CPT code 64787: Nerve-end implantation, into muscle or bone2026 Medicare rate & RVUs

Medicare pays $203.75 for 64787 nationally in a facility.

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

What 64787 covers

The surgeon places a divided nerve end into muscle or bone, commonly when treating a symptomatic neuroma or managing a nerve stump during another nerve procedure. The operative report should identify the nerve and site, describe the implantation and its destination, and document the related primary procedure. This work is typically performed in an operating room by a surgeon treating peripheral nerve conditions.

Code 64787 is an add-on, not a stand-alone service: report it only with an eligible primary procedure. CMS pays it within the primary procedure’s global period, so it is not separately paid as a service outside that period. The documentation should distinguish the nerve-end implantation from the primary excision or other nerve work. Identify the primary code and explain why the nerve end was implanted rather than simply documenting nerve division or removal.

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 64787 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

64787 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 64787 rate is calculated

Each of 64787’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.

Payment rules and modifiers for 64787

The CMS indicators that decide how 64787 is paid alongside other services.

64787 compared with similar codes

How to choose

64774Neuroma excisionCutaneous nerve, surgically treated

64774 reports excision of a surgically identifiable cutaneous nerve neuroma. Use 64787 only for the additional placement of a nerve end into muscle or bone with an eligible primary procedure.

64776Neuroma excisionDigital nerve, hand or foot

64776 addresses excision of a digital nerve neuroma. It describes the primary excision, while 64787 describes additional implantation of the nerve end.

64786Neuroma excisionSciatic nerve

64786 reports sciatic nerve neuroma excision. It is a primary procedure; 64787 identifies the additional nerve-end implantation when performed.

Codes related to 64787

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

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

Open CMS sourceHow we calculate rates