CPT code 64834: Nerve repair, one hand or foot nerve2026 Medicare rate & RVUs in Montana

Reports direct repair of one non-digital nerve in the hand or foot, typically after traumatic injury requiring operative nerve coaptation.

CMS RVU26DEffective Oct 1, 2026One payment locality103 Medicare services in 2024

In Montana, Medicare pays $660.55 for 64834 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$660.55Hospital or facility

Check a contract rate as a % of Medicare · 64834 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 64834 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Montana
  2. What 64834 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 64834 covers

This code describes operative repair of one nerve in the hand or foot, such as direct coaptation of a transected nerve after a laceration or other injury. It is generally performed by a hand, plastic, orthopedic, or peripheral nerve surgeon in an operating room. The code is for a hand or foot nerve repair rather than repair of a digital nerve, which has a separate code family.

Report one unit for the nerve repaired. The operative note should identify the nerve, its location and injury, and the repair performed; use the graft-requiring code when a nerve graft is needed. Code 64835 is used for each additional nerve repaired without a graft. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; 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 Montana compares for 64834

Across 109 of 109 payment localities, the facility rate for 64834 runs from $596.59 in Arkansas to $826.02 in Alaska. Montana pays $660.55. The RVUs are the same everywhere; the geographic indexes change the dollars.

64834 in Montana vs other payment areas
  1. Montana · this page$660.55
  2. Los Angeles, CA · California$700.55+$40.00
  3. Washington, DC area · District of Columbia$730.73+$70.18
  4. Miami, FL · Florida$762.29+$101.74
  5. Chicago, IL · Illinois$741.80+$81.25
  6. Manhattan, NY · New York$758.55+$98.00
  7. Alaska · Alaska$826.02+$165.47

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

Every other payment area

64834 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$603.62
ArkansasArkansas—$596.59
ArizonaArizona—$644.35
Bakersfield, CACalifornia—$667.87
Chico, CACalifornia—$662.80
El Centro, CACalifornia—$663.10
Fresno, CACalifornia—$662.80
Hanford, CACalifornia—$662.80

64834 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
64834 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 64834 in every payment locality

How the 64834 rate is calculated

Each of 64834’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 · 64834

RVUs × geographic indexes × conversion factor

Office or facility?

Work10.54

10.54 RVUs× 1.000 GPCI

Practice expense7.45

7.45 RVUs× 1.000 GPCI

Malpractice1.79

1.79 RVUs× 1.000 GPCI

Adjusted RVUs

19.7800

Conversion factor

$33.4009

Medicare rate

$660.67

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Montana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,251

Code
64834
Physician work
10.54
Practice expense
7.45
Malpractice
1.79

GPCI2026.csv

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Facility calculation for 64834 in Montana
ComponentRVULocality factorAdjusted
Physician work10.54× 1.00010.5400
Practice expense7.45× 1.0007.4500
Malpractice1.79× 0.9981.7864
Total RVUs19.7764
Conversion factor× 33.4009

Facility rate, Montana$660.55

Facility: (10.54 × 1 + 7.45 × 1 + 1.79 × 0.998) × $33.4009 = $660.55

Open 64834 in the RVU calculator

Payment rules and modifiers for 64834

64834 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 64834

Nerve repair, one hand or foot nerve

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)0Not paid without supporting documentation.
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 · 64834

Nerve repair, one hand or foot nerve

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

64834 without 50 · national facility

$660.67

Nerve repair, one hand or foot nerve

64834-50 · Bilateral: 150%

$991.01

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 64834 has changed in Montana

64834 · 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$660.55RVU26D
2026-07-01Not available in this setting$660.55RVU26C
2026-04-01Not available in this setting$660.55RVU26B
2026-01-01Not available in this setting$660.55RVU26A
2025-10-01Not available in this setting$735.22RVU25D
2025-07-01Not available in this setting$735.22RVU25C
2025-04-01Not available in this setting$735.22RVU25B
2025-01-01Not available in this setting$735.22RVU25A
2024-10-01Not available in this setting$747.95RVU24D
2024-07-01Not available in this setting$747.95RVU24C
2024-04-01Not available in this setting$747.95RVU24B
2024-03-09Not available in this setting$747.95RVU24AR
2024-01-01Not available in this setting$735.74RVU24A
2023-10-01Not available in this setting$745.77RVU23D
2023-07-01Not available in this setting$745.77RVU23C
2023-04-01Not available in this setting$745.77RVU23B
2023-01-01Not available in this setting$745.77RVU23A
2022-10-01Not available in this setting$758.02RVU22D
2022-07-01Not available in this setting$758.02RVU22C
2022-04-01Not available in this setting$758.02RVU22B
2022-01-01Not available in this setting$758.02RVU22A
2021-10-01Not available in this setting$760.89RVU21D
2021-07-01Not available in this setting$760.89RVU21C
2021-04-01Not available in this setting$760.89RVU21B
2021-01-01Not available in this setting$760.89RVU21A
2020-10-01Not available in this setting$792.66RVU20D
2020-07-01Not available in this setting$792.66RVU20C
2020-04-01Not available in this setting$792.66RVU20B
2020-01-01Not available in this setting$792.66RVU20A
2019-10-01Not available in this setting$814.31RVU19D
2019-07-01Not available in this setting$814.31RVU19C
2019-04-01Not available in this setting$814.31RVU19B
2019-01-01Not available in this setting$814.31RVU19A
2018-10-01Not available in this setting$809.76RVU18D
2018-07-01Not available in this setting$809.76RVU18C
2018-04-01Not available in this setting$809.76RVU18B
2018-01-01Not available in this setting$809.76RVU18AR1
2017-10-01Not available in this setting$799.89RVU17D
2017-07-01Not available in this setting$799.89RVU17C
2017-04-01Not available in this setting$799.89RVU17B
2017-01-01Not available in this setting$799.89RVU17A
2016-10-01Not available in this setting$778.44RVU16D
2016-07-01Not available in this setting$778.44RVU16C
2016-04-01Not available in this setting$778.44RVU16B
2016-01-01Not available in this setting$778.44RVU16A
2015-10-01Not available in this setting$777.01RVU15D
2015-07-01Not available in this setting$777.01RVU15C
2015-04-01Not available in this setting$773.14RVU15B
2015-01-01Not available in this setting$773.14RVU15A
2014-10-01Not available in this setting$769.91RVU14D
2014-07-01Not available in this setting$769.91RVU14C
2014-04-01Not available in this setting$769.91RVU14B
2014-01-01Not available in this setting$769.91RVU14A
2013-10-01Not available in this setting$756.01RVU13D
2013-07-01Not available in this setting$756.01RVU13C
2013-04-01Not available in this setting$756.01RVU13B
2013-01-01Not available in this setting$756.01RVU13AR

Price 64834 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

  • Absarokee
  • Acton
  • Alberton
  • Alder
  • Alzada
  • Amsterdam
  • Anaconda-Deer Lodge County
  • Antelope

Browse all communities in Montana

64834 billing questions

When should 64834 be used instead of 64831?

Use 64834 for one hand or foot nerve that is not coded as a digital nerve. Code 64831 is for repair of a digital nerve.

How is repair of an additional nerve reported?

Report 64835 for each additional hand or foot nerve repaired without a graft, alongside the primary repair when supported by the operative note.

When is 64836 used instead?

Use 64836 when the hand or foot nerve repair requires a nerve graft. The record should describe the graft-based repair.

What documentation supports 64834?

Document the injured nerve and its hand or foot location, the nature of the injury, and the repair performed. Identify separately any additional nerve repaired.

How does the global period affect postoperative care?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can 64834 be reported for bilateral repairs?

For bilateral procedures, modifier 50 is paid at 150%. If multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%.

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 64834PPRRVU2026_Oct_nonQPP.csv, line 7,251 (RVU26D)
Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

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