting$608.02RVU14B
2014-01-01Not available in this setting$608.02RVU14A
2013-10-01Not available in this setting$587.01RVU13D
2013-07-01Not available in this setting$587.01RVU13C
2013-04-01Not available in this setting$587.01RVU13B
2013-01-01Not available in this setting$587.01RVU13AR

Price 64771 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

64771 billing questions

How does this differ from a named cranial nerve transection code?

Use this code for an intracranial cranial nerve not represented by a more specifically named transection code. For example, facial nerve transection has separate codes based on its intracranial or extracranial location.

Does this code describe nerve decompression or repair?

No. It represents intentional division or avulsion of the nerve, not decompression, repair, or removal of a nerve lesion.

What should the operative report document?

Document the specific nerve, its intracranial location, and the intentional transection or avulsion. The report should make clear that the service was not a nerve-preserving procedure.

Can modifier 50 be used for bilateral work?

No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used.

Can an assistant-at-surgery be reported?

CMS allows assistant-at-surgery payment for this procedure. Co-surgeons and team surgery are not permitted.

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

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

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 64771PPRRVU2026_Oct_nonQPP.csv, line 7,227 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 64771 pays in Delaware?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 64771 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist