CPT code 64776: Neuroma excision, digital nerve, hand or foot2026 Medicare rate & RVUs

Medicare pays $374.42 for 64776 nationally in a facility.

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

What 64776 covers

A surgeon excises a neuroma arising from a digital nerve in a finger or toe, commonly to address persistent, localized pain after nerve injury or prior surgery. The procedure may be performed by a hand, orthopedic, plastic, or foot surgeon in an operating room or ambulatory surgery setting. The operative record should identify the affected digit and nerve and describe the neuroma and its excision.

Choose this code for a digital nerve neuroma, rather than a lesion of a cutaneous or larger peripheral nerve. If additional digital nerves are excised in the same operative session, the separate add-on code is available for each additional nerve. Medicare assigns a 90-day major-surgery 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 50% reduction. Modifier 50 is inappropriate. 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.

Where 64776 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

64776 rates by state

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

How the 64776 rate is calculated

Each of 64776’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.

Payment rules and modifiers for 64776

64776 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

64776 compared with similar codes

How to choose

64774Neuroma excisionCutaneous nerve, surgically treated

This code is for a digital nerve in the hand or foot. Code 64774 applies to a neuroma of a surgically identifiable cutaneous nerve.

64778Digital neuroma excisionEach additional nerve

Code 64776 reports the primary digital nerve neuroma excision; 64778 is the add-on for each additional digital nerve excised.

64782Neuroma excisionMajor arm or leg nerve

Use 64782 for a neuroma involving a major peripheral nerve, rather than a digital nerve in a finger or toe.

Codes related to 64776

Related codes aren’t interchangeable: bill the code that matches the service performed.

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

Open CMS sourceHow we calculate rates