CPT code 64795: Nerve biopsy, diagnostic tissue sampling2026 Medicare rate & RVUs in Virgin Islands, VI

Report a nerve biopsy when a surgeon removes peripheral nerve tissue for diagnostic evaluation, such as investigating suspected vasculitic neuropathy.

CMS RVU26DEffective Oct 1, 2026One payment locality547 Medicare services in 2024

In Virgin Islands, VI, Medicare pays $186.59 for 64795 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$186.59Hospital or facility

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.

We’ll open 64795 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Virgin Islands, VI
  2. What 64795 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 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 Virgin Islands, VI 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. Virgin Islands, VI pays $186.59. The RVUs are the same everywhere; the geographic indexes change the dollars.

64795 in Virgin Islands, VI vs other payment areas
  1. Virgin Islands, VI · this page$186.59
  2. Los Angeles, CA · California$191.33+$4.74
  3. Washington, DC area · District of Columbia$205.51+$18.92
  4. Miami, FL · Florida$233.74+$47.15
  5. Chicago, IL · Illinois$225.42+$38.83
  6. Manhattan, NY · New York$219.44+$32.85
  7. Alaska · Alaska$225.95+$39.36

Other areas in United States Virgin Islands first, then benchmark localities. Bars start at $0.

Every other payment area

64795 in every other Medicare payment locality
Payment localityOfficeFacility
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

64795 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
64795 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 64795 in every payment locality

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

Office or facility?

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 Virgin Islands, VI 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

107

Locality
Virgin Islands, VI
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Facility calculation for 64795 in Virgin Islands, VI
ComponentRVULocality factorAdjusted
Physician work2.93× 1.0002.9300
Practice expense1.77× 1.0111.7895
Malpractice0.88× 0.9850.8668
Total RVUs5.5863
Conversion factor× 33.4009

Facility rate, Virgin Islands, VI$186.59

Facility: (2.93 × 1 + 1.77 × 1.011 + 0.88 × 0.985) × $33.4009 = $186.59

Open 64795 in the RVU calculator

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

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is 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)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician 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%).

When to use modifier 51

How 64795 has changed in Virgin Islands, VI

64795 · 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$186.59RVU26D
2026-07-01Not available in this setting$186.59RVU26C
2026-04-01Not available in this setting$186.59RVU26B
2026-01-01Not available in this setting$186.59RVU26A
2025-10-01Not available in this setting$193.40RVU25D
2025-07-01Not available in this setting$193.40RVU25C
2025-04-01Not available in this setting$193.40RVU25B
2025-01-01Not available in this setting$193.40RVU25A
2024-10-01Not available in this setting$195.00RVU24D
2024-07-01Not available in this setting$195.00RVU24C
2024-04-01Not available in this setting$195.00RVU24B
2024-03-09Not available in this setting$195.00RVU24AR
2024-01-01Not available in this setting$191.82RVU24A
2023-10-01Not available in this setting$195.97RVU23D
2023-07-01Not available in this setting$195.87RVU23C
2023-04-01Not available in this setting$195.87RVU23B
2023-01-01Not available in this setting$195.87RVU23A
2022-10-01Not available in this setting$194.99RVU22D
2022-07-01Not available in this setting$194.99RVU22C
2022-04-01Not available in this setting$194.99RVU22B
2022-01-01Not available in this setting$194.99RVU22A
2021-10-01Not available in this setting$195.56RVU21D
2021-07-01Not available in this setting$195.56RVU21C
2021-04-01Not available in this setting$195.56RVU21B
2021-01-01Not available in this setting$195.56RVU21A
2020-10-01Not available in this setting$201.20RVU20D
2020-07-01Not available in this setting$201.20RVU20C
2020-04-01Not available in this setting$201.20RVU20B
2020-01-01Not available in this setting$201.20RVU20A
2019-10-01Not available in this setting$203.42RVU19D
2019-07-01Not available in this setting$203.42RVU19C
2019-04-01Not available in this setting$203.42RVU19B
2019-01-01Not available in this setting$203.42RVU19A
2018-10-01Not available in this setting$203.20RVU18D
2018-07-01Not available in this setting$203.20RVU18C
2018-04-01Not available in this setting$203.20RVU18B
2018-01-01Not available in this setting$203.20RVU18AR1
2017-10-01Not available in this setting$201.52RVU17D
2017-07-01Not available in this setting$201.52RVU17C
2017-04-01Not available in this setting$201.52RVU17B
2017-01-01Not available in this setting$201.52RVU17A
2016-10-01Not available in this setting$197.13RVU16D
2016-07-01Not available in this setting$197.13RVU16C
2016-04-01Not available in this setting$197.13RVU16B
2016-01-01Not available in this setting$197.13RVU16A
2015-10-01Not available in this setting$197.49RVU15D
2015-07-01Not available in this setting$197.49RVU15C
2015-04-01Not available in this setting$196.51RVU15B
2015-01-01Not available in this setting$196.51RVU15A
2014-10-01Not available in this setting$199.51RVU14D
2014-07-01Not available in this setting$199.51RVU14C
2014-04-01Not available in this setting$199.51RVU14B
2014-01-01Not available in this setting$199.51RVU14A
2013-10-01Not available in this setting$196.72RVU13D
2013-07-01Not available in this setting$196.72RVU13C
2013-04-01Not available in this setting$196.72RVU13B
2013-01-01Not available in this setting$196.72RVU13AR

Price 64795 for an earlier date of service

Where the Virgin Islands, VI rate applies

Virgin Islands, VI is a Medicare payment area, not a city. Our Census mapping connects it to 10 cities and communities in United States Virgin Islands. Some span more than one payment area; confirm with the service ZIP.

  • Charlotte Amalie
  • Charlotte Amalie East
  • Charlotte Amalie West
  • Christiansted
  • Coral Bay
  • Cruz Bay
  • Frederiksted
  • Frederiksted Southeast

Browse all communities in United States Virgin Islands

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
RVUs for 64795PPRRVU2026_Oct_nonQPP.csv, line 7,240 (RVU26D)
Geographic factors for Virgin Islands, VIGPCI2026.csv, line 107 (RVU26D)

Open CMS sourceHow we calculate rates

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