CPT code 64836: Nerve repair, hand or foot, with graft2026 Medicare rate & RVUs in Minnesota
Reports graft-based repair of a non-digital nerve in the hand or foot when injury leaves a gap that cannot be repaired directly.
In Minnesota, Medicare pays $706.28 for 64836 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 64836 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 64836 covers
This service restores continuity of a non-digital nerve in the hand or foot using a nerve graft when the injured ends cannot be brought together for direct repair. A hand surgeon or peripheral nerve surgeon typically performs it in an operating room after traumatic injury, such as a laceration with a nerve gap. The operative report should identify the repaired nerve and site, the gap or reason direct repair was not feasible, and the graft-based reconstruction performed.
Report the code for the graft-based repair, not for a digital nerve repair or a direct nerve repair. The day-before preoperative visit and 90 days of related postoperative care are included in its major-surgery global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral repairs, modifier 50 is paid at 150%. An assistant at surgery may be paid; 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 Minnesota compares for 64836
Across 109 of 109 payment localities, the facility rate for 64836 runs from $674.55 in Arkansas to $928.61 in Alaska. Minnesota pays $706.28. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Minnesota · this page$706.28
- Los Angeles, CA · California$796.84+$90.56
- Washington, DC area · District of Columbia$836.94+$130.66
- Miami, FL · Florida$891.76+$185.48
- Chicago, IL · Illinois$864.87+$158.59
- Manhattan, NY · New York$874.64+$168.36
- Alaska · Alaska$928.61+$222.33
Other areas in Minnesota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $683.38 |
| ArkansasArkansas | — | $674.55 |
| ArizonaArizona | — | $734.42 |
| Bakersfield, CACalifornia | — | $758.58 |
| Chico, CACalifornia | — | $751.87 |
| El Centro, CACalifornia | — | $752.28 |
| Fresno, CACalifornia | — | $751.87 |
| Hanford, CACalifornia | — | $751.87 |
| Madera, CACalifornia | — | $751.87 |
| Merced, CACalifornia | — | $751.87 |
| Modesto, CACalifornia | — | $751.87 |
| Napa, CACalifornia | — | $831.90 |
| Oxnard, CACalifornia | — | $788.24 |
| Redding, CACalifornia | — | $751.87 |
| Rest of CaliforniaCalifornia | — | $751.87 |
| Riverside, CACalifornia | — | $778.08 |
| Sacramento, CACalifornia | — | $778.66 |
| Salinas, CACalifornia | — | $775.59 |
| San Diego, CACalifornia | — | $786.48 |
| Marin County, CACalifornia | — | $866.96 |
| San Francisco, CACalifornia | — | $864.18 |
| San Benito County, CACalifornia | — | $888.29 |
| Santa Clara County, CACalifornia | — | $876.97 |
| San Luis Obispo, CACalifornia | — | $764.41 |
| Santa Cruz, CACalifornia | — | $788.10 |
| Santa Maria, CACalifornia | — | $776.48 |
| Santa Rosa, CACalifornia | — | $795.32 |
| Stockton, CACalifornia | — | $751.87 |
| Vallejo, CACalifornia | — | $827.90 |
| Visalia, CACalifornia | — | $751.87 |
| Yuba City, CACalifornia | — | $751.87 |
| ColoradoColorado | — | $760.59 |
| ConnecticutConnecticut | — | $802.40 |
| DelawareDelaware | — | $745.37 |
| Fort Lauderdale, FLFlorida | — | $824.84 |
| Rest of FloridaFlorida | — | $783.36 |
| Atlanta, GAGeorgia | — | $777.39 |
| Rest of GeorgiaGeorgia | — | $739.35 |
| Hawaii, Guam, HIHawaii | — | $760.83 |
| IowaIowa | — | $681.27 |
| IdahoIdaho | — | $688.92 |
| East St. Louis, ILIllinois | — | $814.51 |
| Rest of IllinoisIllinois | — | $775.71 |
| Suburban Chicago, ILIllinois | — | $828.66 |
| IndianaIndiana | — | $692.02 |
| KansasKansas | — | $686.78 |
| KentuckyKentucky | — | $715.90 |
| New Orleans, LALouisiana | — | $749.07 |
| Rest of LouisianaLouisiana | — | $718.24 |
| Metropolitan Boston, MAMassachusetts | — | $818.46 |
| Rest of MassachusettsMassachusetts | — | $760.22 |
| Baltimore area, MDMaryland | — | $801.91 |
| Rest of MarylandMaryland | — | $755.83 |
| Rest of MaineMaine | — | $701.06 |
| Southern Maine, MEMaine | — | $722.50 |
| Detroit, MIMichigan | — | $800.90 |
| Rest of MichiganMichigan | — | $740.34 |
| Metropolitan Kansas City, MOMissouri | — | $735.53 |
| Metropolitan St. Louis, MOMissouri | — | $741.36 |
| Rest of MissouriMissouri | — | $712.84 |
| MississippiMississippi | — | $693.39 |
| MontanaMontana | — | $755.03 |
| North CarolinaNorth Carolina | — | $706.24 |
| North DakotaNorth Dakota | — | $706.78 |
| NebraskaNebraska | — | $682.05 |
| New HampshireNew Hampshire | — | $756.96 |
| Northern New JerseyNew Jersey | — | $831.46 |
| Rest of New JerseyNew Jersey | — | $805.21 |
| New MexicoNew Mexico | — | $747.37 |
| NevadaNevada | — | $741.88 |
| NYC suburbs and Long Island, NYNew York | — | $904.60 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $817.20 |
| Queens, NYNew York | — | $868.74 |
| Rest of New YorkNew York | — | $716.41 |
| OhioOhio | — | $730.48 |
| OklahomaOklahoma | — | $705.82 |
| Portland, OROregon | — | $772.81 |
| Rest of OregonOregon | — | $729.82 |
| Metropolitan Philadelphia, PAPennsylvania | — | $789.76 |
| Rest of PennsylvaniaPennsylvania | — | $726.80 |
| Puerto RicoPuerto Rico | — | $757.18 |
| Rhode IslandRhode Island | — | $763.28 |
| South CarolinaSouth Carolina | — | $720.81 |
| South DakotaSouth Dakota | — | $701.08 |
| TennesseeTennessee | — | $690.93 |
| Austin, TXTexas | — | $763.58 |
| Beaumont, TXTexas | — | $723.16 |
| Brazoria, TXTexas | — | $737.70 |
| Dallas, TXTexas | — | $745.89 |
| Fort Worth, TXTexas | — | $744.04 |
| Galveston, TXTexas | — | $742.19 |
| Houston, TXTexas | — | $786.85 |
| Rest of TexasTexas | — | $732.42 |
| UtahUtah | — | $729.39 |
| VirginiaVirginia | — | $726.28 |
| Virgin Islands, VIUnited States Virgin Islands | — | $757.18 |
| VermontVermont | — | $712.02 |
| Rest of WashingtonWashington | — | $756.14 |
| King County, WAWashington | — | $825.58 |
| WisconsinWisconsin | — | $686.55 |
| West VirginiaWest Virginia | — | $752.12 |
| WyomingWyoming | — | $734.00 |
64836 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 64836 rate is calculated
Each of 64836’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 · 64836
RVUs × geographic indexes × conversion factor
Work11.44
11.44 RVUs× 1.000 GPCI
Practice expense8.73
8.73 RVUs× 1.000 GPCI
Malpractice2.44
2.44 RVUs× 1.000 GPCI
Adjusted RVUs
22.6100
Conversion factor
$33.4009
Medicare rate
$755.19
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Minnesota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,253
- Code
- 64836
- Physician work
- 11.44
- Practice expense
- 8.73
- Malpractice
- 2.44
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.44 | × 1.000 | 11.4400 |
| Practice expense | 8.73 | × 1.029 | 8.9832 |
| Malpractice | 2.44 | × 0.296 | 0.7222 |
| Total RVUs | 21.1454 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$706.28
Facility: (11.44 × 1 + 8.73 × 1.029 + 2.44 × 0.296) × $33.4009 = $706.28
Payment rules and modifiers for 64836
64836 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 64836
Nerve repair, hand or foot, with graft
| 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) | 2 | Paid. |
| 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 · 64836
Nerve repair, hand or foot, with graft
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
64836 without 50 · national facility
$755.19
Nerve repair, hand or foot, with graft
64836-50 · Bilateral: 150%
$1,132.79
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 64836 has changed in Minnesota
64836 · 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 | $706.28 | RVU26D |
| 2026-07-01 | Not available in this setting | $706.28 | RVU26C |
| 2026-04-01 | Not available in this setting | $706.28 | RVU26B |
| 2026-01-01 | Not available in this setting | $706.28 | RVU26A |
| 2025-10-01 | Not available in this setting | $759.70 | RVU25D |
| 2025-07-01 | Not available in this setting | $759.70 | RVU25C |
| 2025-04-01 | Not available in this setting | $759.70 | RVU25B |
| 2025-01-01 | Not available in this setting | $759.70 | RVU25A |
| 2024-10-01 | Not available in this setting | $774.49 | RVU24D |
| 2024-07-01 | Not available in this setting | $774.49 | RVU24C |
| 2024-04-01 | Not available in this setting | $774.49 | RVU24B |
| 2024-03-09 | Not available in this setting | $774.49 | RVU24AR |
| 2024-01-01 | Not available in this setting | $761.85 | RVU24A |
| 2023-10-01 | Not available in this setting | $783.04 | RVU23D |
| 2023-07-01 | Not available in this setting | $783.04 | RVU23C |
| 2023-04-01 | Not available in this setting | $783.04 | RVU23B |
| 2023-01-01 | Not available in this setting | $783.04 | RVU23A |
| 2022-10-01 | Not available in this setting | $789.32 | RVU22D |
| 2022-07-01 | Not available in this setting | $789.32 | RVU22C |
| 2022-04-01 | Not available in this setting | $789.32 | RVU22B |
| 2022-01-01 | Not available in this setting | $789.32 | RVU22A |
| 2021-10-01 | Not available in this setting | $792.40 | RVU21D |
| 2021-07-01 | Not available in this setting | $792.40 | RVU21C |
| 2021-04-01 | Not available in this setting | $792.40 | RVU21B |
| 2021-01-01 | Not available in this setting | $792.40 | RVU21A |
| 2020-10-01 | Not available in this setting | $801.18 | RVU20D |
| 2020-07-01 | Not available in this setting | $801.18 | RVU20C |
| 2020-04-01 | Not available in this setting | $801.18 | RVU20B |
| 2020-01-01 | Not available in this setting | $801.18 | RVU20A |
| 2019-10-01 | Not available in this setting | $797.40 | RVU19D |
| 2019-07-01 | Not available in this setting | $797.40 | RVU19C |
| 2019-04-01 | Not available in this setting | $796.49 | RVU19B |
| 2019-01-01 | Not available in this setting | $796.49 | RVU19A |
| 2018-10-01 | Not available in this setting | $795.77 | RVU18D |
| 2018-07-01 | Not available in this setting | $795.77 | RVU18C |
| 2018-04-01 | Not available in this setting | $795.77 | RVU18B |
| 2018-01-01 | Not available in this setting | $795.77 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $808.99 | RVU17D |
| 2017-07-01 | Not available in this setting | $808.99 | RVU17C |
| 2017-04-01 | Not available in this setting | $808.99 | RVU17B |
| 2017-01-01 | Not available in this setting | $808.99 | RVU17A |
| 2016-10-01 | Not available in this setting | $784.64 | RVU16D |
| 2016-07-01 | Not available in this setting | $784.64 | RVU16C |
| 2016-04-01 | Not available in this setting | $784.64 | RVU16B |
| 2016-01-01 | Not available in this setting | $784.64 | RVU16A |
| 2015-10-01 | Not available in this setting | $806.32 | RVU15D |
| 2015-07-01 | Not available in this setting | $806.32 | RVU15C |
| 2015-04-01 | Not available in this setting | $802.31 | RVU15B |
| 2015-01-01 | Not available in this setting | $802.31 | RVU15A |
| 2014-10-01 | Not available in this setting | $782.77 | RVU14D |
| 2014-07-01 | Not available in this setting | $782.77 | RVU14C |
| 2014-04-01 | Not available in this setting | $782.77 | RVU14B |
| 2014-01-01 | Not available in this setting | $782.77 | RVU14A |
| 2013-10-01 | Not available in this setting | $789.23 | 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 Minnesota rate applies
Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.
- Ada
- Adams
- Adrian
- Afton
- Aitkin
- Akeley
- Albany
- Albert Lea
64836 billing questions
How does this differ from 64834?
64836 is used for a hand or foot nerve repair involving a graft. 64834 describes repair of a non-digital nerve without that graft-based reconstruction.
Can this code be used for a digital nerve?
No. Digital nerve repairs are reported with the digital nerve repair codes, including 64831 and, when applicable, 64832.
What documentation supports graft-based repair?
Document the nerve and anatomic site, the injury and resulting gap, why direct repair was not feasible, and the graft reconstruction performed.
How is a bilateral repair reported?
For bilateral procedures, report modifier 50; CMS pays the bilateral procedure at 150%.
What postoperative care is included?
The major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care.
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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