CPT code 64778: Digital neuroma excision, each additional nerve2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $168.63 for 64778 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 64778 nationwide

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

What 64778 covers

This add-on represents excision of a neuroma from an additional digital nerve in a finger or toe. A hand, orthopedic, plastic, or podiatric surgeon may perform the work in an operating room when a patient has painful neuromas involving more than one digital nerve, such as after nerve injury or prior surgery. The surgeon identifies and removes the additional affected nerve lesion as part of the operative treatment.

Report 64778 only with the primary digital nerve neuroma excision code, 64776, for an additional nerve treated during the same operative session. The operative note should identify the hand or foot, the distinct digital nerves treated, and the neuroma excised at each site. CMS classifies 64778 as an add-on code: it is billed only with a primary procedure and paid within that procedure’s global period.

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 Washington, DC area compares for 64778

Across 109 of 109 payment localities, the facility rate for 64778 runs from $138.83 in Wisconsin to $198.09 in Alaska. Washington, DC area pays $168.63. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

64778 rates by state

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

See 64778 in every payment locality

How the 64778 rate is calculated

Each of 64778’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 64778

The CMS indicators that decide how 64778 is paid alongside other services.

Codes related to 64778

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

How 64778 has changed in Washington, DC area

Price 64778 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

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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