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CPT code 64782: Neuroma excision, major arm or leg nerve2026 Medicare rate & RVUs

Reports surgical removal of a neuroma involving a major peripheral nerve in an arm or leg, rather than a digital, cutaneous, or sciatic nerve.

CMS RVU26DEffective Oct 1, 2026109 payment localities709 Medicare services in 2024

Medicare pays $436.22 for 64782 nationally in a facility.

Medicare rate · 64782

Neuroma excision, major arm or leg nerve

Office or facility?

Work RVUs
6.69
Total RVUs
13.06
Global days
090

National rate · 2026

$436.22

Facility setting, before claim adjustments.

See every locality for 64782 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 64782 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 64782 covers

A surgeon exposes and removes a neuroma arising from a major peripheral nerve in an arm or leg. The service may address a painful nerve lesion after trauma or prior surgery. It is typically performed by an orthopedic, hand, plastic, or peripheral nerve surgeon in an operating room. The operative report should identify the affected nerve and limb, describe the neuroma and its removal, and distinguish the nerve from a digital, cutaneous, or sciatic nerve.

Report this code for the major limb nerve neuroma excision itself; a separate code is available for each additional major peripheral nerve excised in the same limb. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Do not apply a bilateral adjustment or modifier 50. Assistant-at-surgery payment is restricted; co-surgeon payment requires supporting documentation, and team surgery is 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 64782 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

64782 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$398.68
AlaskaUnavailable$543.57
ArizonaUnavailable$425.62
ArkansasUnavailable$394.04
Atlanta, GAUnavailable$446.84
Austin, TXUnavailable$442.91
Bakersfield, CAUnavailable$443.64
Baltimore area, MDUnavailable$461.13
Beaumont, TXUnavailable$417.74
Brazoria, TXUnavailable$428.62

64782 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
64782 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

How the 64782 rate is calculated

Each of 64782’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 · 64782

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.69

6.69 RVUs× 1.000 GPCI

Practice expense5.31

5.31 RVUs× 1.000 GPCI

Malpractice1.06

1.06 RVUs× 1.000 GPCI

Adjusted RVUs

13.0600

Conversion factor

$33.4009

Medicare rate

$436.22

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

Payment rules and modifiers for 64782

64782 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 64782

Neuroma excision, major arm or leg 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)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)1Permitted with supporting documentation.
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 · 64782

Neuroma excision, major arm or leg 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 51 · payment effect

With and without the modifier

64782 without 51 · national facility

$436.22

Neuroma excision, major arm or leg nerve

64782-51 · Second procedure: 50%

$218.11

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

64782 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 64782

    Neuroma excision, major arm or leg nerve6.69 wRVU

    Not priced

  • 64783

    Neuroma excision, additional major peripheral nerve3.62 wRVU

    Not priced

  • 64776

    Neuroma excision, digital nerve, hand or foot5.46 wRVU

    Not priced

  • 64786

    Neuroma excision, sciatic nerve15.84 wRVU

    Not priced

How to choose

64783Neuroma excisionAdditional major peripheral nerve
64782 identifies the first major peripheral nerve excision in the limb. Use 64783 for each additional major peripheral nerve excised in that same limb.
64776Neuroma excisionDigital nerve, hand or foot
Use 64776 when the neuroma involves a digital nerve; 64782 is for a major peripheral nerve in the arm or leg.
64786Neuroma excisionSciatic nerve
64786 is specific to a sciatic nerve neuroma. This code applies to other major peripheral nerves in an arm or leg.

Codes related to 64782

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

Codes related to 64782
CodeHow it relatesNational office range
Add-on codes
64783Neuroma excision, additional major peripheral nerveAdd-on for each additional major peripheral nerve excised in the same limb.No office rate
Used instead
64776Neuroma excision, digital nerve, hand or footFor a neuroma involving a digital nerve rather than a major limb nerve.No office rate
64786Neuroma excision, sciatic nerveUse for excision of a sciatic nerve neuroma.No office rate
64774Neuroma excision, cutaneous nerve, surgically treatedFor excision of a surgically accessible cutaneous nerve neuroma.No office rate

64782 billing questions

How does this differ from excision of a digital nerve neuroma?

This code is for a neuroma of a major peripheral nerve in the arm or leg. A digital nerve neuroma is reported with the code for the digital nerve service.

Can this code be reported for a sciatic nerve neuroma?

No. The sciatic nerve has a separate neuroma excision code, 64786.

How is another major nerve excised during the same session reported?

Code 64783 is the add-on code for each additional major peripheral nerve excised in the same limb. Document each nerve and its treatment in the operative report.

Does the 90-day global include routine postoperative care?

Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can modifier 50 or an assistant-at-surgery claim be used?

The CMS bilateral adjustment does not apply to this code, so do not use modifier 50 for a bilateral adjustment. Assistant-at-surgery payment is restricted.

When may co-surgeons be reported?

Co-surgeon payment requires supporting documentation. Team surgery is not permitted for this code.

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 64782PPRRVU2026_Oct_nonQPP.csv, line 7,232 (RVU26D)

Open CMS sourceHow we calculate rates

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