CPT code 64784: Neuroma excision, sciatic nerve2026 Medicare rate & RVUs in New Mexico

Reports surgical removal of a neuroma involving the sciatic nerve, typically for a symptomatic lesion requiring operative treatment.

CMS RVU26DEffective Oct 1, 2026One payment locality1K Medicare services in 2024

In New Mexico, Medicare pays $665.59 for 64784 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$665.59Hospital or facility

Check a contract rate as a % of Medicare · 64784 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 64784 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 64784 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 64784 covers

A surgeon removes a neuroma arising from the sciatic nerve, a major nerve supplying the back of the thigh and lower leg. This procedure may be performed by a peripheral nerve, neurosurgical, or orthopedic surgeon in a hospital or ambulatory surgery setting when a sciatic nerve neuroma is the operative target. The operative report should identify the lesion and its relationship to the sciatic nerve, describe the excision, and support why the selected procedure was performed.

Report this code for sciatic nerve neuroma excision, not for a lesion on another major peripheral nerve or for a nerve biopsy. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are 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.

How New Mexico compares for 64784

Across 109 of 109 payment localities, the facility rate for 64784 runs from $602.98 in Arkansas to $831.44 in Alaska. New Mexico pays $665.59. The RVUs are the same everywhere; the geographic indexes change the dollars.

64784 in New Mexico vs other payment areas
  1. New Mexico · this page$665.59
  2. Los Angeles, CA · California$711.05+$45.46
  3. Washington, DC area · District of Columbia$745.44+$79.85
  4. Miami, FL · Florida$789.83+$124.24
  5. Chicago, IL · Illinois$766.71+$101.12
  6. Manhattan, NY · New York$777.64+$112.05
  7. Alaska · Alaska$831.44+$165.85

Other areas in New Mexico first, then benchmark localities. Bars start at $0.

Every other payment area

64784 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$610.64
ArkansasArkansas—$602.98
ArizonaArizona—$655.03
Bakersfield, CACalifornia—$677.19
Chico, CACalifornia—$671.42
El Centro, CACalifornia—$671.77
Fresno, CACalifornia—$671.42
Hanford, CACalifornia—$671.42

64784 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
64784 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 64784 in every payment locality

How the 64784 rate is calculated

Each of 64784’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 · 64784

RVUs × geographic indexes × conversion factor

Office or facility?

Work10.35

10.35 RVUs× 1.000 GPCI

Practice expense7.72

7.72 RVUs× 1.000 GPCI

Malpractice2.08

2.08 RVUs× 1.000 GPCI

Adjusted RVUs

20.1500

Conversion factor

$33.4009

Medicare rate

$673.03

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

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,234

Code
64784
Physician work
10.35
Practice expense
7.72
Malpractice
2.08

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 64784 in New Mexico
ComponentRVULocality factorAdjusted
Physician work10.35× 1.00010.3500
Practice expense7.72× 0.9177.0792
Malpractice2.08× 1.2012.4981
Total RVUs19.9273
Conversion factor× 33.4009

Facility rate, New Mexico$665.59

Facility: (10.35 × 1 + 7.72 × 0.917 + 2.08 × 1.201) × $33.4009 = $665.59

Open 64784 in the RVU calculator

Payment rules and modifiers for 64784

64784 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 64784

Neuroma excision, sciatic 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)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
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 · 64784

Neuroma excision, sciatic 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

64784 without 51 · national facility

$673.03

Neuroma excision, sciatic nerve

64784-51 · Second procedure: 50%

$336.52

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

How 64784 has changed in New Mexico

64784 · 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$665.59RVU26D
2026-07-01Not available in this setting$665.59RVU26C
2026-04-01Not available in this setting$665.59RVU26B
2026-01-01Not available in this setting$665.59RVU26A
2025-10-01Not available in this setting$700.98RVU25D
2025-07-01Not available in this setting$700.98RVU25C
2025-04-01Not available in this setting$700.98RVU25B
2025-01-01Not available in this setting$700.98RVU25A
2024-10-01Not available in this setting$712.43RVU24D
2024-07-01Not available in this setting$712.43RVU24C
2024-04-01Not available in this setting$712.43RVU24B
2024-03-09Not available in this setting$712.43RVU24AR
2024-01-01Not available in this setting$700.80RVU24A
2023-10-01Not available in this setting$718.58RVU23D
2023-07-01Not available in this setting$718.58RVU23C
2023-04-01Not available in this setting$718.58RVU23B
2023-01-01Not available in this setting$718.58RVU23A
2022-10-01Not available in this setting$726.14RVU22D
2022-07-01Not available in this setting$726.14RVU22C
2022-04-01Not available in this setting$726.14RVU22B
2022-01-01Not available in this setting$726.14RVU22A
2021-10-01Not available in this setting$728.90RVU21D
2021-07-01Not available in this setting$728.90RVU21C
2021-04-01Not available in this setting$728.90RVU21B
2021-01-01Not available in this setting$728.90RVU21A
2020-10-01Not available in this setting$746.54RVU20D
2020-07-01Not available in this setting$746.54RVU20C
2020-04-01Not available in this setting$746.54RVU20B
2020-01-01Not available in this setting$746.54RVU20A
2019-10-01Not available in this setting$746.70RVU19D
2019-07-01Not available in this setting$746.70RVU19C
2019-04-01Not available in this setting$746.70RVU19B
2019-01-01Not available in this setting$746.70RVU19A
2018-10-01Not available in this setting$746.00RVU18D
2018-07-01Not available in this setting$746.00RVU18C
2018-04-01Not available in this setting$746.00RVU18B
2018-01-01Not available in this setting$746.00RVU18AR1
2017-10-01Not available in this setting$742.46RVU17D
2017-07-01Not available in this setting$742.46RVU17C
2017-04-01Not available in this setting$742.46RVU17B
2017-01-01Not available in this setting$742.46RVU17A
2016-10-01Not available in this setting$739.08RVU16D
2016-07-01Not available in this setting$739.08RVU16C
2016-04-01Not available in this setting$739.08RVU16B
2016-01-01Not available in this setting$739.08RVU16A
2015-10-01Not available in this setting$739.16RVU15D
2015-07-01Not available in this setting$739.16RVU15C
2015-04-01Not available in this setting$735.48RVU15B
2015-01-01Not available in this setting$735.48RVU15A
2014-10-01Not available in this setting$734.45RVU14D
2014-07-01Not available in this setting$734.45RVU14C
2014-04-01Not available in this setting$734.45RVU14B
2014-01-01Not available in this setting$734.45RVU14A
2013-10-01Not available in this setting$719.00RVU13D
2013-07-01Not available in this setting$719.00RVU13C
2013-04-01Not available in this setting$719.00RVU13B
2013-01-01Not available in this setting$719.00RVU13AR

Price 64784 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

64784 billing questions

How does this differ from 64786?

Both codes concern sciatic nerve neuroma excision; 64786 is for an extensive excision. The operative documentation should support the extent represented by the selected code.

When should 64782 be used instead?

64782 describes neuroma excision involving a major peripheral nerve other than the sciatic nerve. Use 64784 when the lesion being excised is on the sciatic nerve.

Can nerve-end implantation be reported with this procedure?

Code 64787 describes implantation of a nerve end into bone or muscle and may be relevant when that work is performed. Document the implantation separately from the neuroma excision.

What postoperative care is included?

The 90-day 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?

Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documentation of medical necessity.

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 64784PPRRVU2026_Oct_nonQPP.csv, line 7,234 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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