CPT code 64832: Nerve repair, each additional digital nerve2026 Medicare rate & RVUs in Vermont
Reports suture repair of each additional digital nerve in a hand or foot when another digital nerve is repaired during the same operative session.
In Vermont, Medicare pays $263.30 for 64832 in a facility. There’s no office rate.
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.
On this page 11 sections
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 Vermont 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. Vermont pays $263.30. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Vermont · this page$263.30
- Los Angeles, CA · California$288.41+$25.11
- Washington, DC area · District of Columbia$306.55+$43.25
- Miami, FL · Florida$338.75+$75.45
- Chicago, IL · Illinois$329.45+$66.15
- Manhattan, NY · New York$324.30+$61.00
- Alaska · Alaska$361.56+$98.26
Other areas in Vermont first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $274.05 |
| Merced, CACalifornia | — | $274.05 |
| Modesto, CACalifornia | — | $274.05 |
| Napa, CACalifornia | — | $295.23 |
| Oxnard, CACalifornia | — | $284.50 |
| Redding, CACalifornia | — | $274.05 |
| Rest of CaliforniaCalifornia | — | $274.05 |
| Riverside, CACalifornia | — | $285.56 |
| Sacramento, CACalifornia | — | $281.68 |
| Salinas, CACalifornia | — | $280.52 |
| San Diego, CACalifornia | — | $282.83 |
| Marin County, CACalifornia | — | $305.05 |
| San Francisco, CACalifornia | — | $303.84 |
| San Benito County, CACalifornia | — | $312.54 |
| Santa Clara County, CACalifornia | — | $307.58 |
| San Luis Obispo, CACalifornia | — | $276.70 |
| Santa Cruz, CACalifornia | — | $282.14 |
| Santa Maria, CACalifornia | — | $280.40 |
| Santa Rosa, CACalifornia | — | $284.60 |
| Stockton, CACalifornia | — | $274.05 |
| Vallejo, CACalifornia | — | $293.48 |
| Visalia, CACalifornia | — | $274.05 |
| Yuba City, CACalifornia | — | $274.05 |
| ColoradoColorado | — | $279.91 |
| ConnecticutConnecticut | — | $297.51 |
| DelawareDelaware | — | $278.14 |
| Fort Lauderdale, FLFlorida | — | $311.25 |
| Rest of FloridaFlorida | — | $296.83 |
| Atlanta, GAGeorgia | — | $290.29 |
| Rest of GeorgiaGeorgia | — | $281.76 |
| Hawaii, Guam, HIHawaii | — | $274.99 |
| IowaIowa | — | $254.77 |
| IdahoIdaho | — | $257.79 |
| East St. Louis, ILIllinois | — | $312.87 |
| Rest of IllinoisIllinois | — | $296.31 |
| Suburban Chicago, ILIllinois | — | $312.12 |
| IndianaIndiana | — | $258.69 |
| KansasKansas | — | $257.91 |
| KentuckyKentucky | — | $271.67 |
| New Orleans, LALouisiana | — | $282.78 |
| Rest of LouisianaLouisiana | — | $272.96 |
| Metropolitan Boston, MAMassachusetts | — | $297.17 |
| Rest of MassachusettsMassachusetts | — | $280.53 |
| Baltimore area, MDMaryland | — | $297.50 |
| Rest of MarylandMaryland | — | $281.22 |
| Rest of MaineMaine | — | $263.12 |
| Southern Maine, MEMaine | — | $267.83 |
| Detroit, MIMichigan | — | $303.92 |
| Rest of MichiganMichigan | — | $280.80 |
| MinnesotaMinnesota | — | $258.20 |
| Metropolitan Kansas City, MOMissouri | — | $276.98 |
| Metropolitan St. Louis, MOMissouri | — | $278.68 |
| Rest of MissouriMissouri | — | $272.11 |
| MississippiMississippi | — | $263.65 |
| MontanaMontana | — | $281.50 |
| North CarolinaNorth Carolina | — | $264.53 |
| North DakotaNorth Dakota | — | $260.34 |
| NebraskaNebraska | — | $254.58 |
| New HampshireNew Hampshire | — | $279.64 |
| Northern New JerseyNew Jersey | — | $305.48 |
| Rest of New JerseyNew Jersey | — | $298.08 |
| New MexicoNew Mexico | — | $283.62 |
| NevadaNevada | — | $275.66 |
| NYC suburbs and Long Island, NYNew York | — | $335.65 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $303.23 |
| Queens, NYNew York | — | $320.39 |
| Rest of New YorkNew York | — | $267.87 |
| OhioOhio | — | $276.48 |
| OklahomaOklahoma | — | $266.99 |
| Portland, OROregon | — | $282.22 |
| Rest of OregonOregon | — | $270.71 |
| Metropolitan Philadelphia, PAPennsylvania | — | $294.31 |
| Rest of PennsylvaniaPennsylvania | — | $274.54 |
| Puerto RicoPuerto Rico | — | $281.71 |
| Rhode IslandRhode Island | — | $283.25 |
| South CarolinaSouth Carolina | — | $271.51 |
| South DakotaSouth Dakota | — | $257.84 |
| TennesseeTennessee | — | $259.40 |
| Austin, TXTexas | — | $281.45 |
| Beaumont, TXTexas | — | $273.47 |
| Brazoria, TXTexas | — | $274.62 |
| Dallas, TXTexas | — | $277.90 |
| Fort Worth, TXTexas | — | $277.75 |
| Galveston, TXTexas | — | $276.46 |
| Houston, TXTexas | — | $296.05 |
| Rest of TexasTexas | — | $274.95 |
| UtahUtah | — | $274.22 |
| VirginiaVirginia | — | $270.01 |
| Virgin Islands, VIUnited States Virgin Islands | — | $281.71 |
| Rest of WashingtonWashington | — | $278.70 |
| King County, WAWashington | — | $298.26 |
| WisconsinWisconsin | — | $254.24 |
| West VirginiaWest Virginia | — | $288.88 |
| WyomingWyoming | — | $272.28 |
64832 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 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.
The exact Vermont 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
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.51 | × 1.000 | 5.5100 |
| Practice expense | 1.85 | × 0.990 | 1.8315 |
| Malpractice | 1.07 | × 0.506 | 0.5414 |
| Total RVUs | 7.8829 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$263.30
Facility: (5.51 × 1 + 1.85 × 0.99 + 1.07 × 0.506) × $33.4009 = $263.30
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. |
How 64832 has changed in Vermont
64832 · 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 | $263.30 | RVU26D |
| 2026-07-01 | Not available in this setting | $263.30 | RVU26C |
| 2026-04-01 | Not available in this setting | $263.30 | RVU26B |
| 2026-01-01 | Not available in this setting | $263.30 | RVU26A |
| 2025-10-01 | Not available in this setting | $303.29 | RVU25D |
| 2025-07-01 | Not available in this setting | $303.29 | RVU25C |
| 2025-04-01 | Not available in this setting | $303.29 | RVU25B |
| 2025-01-01 | Not available in this setting | $303.29 | RVU25A |
| 2024-10-01 | Not available in this setting | $310.49 | RVU24D |
| 2024-07-01 | Not available in this setting | $310.49 | RVU24C |
| 2024-04-01 | Not available in this setting | $310.49 | RVU24B |
| 2024-03-09 | Not available in this setting | $310.49 | RVU24AR |
| 2024-01-01 | Not available in this setting | $305.42 | RVU24A |
| 2023-10-01 | Not available in this setting | $317.67 | RVU23D |
| 2023-07-01 | Not available in this setting | $317.67 | RVU23C |
| 2023-04-01 | Not available in this setting | $317.67 | RVU23B |
| 2023-01-01 | Not available in this setting | $317.67 | RVU23A |
| 2022-10-01 | Not available in this setting | $322.70 | RVU22D |
| 2022-07-01 | Not available in this setting | $322.70 | RVU22C |
| 2022-04-01 | Not available in this setting | $322.70 | RVU22B |
| 2022-01-01 | Not available in this setting | $322.70 | RVU22A |
| 2021-10-01 | Not available in this setting | $326.37 | RVU21D |
| 2021-07-01 | Not available in this setting | $326.37 | RVU21C |
| 2021-04-01 | Not available in this setting | $326.37 | RVU21B |
| 2021-01-01 | Not available in this setting | $326.37 | RVU21A |
| 2020-10-01 | Not available in this setting | $336.80 | RVU20D |
| 2020-07-01 | Not available in this setting | $336.80 | RVU20C |
| 2020-04-01 | Not available in this setting | $336.80 | RVU20B |
| 2020-01-01 | Not available in this setting | $336.80 | RVU20A |
| 2019-10-01 | Not available in this setting | $337.58 | RVU19D |
| 2019-07-01 | Not available in this setting | $337.58 | RVU19C |
| 2019-04-01 | Not available in this setting | $337.58 | RVU19B |
| 2019-01-01 | Not available in this setting | $337.58 | RVU19A |
| 2018-10-01 | Not available in this setting | $339.19 | RVU18D |
| 2018-07-01 | Not available in this setting | $339.19 | RVU18C |
| 2018-04-01 | Not available in this setting | $339.19 | RVU18B |
| 2018-01-01 | Not available in this setting | $339.19 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $339.29 | RVU17D |
| 2017-07-01 | Not available in this setting | $339.29 | RVU17C |
| 2017-04-01 | Not available in this setting | $339.29 | RVU17B |
| 2017-01-01 | Not available in this setting | $339.29 | RVU17A |
| 2016-10-01 | Not available in this setting | $338.39 | RVU16D |
| 2016-07-01 | Not available in this setting | $338.39 | RVU16C |
| 2016-04-01 | Not available in this setting | $338.39 | RVU16B |
| 2016-01-01 | Not available in this setting | $338.39 | RVU16A |
| 2015-10-01 | Not available in this setting | $339.85 | RVU15D |
| 2015-07-01 | Not available in this setting | $339.85 | RVU15C |
| 2015-04-01 | Not available in this setting | $338.16 | RVU15B |
| 2015-01-01 | Not available in this setting | $338.16 | RVU15A |
| 2014-10-01 | Not available in this setting | $335.23 | RVU14D |
| 2014-07-01 | Not available in this setting | $335.23 | RVU14C |
| 2014-04-01 | Not available in this setting | $335.23 | RVU14B |
| 2014-01-01 | Not available in this setting | $335.23 | RVU14A |
| 2013-10-01 | Not available in this setting | Rate data unavailable | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Vermont rate applies
Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.
- Albany
- Alburgh
- Algiers
- Arlington
- Ascutney
- Bakersfield
- Barnet
- Barre
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
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