CPT code 64836: Nerve repair, hand or foot, with graft2026 Medicare rate & RVUs in Vermont

In Vermont, Medicare pays $712.02 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.

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 Vermont 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. Vermont pays $712.02. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

64836 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 64836 in every payment locality

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.

Payment rules and modifiers for 64836

64836 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 64836

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 64836 has changed in Vermont

Price 64836 for an earlier date of service

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

Browse all communities in Vermont

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

Open CMS sourceHow we calculate rates