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

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, 2026One payment locality56 Medicare services in 2024

In North Carolina, Medicare pays $173.40 for 64783 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$173.40Hospital or facility

Check a contract rate as a % of Medicare · 64783 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 64783 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Carolina
  2. What 64783 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 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.

How North Carolina compares for 64783

Across 109 of 109 payment localities, the facility rate for 64783 runs from $165.73 in Wisconsin to $236.63 in Alaska. North Carolina pays $173.40. The RVUs are the same everywhere; the geographic indexes change the dollars.

64783 in North Carolina vs other payment areas
  1. North Carolina · this page$173.40
  2. Los Angeles, CA · California$188.61+$15.21
  3. Washington, DC area · District of Columbia$201.69+$28.29
  4. Miami, FL · Florida$226.78+$53.38
  5. Chicago, IL · Illinois$220.15+$46.75
  6. Manhattan, NY · New York$214.60+$41.20
  7. Alaska · Alaska$236.63+$63.23

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

Every other payment area

64783 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$169.27
ArkansasArkansas—$167.32
ArizonaArizona—$180.43
Bakersfield, CACalifornia—$181.17
Chico, CACalifornia—$179.03
El Centro, CACalifornia—$179.16
Fresno, CACalifornia—$179.03
Hanford, CACalifornia—$179.03

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.

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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

See 64783 in every payment locality

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.

The exact North Carolina inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,233

Code
64783
Physician work
3.62
Practice expense
1.15
Malpractice
0.78

GPCI2026.csv

83

Locality
North Carolina
Physician work
1.000
Practice expense
0.933
Malpractice
0.639
Facility calculation for 64783 in North Carolina
ComponentRVULocality factorAdjusted
Physician work3.62× 1.0003.6200
Practice expense1.15× 0.9331.0730
Malpractice0.78× 0.6390.4984
Total RVUs5.1914
Conversion factor× 33.4009

Facility rate, North Carolina$173.40

Facility: (3.62 × 1 + 1.15 × 0.933 + 0.78 × 0.639) × $33.4009 = $173.40

Open 64783 in the RVU calculator

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.

How 64783 has changed in North Carolina

64783 · 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$173.40RVU26D
2026-07-01Not available in this setting$173.40RVU26C
2026-04-01Not available in this setting$173.40RVU26B
2026-01-01Not available in this setting$173.40RVU26A
2025-10-01Not available in this setting$195.06RVU25D
2025-07-01Not available in this setting$195.06RVU25C
2025-04-01Not available in this setting$195.06RVU25B
2025-01-01Not available in this setting$195.06RVU25A
2024-10-01Not available in this setting$199.19RVU24D
2024-07-01Not available in this setting$199.19RVU24C
2024-04-01Not available in this setting$199.19RVU24B
2024-03-09Not available in this setting$199.19RVU24AR
2024-01-01Not available in this setting$195.94RVU24A
2023-10-01Not available in this setting$204.89RVU23D
2023-07-01Not available in this setting$204.89RVU23C
2023-04-01Not available in this setting$204.89RVU23B
2023-01-01Not available in this setting$204.89RVU23A
2022-10-01Not available in this setting$210.59RVU22D
2022-07-01Not available in this setting$210.59RVU22C
2022-04-01Not available in this setting$210.59RVU22B
2022-01-01Not available in this setting$210.59RVU22A
2021-10-01Not available in this setting$212.12RVU21D
2021-07-01Not available in this setting$212.12RVU21C
2021-04-01Not available in this setting$212.12RVU21B
2021-01-01Not available in this setting$212.12RVU21A
2020-10-01Not available in this setting$216.54RVU20D
2020-07-01Not available in this setting$216.54RVU20C
2020-04-01Not available in this setting$216.54RVU20B
2020-01-01Not available in this setting$216.54RVU20A
2019-10-01Not available in this setting$215.15RVU19D
2019-07-01Not available in this setting$215.15RVU19C
2019-04-01Not available in this setting$215.15RVU19B
2019-01-01Not available in this setting$215.15RVU19A
2018-10-01Not available in this setting$215.58RVU18D
2018-07-01Not available in this setting$215.58RVU18C
2018-04-01Not available in this setting$215.58RVU18B
2018-01-01Not available in this setting$215.58RVU18AR1
2017-10-01Not available in this setting$219.15RVU17D
2017-07-01Not available in this setting$219.15RVU17C
2017-04-01Not available in this setting$219.15RVU17B
2017-01-01Not available in this setting$219.15RVU17A
2016-10-01Not available in this setting$218.32RVU16D
2016-07-01Not available in this setting$218.32RVU16C
2016-04-01Not available in this setting$218.32RVU16B
2016-01-01Not available in this setting$218.32RVU16A
2015-10-01Not available in this setting$218.28RVU15D
2015-07-01Not available in this setting$218.28RVU15C
2015-04-01Not available in this setting$217.19RVU15B
2015-01-01Not available in this setting$217.19RVU15A
2014-10-01Not available in this setting$213.07RVU14D
2014-07-01Not available in this setting$213.07RVU14C
2014-04-01Not available in this setting$213.07RVU14B
2014-01-01Not available in this setting$213.07RVU14A
2013-10-01Not available in this setting$205.94RVU13D
2013-07-01Not available in this setting$205.94RVU13C
2013-04-01Not available in this setting$205.94RVU13B
2013-01-01Not available in this setting$205.94RVU13AR

Price 64783 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Advance
  • Ahoskie
  • Alamance
  • Albemarle
  • Alexis
  • Alliance
  • Altamahaw

Browse all communities in North Carolina

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)
Geographic factors for North CarolinaGPCI2026.csv, line 83 (RVU26D)

Open CMS sourceHow we calculate rates

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