CPT code 64795: Nerve biopsy, diagnostic tissue sampling2026 Medicare rate & RVUs in Virginia
Report a nerve biopsy when a surgeon removes peripheral nerve tissue for diagnostic evaluation, such as investigating suspected vasculitic neuropathy.
In Virginia, Medicare pays $176.73 for 64795 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 64795 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 64795 covers
A surgeon obtains a sample of peripheral nerve tissue so it can be examined to help diagnose a neuropathy. A sural nerve biopsy is a familiar example in the evaluation of suspected vasculitic neuropathy. The service is generally performed by a surgeon, such as a neurosurgeon or peripheral nerve surgeon, in an operating or procedure setting when tissue sampling is clinically indicated.
Select this code for diagnostic nerve tissue sampling, not removal of a nerve lesion as the treatment itself. The operative report should identify the nerve sampled, the diagnostic reason, and the biopsy performed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this service. Medicare does not pay an assistant at surgery, and 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 Virginia compares for 64795
Across 109 of 109 payment localities, the facility rate for 64795 runs from $163.54 in Nebraska to $233.74 in Miami, FL. Virginia pays $176.73. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Virginia · this page$176.73
- Los Angeles, CA · California$191.33+$14.60
- Washington, DC area · District of Columbia$205.51+$28.78
- Miami, FL · Florida$233.74+$57.01
- Chicago, IL · Illinois$225.42+$48.69
- Manhattan, NY · New York$219.44+$42.71
- Alaska · Alaska$225.95+$49.22
Other areas in Virginia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $166.23 |
| ArkansasArkansas | — | $163.79 |
| ArizonaArizona | — | $180.31 |
| Bakersfield, CACalifornia | — | $182.42 |
| Chico, CACalifornia | — | $180.08 |
| El Centro, CACalifornia | — | $180.22 |
| Fresno, CACalifornia | — | $180.08 |
| Hanford, CACalifornia | — | $180.08 |
| Madera, CACalifornia | — | $180.08 |
| Merced, CACalifornia | — | $180.08 |
| Modesto, CACalifornia | — | $180.08 |
| Napa, CACalifornia | — | $196.88 |
| Oxnard, CACalifornia | — | $188.80 |
| Redding, CACalifornia | — | $180.08 |
| Rest of CaliforniaCalifornia | — | $180.08 |
| Riverside, CACalifornia | — | $189.49 |
| Sacramento, CACalifornia | — | $185.90 |
| Salinas, CACalifornia | — | $185.17 |
| San Diego, CACalifornia | — | $187.44 |
| Marin County, CACalifornia | — | $204.01 |
| San Francisco, CACalifornia | — | $203.01 |
| San Benito County, CACalifornia | — | $209.63 |
| Santa Clara County, CACalifornia | — | $205.55 |
| San Luis Obispo, CACalifornia | — | $182.62 |
| Santa Cruz, CACalifornia | — | $187.50 |
| Santa Maria, CACalifornia | — | $185.29 |
| Santa Rosa, CACalifornia | — | $189.15 |
| Stockton, CACalifornia | — | $180.08 |
| Vallejo, CACalifornia | — | $195.44 |
| Visalia, CACalifornia | — | $180.08 |
| Yuba City, CACalifornia | — | $180.08 |
| ColoradoColorado | — | $184.90 |
| ConnecticutConnecticut | — | $199.06 |
| DelawareDelaware | — | $183.19 |
| Fort Lauderdale, FLFlorida | — | $210.89 |
| Rest of FloridaFlorida | — | $198.56 |
| Atlanta, GAGeorgia | — | $193.52 |
| Rest of GeorgiaGeorgia | — | $185.64 |
| Hawaii, Guam, HIHawaii | — | $182.10 |
| IowaIowa | — | $163.63 |
| IdahoIdaho | — | $166.16 |
| East St. Louis, ILIllinois | — | $211.45 |
| Rest of IllinoisIllinois | — | $197.78 |
| Suburban Chicago, ILIllinois | — | $211.35 |
| IndianaIndiana | — | $166.95 |
| KansasKansas | — | $166.12 |
| KentuckyKentucky | — | $177.32 |
| New Orleans, LALouisiana | — | $186.89 |
| Rest of LouisianaLouisiana | — | $178.34 |
| Metropolitan Boston, MAMassachusetts | — | $198.63 |
| Rest of MassachusettsMassachusetts | — | $185.11 |
| Baltimore area, MDMaryland | — | $199.22 |
| Rest of MarylandMaryland | — | $185.65 |
| Rest of MaineMaine | — | $170.54 |
| Southern Maine, MEMaine | — | $175.00 |
| Detroit, MIMichigan | — | $204.47 |
| Rest of MichiganMichigan | — | $185.03 |
| MinnesotaMinnesota | — | $167.40 |
| Metropolitan Kansas City, MOMissouri | — | $182.09 |
| Metropolitan St. Louis, MOMissouri | — | $183.60 |
| Rest of MissouriMissouri | — | $177.45 |
| MississippiMississippi | — | $170.49 |
| MontanaMontana | — | $186.32 |
| North CarolinaNorth Carolina | — | $171.81 |
| North DakotaNorth Dakota | — | $168.92 |
| NebraskaNebraska | — | $163.54 |
| New HampshireNew Hampshire | — | $185.13 |
| Northern New JerseyNew Jersey | — | $204.00 |
| Rest of New JerseyNew Jersey | — | $198.58 |
| New MexicoNew Mexico | — | $187.38 |
| NevadaNevada | — | $181.53 |
| NYC suburbs and Long Island, NYNew York | — | $229.00 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $202.57 |
| Queens, NYNew York | — | $216.39 |
| Rest of New YorkNew York | — | $174.69 |
| OhioOhio | — | $181.47 |
| OklahomaOklahoma | — | $173.50 |
| Portland, OROregon | — | $186.98 |
| Rest of OregonOregon | — | $177.41 |
| Metropolitan Philadelphia, PAPennsylvania | — | $196.24 |
| Rest of PennsylvaniaPennsylvania | — | $179.91 |
| Puerto RicoPuerto Rico | — | $186.59 |
| Rhode IslandRhode Island | — | $187.01 |
| South CarolinaSouth Carolina | — | $177.48 |
| South DakotaSouth Dakota | — | $166.86 |
| TennesseeTennessee | — | $167.39 |
| Austin, TXTexas | — | $186.65 |
| Beaumont, TXTexas | — | $178.97 |
| Brazoria, TXTexas | — | $180.16 |
| Dallas, TXTexas | — | $182.85 |
| Fort Worth, TXTexas | — | $182.64 |
| Galveston, TXTexas | — | $181.69 |
| Houston, TXTexas | — | $197.80 |
| Rest of TexasTexas | — | $180.51 |
| UtahUtah | — | $179.83 |
| Virgin Islands, VIUnited States Virgin Islands | — | $186.59 |
| VermontVermont | — | $171.27 |
| Rest of WashingtonWashington | — | $183.76 |
| King County, WAWashington | — | $199.31 |
| WisconsinWisconsin | — | $163.55 |
| West VirginiaWest Virginia | — | $191.30 |
| WyomingWyoming | — | $178.73 |
64795 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
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 64795 rate is calculated
Each of 64795’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 · 64795
RVUs × geographic indexes × conversion factor
Work2.93
2.93 RVUs× 1.000 GPCI
Practice expense1.77
1.77 RVUs× 1.000 GPCI
Malpractice0.88
0.88 RVUs× 1.000 GPCI
Adjusted RVUs
5.5800
Conversion factor
$33.4009
Medicare rate
$186.38
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Virginia inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,240
- Code
- 64795
- Physician work
- 2.93
- Practice expense
- 1.77
- Malpractice
- 0.88
GPCI2026.csv
106
- Locality
- Virginia
- Physician work
- 1.000
- Practice expense
- 0.983
- Malpractice
- 0.706
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.93 | × 1.000 | 2.9300 |
| Practice expense | 1.77 | × 0.983 | 1.7399 |
| Malpractice | 0.88 | × 0.706 | 0.6213 |
| Total RVUs | 5.2912 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Virginia$176.73
Facility: (2.93 × 1 + 1.77 × 0.983 + 0.88 × 0.706) × $33.4009 = $176.73
Payment rules and modifiers for 64795
The CMS indicators that decide how 64795 is paid alongside other services.
CMS payment indicators · 64795
Nerve biopsy, diagnostic tissue sampling
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| 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. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
64795 without 51 · national facility
$186.38
Nerve biopsy, diagnostic tissue sampling
64795-51 · Second procedure: 50%
$93.19
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%).
How 64795 has changed in Virginia
64795 · 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 | $176.73 | RVU26D |
| 2026-07-01 | Not available in this setting | $176.73 | RVU26C |
| 2026-04-01 | Not available in this setting | $176.73 | RVU26B |
| 2026-01-01 | Not available in this setting | $176.73 | RVU26A |
| 2025-10-01 | Not available in this setting | $185.65 | RVU25D |
| 2025-07-01 | Not available in this setting | $185.65 | RVU25C |
| 2025-04-01 | Not available in this setting | $185.65 | RVU25B |
| 2025-01-01 | Not available in this setting | $185.65 | RVU25A |
| 2024-10-01 | Not available in this setting | $187.12 | RVU24D |
| 2024-07-01 | Not available in this setting | $187.12 | RVU24C |
| 2024-04-01 | Not available in this setting | $187.12 | RVU24B |
| 2024-03-09 | Not available in this setting | $187.12 | RVU24AR |
| 2024-01-01 | Not available in this setting | $184.06 | RVU24A |
| 2023-10-01 | Not available in this setting | $190.48 | RVU23D |
| 2023-07-01 | Not available in this setting | $190.48 | RVU23C |
| 2023-04-01 | Not available in this setting | $190.48 | RVU23B |
| 2023-01-01 | Not available in this setting | $190.48 | RVU23A |
| 2022-10-01 | Not available in this setting | $191.84 | RVU22D |
| 2022-07-01 | Not available in this setting | $191.84 | RVU22C |
| 2022-04-01 | Not available in this setting | $191.84 | RVU22B |
| 2022-01-01 | Not available in this setting | $191.84 | RVU22A |
| 2021-10-01 | Not available in this setting | $192.42 | RVU21D |
| 2021-07-01 | Not available in this setting | $192.42 | RVU21C |
| 2021-04-01 | Not available in this setting | $192.42 | RVU21B |
| 2021-01-01 | Not available in this setting | $192.42 | RVU21A |
| 2020-10-01 | Not available in this setting | $197.74 | RVU20D |
| 2020-07-01 | Not available in this setting | $197.74 | RVU20C |
| 2020-04-01 | Not available in this setting | $197.74 | RVU20B |
| 2020-01-01 | Not available in this setting | $197.74 | RVU20A |
| 2019-10-01 | Not available in this setting | $199.63 | RVU19D |
| 2019-07-01 | Not available in this setting | $199.63 | RVU19C |
| 2019-04-01 | Not available in this setting | $199.63 | RVU19B |
| 2019-01-01 | Not available in this setting | $199.63 | RVU19A |
| 2018-10-01 | Not available in this setting | $199.44 | RVU18D |
| 2018-07-01 | Not available in this setting | $199.44 | RVU18C |
| 2018-04-01 | Not available in this setting | $199.44 | RVU18B |
| 2018-01-01 | Not available in this setting | $199.44 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $196.52 | RVU17D |
| 2017-07-01 | Not available in this setting | $196.52 | RVU17C |
| 2017-04-01 | Not available in this setting | $196.52 | RVU17B |
| 2017-01-01 | Not available in this setting | $196.52 | RVU17A |
| 2016-10-01 | Not available in this setting | $193.73 | RVU16D |
| 2016-07-01 | Not available in this setting | $193.73 | RVU16C |
| 2016-04-01 | Not available in this setting | $193.73 | RVU16B |
| 2016-01-01 | Not available in this setting | $193.73 | RVU16A |
| 2015-10-01 | Not available in this setting | $194.07 | RVU15D |
| 2015-07-01 | Not available in this setting | $194.07 | RVU15C |
| 2015-04-01 | Not available in this setting | $193.11 | RVU15B |
| 2015-01-01 | Not available in this setting | $193.11 | RVU15A |
| 2014-10-01 | Not available in this setting | $191.70 | RVU14D |
| 2014-07-01 | Not available in this setting | $191.70 | RVU14C |
| 2014-04-01 | Not available in this setting | $191.70 | RVU14B |
| 2014-01-01 | Not available in this setting | $191.70 | RVU14A |
| 2013-10-01 | Not available in this setting | $187.29 | RVU13D |
| 2013-07-01 | Not available in this setting | $187.29 | RVU13C |
| 2013-04-01 | Not available in this setting | $187.29 | RVU13B |
| 2013-01-01 | Not available in this setting | $187.29 | RVU13AR |
Where the Virginia rate applies
Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.
- Abbs Valley
- Abingdon
- Accomac
- Adwolf
- Afton
- Alberta
- Aldie
- Allison Gap
64795 billing questions
When should I report a nerve biopsy instead of a nerve-lesion excision code?
Report 64795 when nerve tissue is sampled to establish a diagnosis. If the procedure removes a nerve lesion as treatment, use the code that describes that lesion and its location or type.
Is same-day preoperative or postoperative care included?
Yes. The 0-day global period includes same-day preoperative and postoperative care.
Can modifier 50 be used for biopsies on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code. Do not append modifier 50.
How does Medicare handle this service when other procedures are performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard 50% multiple-procedure reduction.
Can an assistant or co-surgeon be paid for the biopsy?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
What documentation supports reporting 64795?
Document the nerve sampled, the diagnostic indication, and the tissue-sampling procedure. The record should make clear that the purpose was diagnostic biopsy rather than therapeutic removal of a nerve lesion.
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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