CPT code 64831: Digital nerve repair, hand or foot2026 Medicare rate & RVUs in Colorado
Reports surgical suture repair of a digital nerve in a hand or foot, commonly after traumatic transection or laceration.
In Colorado, Medicare pays $653.25 for 64831 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 64831 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 64831 covers
A surgeon repairs a cut or transected digital nerve in a finger, thumb, or toe by bringing the nerve ends together and suturing them. This procedure is commonly performed by a hand or orthopedic surgeon, plastic surgeon, or another surgeon experienced in peripheral nerve repair, often in an operating room after a sharp laceration or other injury. The operative record should identify the injured digital nerve and document the repair performed.
Report 64831 for a digital nerve repair in the hand or foot; distinguish it from repair of a non-digital nerve in the hand or foot. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For bilateral procedures, modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery services are not paid; 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 Colorado compares for 64831
Across 109 of 109 payment localities, the facility rate for 64831 runs from $575.41 in Arkansas to $786.03 in Alaska. Colorado pays $653.25. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Colorado · this page$653.25
- Los Angeles, CA · California$689.60+$36.35
- Washington, DC area · District of Columbia$717.53+$64.28
- Miami, FL · Florida$742.29+$89.04
- Chicago, IL · Illinois$720.70+$67.45
- Manhattan, NY · New York$742.75+$89.50
- Alaska · Alaska$786.03+$132.78
Other areas in Colorado first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $582.92 |
| ArkansasArkansas | — | $575.41 |
| ArizonaArizona | — | $626.51 |
| Bakersfield, CACalifornia | — | $654.80 |
| Chico, CACalifornia | — | $650.06 |
| El Centro, CACalifornia | — | $650.35 |
| Fresno, CACalifornia | — | $650.06 |
| Hanford, CACalifornia | — | $650.06 |
| Madera, CACalifornia | — | $650.06 |
| Merced, CACalifornia | — | $650.06 |
| Modesto, CACalifornia | — | $650.06 |
| Napa, CACalifornia | — | $726.26 |
| Oxnard, CACalifornia | — | $683.10 |
| Redding, CACalifornia | — | $650.06 |
| Rest of CaliforniaCalifornia | — | $650.06 |
| Riverside, CACalifornia | — | $668.36 |
| Sacramento, CACalifornia | — | $675.07 |
| Salinas, CACalifornia | — | $672.42 |
| San Diego, CACalifornia | — | $683.14 |
| Marin County, CACalifornia | — | $759.57 |
| San Francisco, CACalifornia | — | $757.64 |
| San Benito County, CACalifornia | — | $777.65 |
| Santa Clara County, CACalifornia | — | $769.76 |
| San Luis Obispo, CACalifornia | — | $662.47 |
| Santa Cruz, CACalifornia | — | $685.60 |
| Santa Maria, CACalifornia | — | $673.55 |
| Santa Rosa, CACalifornia | — | $692.03 |
| Stockton, CACalifornia | — | $650.06 |
| Vallejo, CACalifornia | — | $723.48 |
| Visalia, CACalifornia | — | $650.06 |
| Yuba City, CACalifornia | — | $650.06 |
| ConnecticutConnecticut | — | $683.75 |
| DelawareDelaware | — | $635.93 |
| Fort Lauderdale, FLFlorida | — | $693.27 |
| Rest of FloridaFlorida | — | $659.50 |
| Atlanta, GAGeorgia | — | $660.56 |
| Rest of GeorgiaGeorgia | — | $623.37 |
| Hawaii, Guam, HIHawaii | — | $659.27 |
| IowaIowa | — | $584.87 |
| IdahoIdaho | — | $590.62 |
| East St. Louis, ILIllinois | — | $678.13 |
| Rest of IllinoisIllinois | — | $650.50 |
| Suburban Chicago, ILIllinois | — | $697.35 |
| IndianaIndiana | — | $593.38 |
| KansasKansas | — | $587.77 |
| KentuckyKentucky | — | $606.78 |
| New Orleans, LALouisiana | — | $634.33 |
| Rest of LouisianaLouisiana | — | $608.06 |
| Metropolitan Boston, MAMassachusetts | — | $705.60 |
| Rest of MassachusettsMassachusetts | — | $652.18 |
| Baltimore area, MDMaryland | — | $682.93 |
| Rest of MarylandMaryland | — | $645.42 |
| Rest of MaineMaine | — | $599.09 |
| Southern Maine, MEMaine | — | $620.09 |
| Detroit, MIMichigan | — | $672.49 |
| Rest of MichiganMichigan | — | $625.85 |
| MinnesotaMinnesota | — | $612.03 |
| Metropolitan Kansas City, MOMissouri | — | $624.73 |
| Metropolitan St. Louis, MOMissouri | — | $629.90 |
| Rest of MissouriMissouri | — | $602.33 |
| MississippiMississippi | — | $588.70 |
| MontanaMontana | — | $643.52 |
| North CarolinaNorth Carolina | — | $603.80 |
| North DakotaNorth Dakota | — | $609.91 |
| NebraskaNebraska | — | $586.10 |
| New HampshireNew Hampshire | — | $648.37 |
| Northern New JerseyNew Jersey | — | $712.46 |
| Rest of New JerseyNew Jersey | — | $687.62 |
| New MexicoNew Mexico | — | $631.10 |
| NevadaNevada | — | $634.44 |
| NYC suburbs and Long Island, NYNew York | — | $765.93 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $696.40 |
| Queens, NYNew York | — | $740.34 |
| Rest of New YorkNew York | — | $612.34 |
| OhioOhio | — | $618.98 |
| OklahomaOklahoma | — | $600.09 |
| Portland, OROregon | — | $665.90 |
| Rest of OregonOregon | — | $625.62 |
| Metropolitan Philadelphia, PAPennsylvania | — | $671.79 |
| Rest of PennsylvaniaPennsylvania | — | $616.85 |
| Puerto RicoPuerto Rico | — | $645.96 |
| Rhode IslandRhode Island | — | $652.69 |
| South CarolinaSouth Carolina | — | $613.19 |
| South DakotaSouth Dakota | — | $605.93 |
| TennesseeTennessee | — | $591.08 |
| Austin, TXTexas | — | $654.50 |
| Beaumont, TXTexas | — | $613.63 |
| Brazoria, TXTexas | — | $630.93 |
| Dallas, TXTexas | — | $637.10 |
| Fort Worth, TXTexas | — | $634.95 |
| Galveston, TXTexas | — | $634.23 |
| Houston, TXTexas | — | $665.35 |
| Rest of TexasTexas | — | $623.41 |
| UtahUtah | — | $620.53 |
| VirginiaVirginia | — | $622.04 |
| Virgin Islands, VIUnited States Virgin Islands | — | $645.96 |
| VermontVermont | — | $612.70 |
| Rest of WashingtonWashington | — | $649.24 |
| King County, WAWashington | — | $713.67 |
| WisconsinWisconsin | — | $592.22 |
| West VirginiaWest Virginia | — | $630.30 |
| WyomingWyoming | — | $628.87 |
64831 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 64831 rate is calculated
Each of 64831’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 · 64831
RVUs × geographic indexes × conversion factor
Work8.93
8.93 RVUs× 1.000 GPCI
Practice expense8.64
8.64 RVUs× 1.000 GPCI
Malpractice1.70
1.70 RVUs× 1.000 GPCI
Adjusted RVUs
19.2700
Conversion factor
$33.4009
Medicare rate
$643.64
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Colorado inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,249
- Code
- 64831
- Physician work
- 8.93
- Practice expense
- 8.64
- Malpractice
- 1.70
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.93 | × 1.012 | 9.0372 |
| Practice expense | 8.64 | × 1.064 | 9.1930 |
| Malpractice | 1.70 | × 0.781 | 1.3277 |
| Total RVUs | 19.5578 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Colorado$653.25
Facility: (8.93 × 1.012 + 8.64 × 1.064 + 1.7 × 0.781) × $33.4009 = $653.25
Payment rules and modifiers for 64831
64831 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 64831
Digital nerve repair, hand or foot
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| 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. |
| Split (54/55/56) | 0.11/0.76/0.13 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 64831
Digital nerve repair, hand or foot
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
64831 without 50 · national facility
$643.64
Digital nerve repair, hand or foot
64831-50 · Bilateral: 150%
$965.46
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
How 64831 has changed in Colorado
64831 · 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 | $653.25 | RVU26D |
| 2026-07-01 | Not available in this setting | $653.25 | RVU26C |
| 2026-04-01 | Not available in this setting | $653.25 | RVU26B |
| 2026-01-01 | Not available in this setting | $653.25 | RVU26A |
| 2025-10-01 | Not available in this setting | $699.32 | RVU25D |
| 2025-07-01 | Not available in this setting | $699.32 | RVU25C |
| 2025-04-01 | Not available in this setting | $699.32 | RVU25B |
| 2025-01-01 | Not available in this setting | $699.32 | RVU25A |
| 2024-10-01 | Not available in this setting | $711.25 | RVU24D |
| 2024-07-01 | Not available in this setting | $711.25 | RVU24C |
| 2024-04-01 | Not available in this setting | $711.25 | RVU24B |
| 2024-03-09 | Not available in this setting | $711.25 | RVU24AR |
| 2024-01-01 | Not available in this setting | $699.64 | RVU24A |
| 2023-10-01 | Not available in this setting | $714.30 | RVU23D |
| 2023-07-01 | Not available in this setting | $714.30 | RVU23C |
| 2023-04-01 | Not available in this setting | $714.30 | RVU23B |
| 2023-01-01 | Not available in this setting | $714.30 | RVU23A |
| 2022-10-01 | Not available in this setting | $713.99 | RVU22D |
| 2022-07-01 | Not available in this setting | $713.99 | RVU22C |
| 2022-04-01 | Not available in this setting | $713.99 | RVU22B |
| 2022-01-01 | Not available in this setting | $713.99 | RVU22A |
| 2021-10-01 | Not available in this setting | $713.28 | RVU21D |
| 2021-07-01 | Not available in this setting | $713.28 | RVU21C |
| 2021-04-01 | Not available in this setting | $713.28 | RVU21B |
| 2021-01-01 | Not available in this setting | $713.28 | RVU21A |
| 2020-10-01 | Not available in this setting | $721.95 | RVU20D |
| 2020-07-01 | Not available in this setting | $721.95 | RVU20C |
| 2020-04-01 | Not available in this setting | $721.95 | RVU20B |
| 2020-01-01 | Not available in this setting | $721.95 | RVU20A |
| 2019-10-01 | Not available in this setting | $721.53 | RVU19D |
| 2019-07-01 | Not available in this setting | $721.53 | RVU19C |
| 2019-04-01 | Not available in this setting | $721.53 | RVU19B |
| 2019-01-01 | Not available in this setting | $721.53 | RVU19A |
| 2018-10-01 | Not available in this setting | $720.00 | RVU18D |
| 2018-07-01 | Not available in this setting | $720.00 | RVU18C |
| 2018-04-01 | Not available in this setting | $720.00 | RVU18B |
| 2018-01-01 | Not available in this setting | $720.00 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $716.78 | RVU17D |
| 2017-07-01 | Not available in this setting | $716.78 | RVU17C |
| 2017-04-01 | Not available in this setting | $716.78 | RVU17B |
| 2017-01-01 | Not available in this setting | $716.78 | RVU17A |
| 2016-10-01 | Not available in this setting | $713.83 | RVU16D |
| 2016-07-01 | Not available in this setting | $713.83 | RVU16C |
| 2016-04-01 | Not available in this setting | $713.83 | RVU16B |
| 2016-01-01 | Not available in this setting | $713.83 | RVU16A |
| 2015-10-01 | Not available in this setting | $715.99 | RVU15D |
| 2015-07-01 | Not available in this setting | $715.99 | RVU15C |
| 2015-04-01 | Not available in this setting | $712.42 | RVU15B |
| 2015-01-01 | Not available in this setting | $712.42 | RVU15A |
| 2014-10-01 | Not available in this setting | $700.72 | RVU14D |
| 2014-07-01 | Not available in this setting | $700.72 | RVU14C |
| 2014-04-01 | Not available in this setting | $700.72 | RVU14B |
| 2014-01-01 | Not available in this setting | $700.72 | RVU14A |
| 2013-10-01 | Not available in this setting | $687.25 | RVU13D |
| 2013-07-01 | Not available in this setting | $687.25 | RVU13C |
| 2013-04-01 | Not available in this setting | $687.25 | RVU13B |
| 2013-01-01 | Not available in this setting | $687.25 | RVU13AR |
Where the Colorado rate applies
Colorado is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in Colorado. Some span more than one payment area; confirm with the service ZIP.
- Acres Green
- Aetna Estates
- Aguilar
- Air Force Academy
- Akron
- Alamosa
- Alamosa East
- Allenspark
64831 billing questions
When should 64831 be selected instead of 64834?
Use 64831 for repair of a digital nerve in the hand or foot. Code 64834 is for a hand or foot nerve other than a digital nerve.
How is another digital nerve repaired in the same session reported?
CPT 64832 is the add-on code for each additional digital nerve. The operative documentation should identify the additional nerve repaired.
What documentation supports 64831?
Document the hand or foot, the specific injured digital nerve, the injury or defect, and the suture repair performed.
How does Medicare pay for bilateral digital nerve repairs?
The CMS bilateral rule specifies modifier 50, with payment at 150% for a bilateral procedure.
Can an assistant surgeon or co-surgeon be paid for this procedure?
CMS does not pay an assistant at surgery for 64831. Co-surgeons and team surgery are not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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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