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CPT code 64783: Neuroma excision, additional major peripheral nerve2026 Medicare rate & RVUs

Reports excision of a neuroma from an additional major peripheral nerve, beyond the first qualifying nerve treated during the same operative session.

CMS RVU26DEffective Oct 1, 2026109 payment localities56 Medicare services in 2024

Medicare pays $185.37 for 64783 nationally in a facility.

Medicare rate · 64783

Neuroma excision, additional major peripheral nerve

Office or facility?

Work RVUs
3.62
Total RVUs
5.55
Global days
ZZZ

National rate · 2026

$185.37

Facility setting, before claim adjustments.

See every locality for 64783 →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 64783 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 64783 covers

This add-on code describes excision of a neuroma from an additional major peripheral nerve other than the sciatic nerve. It may apply when a surgeon treats symptomatic neuromas involving more than one major nerve, such as the median, ulnar, or radial nerve. Peripheral nerve, hand, orthopedic, and plastic surgeons may perform these procedures in an operating room, often for persistent focal nerve pain after trauma or prior surgery.

Report 64783 only with the primary procedure for the first qualifying major peripheral nerve neuroma excision, 64782. The operative report should identify each nerve treated and support that the additional site involved a major peripheral nerve rather than a digital or sciatic nerve. CMS classifies this as an add-on code: it is billed with the 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.

Where 64783 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

64783 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$169.27
AlaskaUnavailable$236.63
ArizonaUnavailable$180.43
ArkansasUnavailable$167.32
Atlanta, GAUnavailable$191.59
Austin, TXUnavailable$184.87
Bakersfield, CAUnavailable$181.17
Baltimore area, MDUnavailable$196.29
Beaumont, TXUnavailable$180.07
Brazoria, TXUnavailable$180.26

64783 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
64783 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 64783 rate is calculated

Each of 64783’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 · 64783

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.62

3.62 RVUs× 1.000 GPCI

Practice expense1.15

1.15 RVUs× 1.000 GPCI

Malpractice0.78

0.78 RVUs× 1.000 GPCI

Adjusted RVUs

5.5500

Conversion factor

$33.4009

Medicare rate

$185.37

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

Payment rules and modifiers for 64783

The CMS indicators that decide how 64783 is paid alongside other services.

CMS payment indicators · 64783

Neuroma excision, additional major peripheral nerve

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

64783 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 64783

    Neuroma excision, additional major peripheral nerve3.62 wRVU

    Not priced

  • 64782

    Neuroma excision, major arm or leg nerve6.69 wRVU

    Not priced

  • 64778

    Digital neuroma excision, each additional nerve3.03 wRVU

    Not priced

  • 64784

    Neuroma excision, sciatic nerve10.35 wRVU

    Not priced

How to choose

64782Neuroma excisionMajor arm or leg nerve
64782 reports the first qualifying major peripheral nerve neuroma excision. Use 64783 only for an additional qualifying major nerve treated in the same session.
64778Digital neuroma excisionEach additional nerve
64778 is the add-on for an additional digital nerve neuroma. Code 64783 is for an additional major peripheral nerve other than the sciatic nerve.
64784Neuroma excisionSciatic nerve
64784 is used for sciatic nerve neuroma excision. Code 64783 concerns an additional major peripheral nerve other than the sciatic nerve.

Codes related to 64783

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

Codes related to 64783
CodeHow it relatesNational office range
Add-on codes
64782Neuroma excision, major arm or leg nervePrimary procedure for the first qualifying major peripheral nerve neuroma excision.No office rate
Same family
64778Digital neuroma excision, each additional nerveAdd-on for an additional digital nerve neuroma, rather than an additional major peripheral nerve.No office rate
Used instead
64784Neuroma excision, sciatic nerveSeparate neuroma excision code for the sciatic nerve.No office rate
64776Neuroma excision, digital nerve, hand or footApplies to digital nerve neuroma excision in the same digit.No office rate

64783 billing questions

When should 64783 be reported instead of 64782?

Use 64782 for the first qualifying major peripheral nerve neuroma excision. Report 64783 for an additional qualifying major peripheral nerve treated in the same operative session.

Can 64783 be billed by itself?

No. It is an add-on code and must be reported with the primary procedure, 64782.

Does each additional neuroma count as a unit?

The distinction is an additional major peripheral nerve, not simply another neuroma or incision. The operative documentation should identify the additional nerve treated.

How does the CMS global-period rule affect this code?

CMS places payment for this add-on within the primary procedure's global period. Report it with the related primary procedure rather than as a stand-alone service.

Is this code appropriate for a digital or sciatic nerve neuroma?

No. Digital nerve neuroma excisions use the digital nerve code family, and sciatic nerve neuroma excision has a separate 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 64783PPRRVU2026_Oct_nonQPP.csv, line 7,233 (RVU26D)

Open CMS sourceHow we calculate rates

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