CPT code 64834: Nerve repair, one hand or foot nerve2026 Medicare rate & RVUs in North Dakota
Reports direct repair of one non-digital nerve in the hand or foot, typically after traumatic injury requiring operative nerve coaptation.
In North Dakota, Medicare pays $625.16 for 64834 in a facility. There’s no office rate.
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.
On this page 11 sections
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 North Dakota 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. North Dakota pays $625.16. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Dakota · this page$625.16
- Los Angeles, CA · California$700.55+$75.39
- Washington, DC area · District of Columbia$730.73+$105.57
- Miami, FL · Florida$762.29+$137.13
- Chicago, IL · Illinois$741.80+$116.64
- Manhattan, NY · New York$758.55+$133.39
- Alaska · Alaska$826.02+$200.86
Other areas in North Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $662.80 |
| Merced, CACalifornia | — | $662.80 |
| Modesto, CACalifornia | — | $662.80 |
| Napa, CACalifornia | — | $732.56 |
| Oxnard, CACalifornia | — | $693.28 |
| Redding, CACalifornia | — | $662.80 |
| Rest of CaliforniaCalifornia | — | $662.80 |
| Riverside, CACalifornia | — | $682.11 |
| Sacramento, CACalifornia | — | $686.16 |
| Salinas, CACalifornia | — | $683.41 |
| San Diego, CACalifornia | — | $692.62 |
| Marin County, CACalifornia | — | $763.79 |
| San Francisco, CACalifornia | — | $761.76 |
| San Benito County, CACalifornia | — | $781.64 |
| Santa Clara County, CACalifornia | — | $773.33 |
| San Luis Obispo, CACalifornia | — | $673.50 |
| Santa Cruz, CACalifornia | — | $693.82 |
| Santa Maria, CACalifornia | — | $684.09 |
| Santa Rosa, CACalifornia | — | $700.22 |
| Stockton, CACalifornia | — | $662.80 |
| Vallejo, CACalifornia | — | $729.63 |
| Visalia, CACalifornia | — | $662.80 |
| Yuba City, CACalifornia | — | $662.80 |
| ColoradoColorado | — | $667.73 |
| ConnecticutConnecticut | — | $699.43 |
| DelawareDelaware | — | $653.41 |
| Fort Lauderdale, FLFlorida | — | $712.21 |
| Rest of FloridaFlorida | — | $679.79 |
| Atlanta, GAGeorgia | — | $677.72 |
| Rest of GeorgiaGeorgia | — | $645.27 |
| Hawaii, Guam, HIHawaii | — | $669.59 |
| IowaIowa | — | $603.47 |
| IdahoIdaho | — | $609.25 |
| East St. Louis, ILIllinois | — | $701.39 |
| Rest of IllinoisIllinois | — | $672.68 |
| Suburban Chicago, ILIllinois | — | $716.01 |
| IndianaIndiana | — | $611.77 |
| KansasKansas | — | $607.13 |
| KentuckyKentucky | — | $627.97 |
| New Orleans, LALouisiana | — | $654.12 |
| Rest of LouisianaLouisiana | — | $629.54 |
| Metropolitan Boston, MAMassachusetts | — | $716.80 |
| Rest of MassachusettsMassachusetts | — | $667.35 |
| Baltimore area, MDMaryland | — | $698.64 |
| Rest of MarylandMaryland | — | $662.27 |
| Rest of MaineMaine | — | $618.16 |
| Southern Maine, MEMaine | — | $636.37 |
| Detroit, MIMichigan | — | $692.97 |
| Rest of MichiganMichigan | — | $646.73 |
| MinnesotaMinnesota | — | $625.80 |
| Metropolitan Kansas City, MOMissouri | — | $644.12 |
| Metropolitan St. Louis, MOMissouri | — | $648.85 |
| Rest of MissouriMissouri | — | $624.78 |
| MississippiMississippi | — | $610.48 |
| MontanaMontana | — | $660.55 |
| North CarolinaNorth Carolina | — | $622.41 |
| NebraskaNebraska | — | $604.32 |
| New HampshireNew Hampshire | — | $663.40 |
| Northern New JerseyNew Jersey | — | $726.73 |
| Rest of New JerseyNew Jersey | — | $703.44 |
| New MexicoNew Mexico | — | $652.03 |
| NevadaNevada | — | $650.93 |
| NYC suburbs and Long Island, NYNew York | — | $781.47 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $712.71 |
| Queens, NYNew York | — | $754.92 |
| Rest of New YorkNew York | — | $630.47 |
| OhioOhio | — | $639.50 |
| OklahomaOklahoma | — | $620.71 |
| Portland, OROregon | — | $678.62 |
| Rest of OregonOregon | — | $641.92 |
| Metropolitan Philadelphia, PAPennsylvania | — | $688.75 |
| Rest of PennsylvaniaPennsylvania | — | $636.98 |
| Puerto RicoPuerto Rico | — | $662.51 |
| Rhode IslandRhode Island | — | $669.11 |
| South CarolinaSouth Carolina | — | $632.79 |
| South DakotaSouth Dakota | — | $620.97 |
| TennesseeTennessee | — | $610.34 |
| Austin, TXTexas | — | $668.99 |
| Beaumont, TXTexas | — | $634.03 |
| Brazoria, TXTexas | — | $648.09 |
| Dallas, TXTexas | — | $654.35 |
| Fort Worth, TXTexas | — | $652.64 |
| Galveston, TXTexas | — | $651.46 |
| Houston, TXTexas | — | $684.22 |
| Rest of TexasTexas | — | $642.18 |
| UtahUtah | — | $639.64 |
| VirginiaVirginia | — | $638.86 |
| Virgin Islands, VIUnited States Virgin Islands | — | $662.51 |
| VermontVermont | — | $628.65 |
| Rest of WashingtonWashington | — | $664.15 |
| King County, WAWashington | — | $723.82 |
| WisconsinWisconsin | — | $608.85 |
| West VirginiaWest Virginia | — | $653.84 |
| WyomingWyoming | — | $645.13 |
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
| 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 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
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 North Dakota 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
84
- Locality
- North Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.406
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.54 | × 1.000 | 10.5400 |
| Practice expense | 7.45 | × 1.000 | 7.4500 |
| Malpractice | 1.79 | × 0.406 | 0.7267 |
| Total RVUs | 18.7167 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, North Dakota$625.16
Facility: (10.54 × 1 + 7.45 × 1 + 1.79 × 0.406) × $33.4009 = $625.16
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| 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. |
| Split (54/55/56) | 0.11/0.76/0.13 | Share 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.
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).
How 64834 has changed in North Dakota
64834 · 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 | $625.16 | RVU26D |
| 2026-07-01 | Not available in this setting | $625.16 | RVU26C |
| 2026-04-01 | Not available in this setting | $625.16 | RVU26B |
| 2026-01-01 | Not available in this setting | $625.16 | RVU26A |
| 2025-10-01 | Not available in this setting | $707.78 | RVU25D |
| 2025-07-01 | Not available in this setting | $707.78 | RVU25C |
| 2025-04-01 | Not available in this setting | $707.78 | RVU25B |
| 2025-01-01 | Not available in this setting | $707.78 | RVU25A |
| 2024-10-01 | Not available in this setting | $719.56 | RVU24D |
| 2024-07-01 | Not available in this setting | $719.56 | RVU24C |
| 2024-04-01 | Not available in this setting | $719.56 | RVU24B |
| 2024-03-09 | Not available in this setting | $719.56 | RVU24AR |
| 2024-01-01 | Not available in this setting | $707.81 | RVU24A |
| 2023-10-01 | Not available in this setting | $712.63 | RVU23D |
| 2023-07-01 | Not available in this setting | $712.63 | RVU23C |
| 2023-04-01 | Not available in this setting | $712.63 | RVU23B |
| 2023-01-01 | Not available in this setting | $712.63 | RVU23A |
| 2022-10-01 | Not available in this setting | $720.42 | RVU22D |
| 2022-07-01 | Not available in this setting | $720.42 | RVU22C |
| 2022-04-01 | Not available in this setting | $720.42 | RVU22B |
| 2022-01-01 | Not available in this setting | $720.42 | RVU22A |
| 2021-10-01 | Not available in this setting | $724.69 | RVU21D |
| 2021-07-01 | Not available in this setting | $724.69 | RVU21C |
| 2021-04-01 | Not available in this setting | $724.69 | RVU21B |
| 2021-01-01 | Not available in this setting | $724.69 | RVU21A |
| 2020-10-01 | Not available in this setting | $735.91 | RVU20D |
| 2020-07-01 | Not available in this setting | $735.91 | RVU20C |
| 2020-04-01 | Not available in this setting | $735.91 | RVU20B |
| 2020-01-01 | Not available in this setting | $735.91 | RVU20A |
| 2019-10-01 | Not available in this setting | $739.21 | RVU19D |
| 2019-07-01 | Not available in this setting | $739.21 | RVU19C |
| 2019-04-01 | Not available in this setting | $739.21 | RVU19B |
| 2019-01-01 | Not available in this setting | $739.21 | RVU19A |
| 2018-10-01 | Not available in this setting | $736.71 | RVU18D |
| 2018-07-01 | Not available in this setting | $736.71 | RVU18C |
| 2018-04-01 | Not available in this setting | $736.71 | RVU18B |
| 2018-01-01 | Not available in this setting | $736.71 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $738.79 | RVU17D |
| 2017-07-01 | Not available in this setting | $738.79 | RVU17C |
| 2017-04-01 | Not available in this setting | $738.79 | RVU17B |
| 2017-01-01 | Not available in this setting | $738.79 | RVU17A |
| 2016-10-01 | Not available in this setting | $732.49 | RVU16D |
| 2016-07-01 | Not available in this setting | $732.49 | RVU16C |
| 2016-04-01 | Not available in this setting | $732.49 | RVU16B |
| 2016-01-01 | Not available in this setting | $732.49 | RVU16A |
| 2015-10-01 | Not available in this setting | $732.82 | RVU15D |
| 2015-07-01 | Not available in this setting | $732.82 | RVU15C |
| 2015-04-01 | Not available in this setting | $729.17 | RVU15B |
| 2015-01-01 | Not available in this setting | $729.17 | RVU15A |
| 2014-10-01 | Not available in this setting | $730.02 | RVU14D |
| 2014-07-01 | Not available in this setting | $730.02 | RVU14C |
| 2014-04-01 | Not available in this setting | $730.02 | RVU14B |
| 2014-01-01 | Not available in this setting | $730.02 | RVU14A |
| 2013-10-01 | Not available in this setting | $719.13 | RVU13D |
| 2013-07-01 | Not available in this setting | $719.13 | RVU13C |
| 2013-04-01 | Not available in this setting | $719.13 | RVU13B |
| 2013-01-01 | Not available in this setting | $719.13 | RVU13AR |
Where the North Dakota rate applies
North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.
- Abercrombie
- Adams
- Alamo
- Alexander
- Alice
- Almont
- Alsen
- Ambrose
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
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