CPT code 64783: Neuroma excision, additional major peripheral nerve2026 Medicare rate & RVUs in North Dakota
Reports excision of a neuroma from an additional major peripheral nerve, beyond the first qualifying nerve treated during the same operative session.
In North Dakota, Medicare pays $169.90 for 64783 in a facility. There’s no office rate.
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.
On this page 11 sections
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 Dakota 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 Dakota pays $169.90. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Dakota · this page$169.90
- Los Angeles, CA · California$188.61+$18.71
- Washington, DC area · District of Columbia$201.69+$31.79
- Miami, FL · Florida$226.78+$56.88
- Chicago, IL · Illinois$220.15+$50.25
- Manhattan, NY · New York$214.60+$44.70
- Alaska · Alaska$236.63+$66.73
Other areas in North Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $179.03 |
| Merced, CACalifornia | — | $179.03 |
| Modesto, CACalifornia | — | $179.03 |
| Napa, CACalifornia | — | $192.39 |
| Oxnard, CACalifornia | — | $185.93 |
| Redding, CACalifornia | — | $179.03 |
| Rest of CaliforniaCalifornia | — | $179.03 |
| Riverside, CACalifornia | — | $187.41 |
| Sacramento, CACalifornia | — | $183.90 |
| Salinas, CACalifornia | — | $183.14 |
| San Diego, CACalifornia | — | $184.60 |
| Marin County, CACalifornia | — | $198.52 |
| San Francisco, CACalifornia | — | $197.63 |
| San Benito County, CACalifornia | — | $203.56 |
| Santa Clara County, CACalifornia | — | $199.94 |
| San Luis Obispo, CACalifornia | — | $180.68 |
| Santa Cruz, CACalifornia | — | $184.08 |
| Santa Maria, CACalifornia | — | $183.05 |
| Santa Rosa, CACalifornia | — | $185.67 |
| Stockton, CACalifornia | — | $179.03 |
| Vallejo, CACalifornia | — | $191.11 |
| Visalia, CACalifornia | — | $179.03 |
| Yuba City, CACalifornia | — | $179.03 |
| ColoradoColorado | — | $183.58 |
| ConnecticutConnecticut | — | $196.22 |
| DelawareDelaware | — | $182.89 |
| Fort Lauderdale, FLFlorida | — | $206.92 |
| Rest of FloridaFlorida | — | $196.79 |
| Atlanta, GAGeorgia | — | $191.59 |
| Rest of GeorgiaGeorgia | — | $186.23 |
| Hawaii, Guam, HIHawaii | — | $179.67 |
| IowaIowa | — | $166.40 |
| IdahoIdaho | — | $168.57 |
| East St. Louis, ILIllinois | — | $208.72 |
| Rest of IllinoisIllinois | — | $196.70 |
| Suburban Chicago, ILIllinois | — | $207.37 |
| IndianaIndiana | — | $169.18 |
| KansasKansas | — | $168.77 |
| KentuckyKentucky | — | $178.90 |
| New Orleans, LALouisiana | — | $186.65 |
| Rest of LouisianaLouisiana | — | $179.86 |
| Metropolitan Boston, MAMassachusetts | — | $194.92 |
| Rest of MassachusettsMassachusetts | — | $184.06 |
| Baltimore area, MDMaryland | — | $196.29 |
| Rest of MarylandMaryland | — | $184.91 |
| Rest of MaineMaine | — | $172.45 |
| Southern Maine, MEMaine | — | $175.42 |
| Detroit, MIMichigan | — | $201.90 |
| Rest of MichiganMichigan | — | $185.39 |
| MinnesotaMinnesota | — | $168.15 |
| Metropolitan Kansas City, MOMissouri | — | $182.43 |
| Metropolitan St. Louis, MOMissouri | — | $183.58 |
| Rest of MissouriMissouri | — | $179.40 |
| MississippiMississippi | — | $173.24 |
| MontanaMontana | — | $185.32 |
| North CarolinaNorth Carolina | — | $173.40 |
| NebraskaNebraska | — | $166.21 |
| New HampshireNew Hampshire | — | $183.69 |
| Northern New JerseyNew Jersey | — | $200.91 |
| Rest of New JerseyNew Jersey | — | $196.27 |
| New MexicoNew Mexico | — | $187.42 |
| NevadaNevada | — | $181.06 |
| NYC suburbs and Long Island, NYNew York | — | $222.70 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $199.94 |
| Queens, NYNew York | — | $211.62 |
| Rest of New YorkNew York | — | $175.72 |
| OhioOhio | — | $182.24 |
| OklahomaOklahoma | — | $175.46 |
| Portland, OROregon | — | $184.90 |
| Rest of OregonOregon | — | $177.48 |
| Metropolitan Philadelphia, PAPennsylvania | — | $194.15 |
| Rest of PennsylvaniaPennsylvania | — | $180.79 |
| Puerto RicoPuerto Rico | — | $185.41 |
| Rhode IslandRhode Island | — | $186.13 |
| South CarolinaSouth Carolina | — | $178.55 |
| South DakotaSouth Dakota | — | $168.08 |
| TennesseeTennessee | — | $169.82 |
| Austin, TXTexas | — | $184.87 |
| Beaumont, TXTexas | — | $180.07 |
| Brazoria, TXTexas | — | $180.26 |
| Dallas, TXTexas | — | $182.61 |
| Fort Worth, TXTexas | — | $182.56 |
| Galveston, TXTexas | — | $181.59 |
| Houston, TXTexas | — | $195.87 |
| Rest of TexasTexas | — | $180.89 |
| UtahUtah | — | $180.41 |
| VirginiaVirginia | — | $177.06 |
| Virgin Islands, VIUnited States Virgin Islands | — | $185.41 |
| VermontVermont | — | $172.12 |
| Rest of WashingtonWashington | — | $182.76 |
| King County, WAWashington | — | $195.37 |
| WisconsinWisconsin | — | $165.73 |
| West VirginiaWest Virginia | — | $191.57 |
| WyomingWyoming | — | $178.60 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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
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 Dakota 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
84
- Locality
- North Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.406
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.62 | × 1.000 | 3.6200 |
| Practice expense | 1.15 | × 1.000 | 1.1500 |
| Malpractice | 0.78 | × 0.406 | 0.3167 |
| Total RVUs | 5.0867 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, North Dakota$169.90
Facility: (3.62 × 1 + 1.15 × 1 + 0.78 × 0.406) × $33.4009 = $169.90
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
How 64783 has changed in North Dakota
64783 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $169.90 | RVU26D |
| 2026-07-01 | Not available in this setting | $169.90 | RVU26C |
| 2026-04-01 | Not available in this setting | $169.90 | RVU26B |
| 2026-01-01 | Not available in this setting | $169.90 | RVU26A |
| 2025-10-01 | Not available in this setting | $196.11 | RVU25D |
| 2025-07-01 | Not available in this setting | $196.11 | RVU25C |
| 2025-04-01 | Not available in this setting | $196.11 | RVU25B |
| 2025-01-01 | Not available in this setting | $196.11 | RVU25A |
| 2024-10-01 | Not available in this setting | $200.16 | RVU24D |
| 2024-07-01 | Not available in this setting | $200.16 | RVU24C |
| 2024-04-01 | Not available in this setting | $200.16 | RVU24B |
| 2024-03-09 | Not available in this setting | $200.16 | RVU24AR |
| 2024-01-01 | Not available in this setting | $196.89 | RVU24A |
| 2023-10-01 | Not available in this setting | $202.83 | RVU23D |
| 2023-07-01 | Not available in this setting | $202.83 | RVU23C |
| 2023-04-01 | Not available in this setting | $202.83 | RVU23B |
| 2023-01-01 | Not available in this setting | $202.83 | RVU23A |
| 2022-10-01 | Not available in this setting | $204.93 | RVU22D |
| 2022-07-01 | Not available in this setting | $204.93 | RVU22C |
| 2022-04-01 | Not available in this setting | $204.93 | RVU22B |
| 2022-01-01 | Not available in this setting | $204.93 | RVU22A |
| 2021-10-01 | Not available in this setting | $206.88 | RVU21D |
| 2021-07-01 | Not available in this setting | $206.88 | RVU21C |
| 2021-04-01 | Not available in this setting | $206.88 | RVU21B |
| 2021-01-01 | Not available in this setting | $206.88 | RVU21A |
| 2020-10-01 | Not available in this setting | $213.97 | RVU20D |
| 2020-07-01 | Not available in this setting | $213.97 | RVU20C |
| 2020-04-01 | Not available in this setting | $213.97 | RVU20B |
| 2020-01-01 | Not available in this setting | $213.97 | RVU20A |
| 2019-10-01 | Not available in this setting | $215.53 | RVU19D |
| 2019-07-01 | Not available in this setting | $215.53 | RVU19C |
| 2019-04-01 | Not available in this setting | $215.53 | RVU19B |
| 2019-01-01 | Not available in this setting | $215.53 | RVU19A |
| 2018-10-01 | Not available in this setting | $216.01 | RVU18D |
| 2018-07-01 | Not available in this setting | $216.01 | RVU18C |
| 2018-04-01 | Not available in this setting | $216.01 | RVU18B |
| 2018-01-01 | Not available in this setting | $216.01 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $220.45 | RVU17D |
| 2017-07-01 | Not available in this setting | $220.45 | RVU17C |
| 2017-04-01 | Not available in this setting | $220.45 | RVU17B |
| 2017-01-01 | Not available in this setting | $220.45 | RVU17A |
| 2016-10-01 | Not available in this setting | $219.01 | RVU16D |
| 2016-07-01 | Not available in this setting | $219.01 | RVU16C |
| 2016-04-01 | Not available in this setting | $219.01 | RVU16B |
| 2016-01-01 | Not available in this setting | $219.01 | RVU16A |
| 2015-10-01 | Not available in this setting | $219.20 | RVU15D |
| 2015-07-01 | Not available in this setting | $219.20 | RVU15C |
| 2015-04-01 | Not available in this setting | $218.11 | RVU15B |
| 2015-01-01 | Not available in this setting | $218.11 | RVU15A |
| 2014-10-01 | Not available in this setting | $215.31 | RVU14D |
| 2014-07-01 | Not available in this setting | $215.31 | RVU14C |
| 2014-04-01 | Not available in this setting | $215.31 | RVU14B |
| 2014-01-01 | Not available in this setting | $215.31 | RVU14A |
| 2013-10-01 | Not available in this setting | $208.65 | RVU13D |
| 2013-07-01 | Not available in this setting | $208.65 | RVU13C |
| 2013-04-01 | Not available in this setting | $208.65 | RVU13B |
| 2013-01-01 | Not available in this setting | $208.65 | RVU13AR |
Where the North Dakota rate applies
North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.
- Abercrombie
- Adams
- Alamo
- Alexander
- Alice
- Almont
- Alsen
- Ambrose
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
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