CPT code 64832: Nerve repair, each additional digital nerve2026 Medicare rate & RVUs in Virginia

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 RVU26DEffective Oct 1, 2026One payment locality172 Medicare services in 2024

In Virginia, Medicare pays $270.01 for 64832 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$270.01Hospital or facility

Check a contract rate as a % of Medicare · 64832 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 64832 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Virginia
  2. What 64832 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 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.

How Virginia compares for 64832

Across 109 of 109 payment localities, the facility rate for 64832 runs from $254.24 in Wisconsin to $361.56 in Alaska. Virginia pays $270.01. The RVUs are the same everywhere; the geographic indexes change the dollars.

64832 in Virginia vs other payment areas
  1. Virginia · this page$270.01
  2. Los Angeles, CA · California$288.41+$18.40
  3. Washington, DC area · District of Columbia$306.55+$36.54
  4. Miami, FL · Florida$338.75+$68.74
  5. Chicago, IL · Illinois$329.45+$59.44
  6. Manhattan, NY · New York$324.30+$54.29
  7. Alaska · Alaska$361.56+$91.55

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

Every other payment area

64832 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$258.33
ArkansasArkansas—$255.52
ArizonaArizona—$274.51
Bakersfield, CACalifornia—$277.02
Chico, CACalifornia—$274.05
El Centro, CACalifornia—$274.23
Fresno, CACalifornia—$274.05
Hanford, CACalifornia—$274.05

64832 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
64832 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 64832 in every payment locality

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

Office or facility?

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.

The exact Virginia inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,250

Code
64832
Physician work
5.51
Practice expense
1.85
Malpractice
1.07

GPCI2026.csv

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Facility calculation for 64832 in Virginia
ComponentRVULocality factorAdjusted
Physician work5.51× 1.0005.5100
Practice expense1.85× 0.9831.8186
Malpractice1.07× 0.7060.7554
Total RVUs8.0840
Conversion factor× 33.4009

Facility rate, Virginia$270.01

Facility: (5.51 × 1 + 1.85 × 0.983 + 1.07 × 0.706) × $33.4009 = $270.01

Open 64832 in the RVU calculator

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

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

How 64832 has changed in Virginia

64832 · 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$270.01RVU26D
2026-07-01Not available in this setting$270.01RVU26C
2026-04-01Not available in this setting$270.01RVU26B
2026-01-01Not available in this setting$270.01RVU26A
2025-10-01Not available in this setting$310.69RVU25D
2025-07-01Not available in this setting$310.69RVU25C
2025-04-01Not available in this setting$310.69RVU25B
2025-01-01Not available in this setting$310.69RVU25A
2024-10-01Not available in this setting$318.44RVU24D
2024-07-01Not available in this setting$318.44RVU24C
2024-04-01Not available in this setting$318.44RVU24B
2024-03-09Not available in this setting$318.44RVU24AR
2024-01-01Not available in this setting$313.25RVU24A
2023-10-01Not available in this setting$326.70RVU23D
2023-07-01Not available in this setting$326.70RVU23C
2023-04-01Not available in this setting$326.70RVU23B
2023-01-01Not available in this setting$326.70RVU23A
2022-10-01Not available in this setting$333.86RVU22D
2022-07-01Not available in this setting$333.86RVU22C
2022-04-01Not available in this setting$333.86RVU22B
2022-01-01Not available in this setting$333.86RVU22A
2021-10-01Not available in this setting$337.39RVU21D
2021-07-01Not available in this setting$337.39RVU21C
2021-04-01Not available in this setting$337.39RVU21B
2021-01-01Not available in this setting$337.39RVU21A
2020-10-01Not available in this setting$346.62RVU20D
2020-07-01Not available in this setting$346.62RVU20C
2020-04-01Not available in this setting$346.62RVU20B
2020-01-01Not available in this setting$346.62RVU20A
2019-10-01Not available in this setting$345.76RVU19D
2019-07-01Not available in this setting$345.76RVU19C
2019-04-01Not available in this setting$345.76RVU19B
2019-01-01Not available in this setting$345.76RVU19A
2018-10-01Not available in this setting$347.19RVU18D
2018-07-01Not available in this setting$347.19RVU18C
2018-04-01Not available in this setting$347.19RVU18B
2018-01-01Not available in this setting$347.19RVU18AR1
2017-10-01Not available in this setting$344.54RVU17D
2017-07-01Not available in this setting$344.54RVU17C
2017-04-01Not available in this setting$344.54RVU17B
2017-01-01Not available in this setting$344.54RVU17A
2016-10-01Not available in this setting$341.20RVU16D
2016-07-01Not available in this setting$341.20RVU16C
2016-04-01Not available in this setting$341.20RVU16B
2016-01-01Not available in this setting$341.20RVU16A
2015-10-01Not available in this setting$342.54RVU15D
2015-07-01Not available in this setting$342.54RVU15C
2015-04-01Not available in this setting$340.84RVU15B
2015-01-01Not available in this setting$340.84RVU15A
2014-10-01Not available in this setting$337.91RVU14D
2014-07-01Not available in this setting$337.91RVU14C
2014-04-01Not available in this setting$337.91RVU14B
2014-01-01Not available in this setting$337.91RVU14A
2013-10-01Not available in this setting$326.38RVU13D
2013-07-01Not available in this setting$326.38RVU13C
2013-04-01Not available in this setting$326.38RVU13B
2013-01-01Not available in this setting$326.38RVU13AR

Price 64832 for an earlier date of service

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

Browse all communities in Virginia

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

Show the CMS file lines behind this rate
RVUs for 64832PPRRVU2026_Oct_nonQPP.csv, line 7,250 (RVU26D)
Geographic factors for VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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