CPT code 64832: Nerve repair, each additional digital nerve2026 Medicare rate & RVUs in Guam
Reports suture repair of each additional digital nerve in a hand or foot when another digital nerve is repaired during the same operative session.
CMS doesn’t publish an office rate for 64832 in Guam.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 64832 covers
Code 64832 represents suture repair of an additional digital nerve in the hand or foot during the same operative session as repair of a first digital nerve. It applies when separate digital nerves are injured, such as in a hand or foot laceration requiring repair of more than one digital nerve. Hand surgeons and other surgeons performing peripheral nerve repair typically report it in an operating-room setting.
Report 64832 with the primary procedure for the first digital nerve, not as a stand-alone service. Count each separately repaired additional digital nerve. The operative report should identify the hand or foot, the digital nerves repaired, the injury, and the repair performed, and support the primary procedure reported for the first nerve. CMS classifies this as an add-on code: it is billed only with a primary procedure and paid within that procedure's global period.
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.
64832 in Hawaii, Guam, HI
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam, HI | Unavailable | $274.99 |
How the 64832 rate is calculated
Each of 64832’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 · 64832
RVUs × geographic indexes × conversion factor
Work5.51
5.51 RVUs× 1.000 GPCI
Practice expense1.85
1.85 RVUs× 1.000 GPCI
Malpractice1.07
1.07 RVUs× 1.000 GPCI
Adjusted RVUs
8.4300
Conversion factor
$33.4009
Medicare rate
$281.57
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 64832
The CMS indicators that decide how 64832 is paid alongside other services.
CMS payment indicators · 64832
Nerve repair, each additional digital nerve
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
64832 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 64831Digital nerve repairHand or foot
- 64831 reports repair of the first digital nerve; 64832 reports each additional digital nerve repaired in the same operative session.
- 64837Nerve repairEach additional nerve, transposed
- 64837 is for an additional hand or foot nerve that is not digital. Use 64832 when the additional repaired nerve is digital.
- 64834Nerve repairOne hand or foot nerve
- 64834 describes primary repair of a common sensory nerve in the hand or foot, rather than an additional digital nerve repair.
64832 billing questions
When should 64832 be reported instead of 64831?
Report 64831 for the first digital nerve repaired. Report 64832 for each additional digital nerve repaired during the same operative session.
Can 64832 be billed by itself?
No. It is an add-on code and must be billed with a primary procedure, typically 64831 for repair of the first digital nerve.
How should the additional nerve count be supported?
Document the hand or foot, identify each digital nerve repaired, and describe the injury and repair for each additional nerve.
Does 64832 have its own global period?
CMS treats it as an add-on code paid within the primary procedure's global period.
Is 64832 used for an additional non-digital nerve?
No. It is for an additional digital nerve. Code 64837 is the related add-on for an additional nerve in the hand or foot that is not digital.
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
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