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.

CMS RVU26DEffective Oct 1, 2026One payment locality821 Medicare services in 2024

In Colorado, Medicare pays $653.25 for 64831 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$653.25Hospital or facility

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.

We’ll open 64831 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Colorado
  2. What 64831 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 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.

64831 in Colorado vs other payment areas
  1. Colorado · this page$653.25
  2. Los Angeles, CA · California$689.60+$36.35
  3. Washington, DC area · District of Columbia$717.53+$64.28
  4. Miami, FL · Florida$742.29+$89.04
  5. Chicago, IL · Illinois$720.70+$67.45
  6. Manhattan, NY · New York$742.75+$89.50
  7. Alaska · Alaska$786.03+$132.78

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

Every other payment area

64831 in every other Medicare payment locality
Payment localityOfficeFacility
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

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
64831 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 64831 in every payment locality

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

Office or facility?

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
Facility calculation for 64831 in Colorado
ComponentRVULocality factorAdjusted
Physician work8.93× 1.0129.0372
Practice expense8.64× 1.0649.1930
Malpractice1.70× 0.7811.3277
Total RVUs19.5578
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

Open 64831 in the RVU calculator

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

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)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
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.
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 · 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.

  • 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 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).

When to use modifier 50

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.

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$653.25RVU26D
2026-07-01Not available in this setting$653.25RVU26C
2026-04-01Not available in this setting$653.25RVU26B
2026-01-01Not available in this setting$653.25RVU26A
2025-10-01Not available in this setting$699.32RVU25D
2025-07-01Not available in this setting$699.32RVU25C
2025-04-01Not available in this setting$699.32RVU25B
2025-01-01Not available in this setting$699.32RVU25A
2024-10-01Not available in this setting$711.25RVU24D
2024-07-01Not available in this setting$711.25RVU24C
2024-04-01Not available in this setting$711.25RVU24B
2024-03-09Not available in this setting$711.25RVU24AR
2024-01-01Not available in this setting$699.64RVU24A
2023-10-01Not available in this setting$714.30RVU23D
2023-07-01Not available in this setting$714.30RVU23C
2023-04-01Not available in this setting$714.30RVU23B
2023-01-01Not available in this setting$714.30RVU23A
2022-10-01Not available in this setting$713.99RVU22D
2022-07-01Not available in this setting$713.99RVU22C
2022-04-01Not available in this setting$713.99RVU22B
2022-01-01Not available in this setting$713.99RVU22A
2021-10-01Not available in this setting$713.28RVU21D
2021-07-01Not available in this setting$713.28RVU21C
2021-04-01Not available in this setting$713.28RVU21B
2021-01-01Not available in this setting$713.28RVU21A
2020-10-01Not available in this setting$721.95RVU20D
2020-07-01Not available in this setting$721.95RVU20C
2020-04-01Not available in this setting$721.95RVU20B
2020-01-01Not available in this setting$721.95RVU20A
2019-10-01Not available in this setting$721.53RVU19D
2019-07-01Not available in this setting$721.53RVU19C
2019-04-01Not available in this setting$721.53RVU19B
2019-01-01Not available in this setting$721.53RVU19A
2018-10-01Not available in this setting$720.00RVU18D
2018-07-01Not available in this setting$720.00RVU18C
2018-04-01Not available in this setting$720.00RVU18B
2018-01-01Not available in this setting$720.00RVU18AR1
2017-10-01Not available in this setting$716.78RVU17D
2017-07-01Not available in this setting$716.78RVU17C
2017-04-01Not available in this setting$716.78RVU17B
2017-01-01Not available in this setting$716.78RVU17A
2016-10-01Not available in this setting$713.83RVU16D
2016-07-01Not available in this setting$713.83RVU16C
2016-04-01Not available in this setting$713.83RVU16B
2016-01-01Not available in this setting$713.83RVU16A
2015-10-01Not available in this setting$715.99RVU15D
2015-07-01Not available in this setting$715.99RVU15C
2015-04-01Not available in this setting$712.42RVU15B
2015-01-01Not available in this setting$712.42RVU15A
2014-10-01Not available in this setting$700.72RVU14D
2014-07-01Not available in this setting$700.72RVU14C
2014-04-01Not available in this setting$700.72RVU14B
2014-01-01Not available in this setting$700.72RVU14A
2013-10-01Not available in this setting$687.25RVU13D
2013-07-01Not available in this setting$687.25RVU13C
2013-04-01Not available in this setting$687.25RVU13B
2013-01-01Not available in this setting$687.25RVU13AR

Price 64831 for an earlier date of service

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

Browse all communities in Colorado

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
RVUs for 64831PPRRVU2026_Oct_nonQPP.csv, line 7,249 (RVU26D)
Geographic factors for ColoradoGPCI2026.csv, line 37 (RVU26D)

Open CMS sourceHow we calculate rates

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