CPT code 64837: Nerve repair, each additional nerve, transposed2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $307.48 for 64837 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 64837 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 64837 covers

This add-on represents repair of an additional non-digital nerve in the hand or foot when the surgeon also transposes that nerve. Transposition moves the nerve into a different position or tissue bed as part of the repair. It is typically performed by a hand, orthopedic, plastic, or peripheral nerve surgeon in an operating room after traumatic injury or during reconstruction when more than one nerve requires this treatment.

Report 64837 only with the primary repair code 64836 for the first nerve repaired with transposition. The operative report should identify the additional nerve and document its repair and transposition; the add-on is for another nerve, not another nerve end or a repeat repair of the same nerve. CMS classifies it as an add-on code: it is billed only with a primary procedure and its payment falls 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 Delaware compares for 64837

Across 109 of 109 payment localities, the facility rate for 64837 runs from $278.86 in Wisconsin to $398.05 in Alaska. Delaware pays $307.48. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

64837 rates by state

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

See 64837 in every payment locality

How the 64837 rate is calculated

Each of 64837’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 64837

The CMS indicators that decide how 64837 is paid alongside other services.

What modifiers do to the payment

When to use modifier 80

Codes related to 64837

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

How 64837 has changed in Delaware

Price 64837 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

• Arden
• Ardencroft
• Ardentown
• Bear
• Bellefonte
• Bethany Beach
• Bethel
• Blades

Browse all communities in Delaware

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