CPT code 64837: Nerve repair, each additional nerve, transposed2026 Medicare rate & RVUs in Dallas, TX
Reports repair with transposition of each additional non-digital nerve in the hand or foot during the same operation as the primary nerve repair.
In Dallas, TX, Medicare pays $307.04 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.
On this page 11 sections
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 Dallas, TX 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. Dallas, TX pays $307.04. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Dallas, TX · this page$307.04
- Austin, TX · Texas$310.85+$3.81
- Beaumont, TX · Texas$302.72−$4.32
- Brazoria, TX · Texas$303.12−$3.92
- Fort Worth, TX · Texas$306.95−$0.09
- Galveston, TX · Texas$305.34−$1.70
- Houston, TX · Texas$329.13+$22.09
Other areas in Texas first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Rest of TexasTexas | — | $304.11 |
| Los Angeles, CACalifornia | — | $317.24 |
| Washington, DC areaDistrict of Columbia | — | $339.06 |
| Miami, FLFlorida | — | $380.68 |
| Chicago, ILIllinois | — | $369.61 |
| Manhattan, NYNew York | — | $360.59 |
| AlaskaAlaska | — | $398.05 |
| AlabamaAlabama | — | $284.69 |
| ArkansasArkansas | — | $281.43 |
| ArizonaArizona | — | $303.37 |
| Bakersfield, CACalifornia | — | $304.74 |
| Chico, CACalifornia | — | $301.16 |
| El Centro, CACalifornia | — | $301.38 |
| Fresno, CACalifornia | — | $301.16 |
| Hanford, CACalifornia | — | $301.16 |
| Madera, CACalifornia | — | $301.16 |
| Merced, CACalifornia | — | $301.16 |
| Modesto, CACalifornia | — | $301.16 |
| Napa, CACalifornia | — | $323.69 |
| Oxnard, CACalifornia | — | $312.75 |
| Redding, CACalifornia | — | $301.16 |
| Rest of CaliforniaCalifornia | — | $301.16 |
| Riverside, CACalifornia | — | $315.13 |
| Sacramento, CACalifornia | — | $309.37 |
| Salinas, CACalifornia | — | $308.09 |
| San Diego, CACalifornia | — | $310.55 |
| Marin County, CACalifornia | — | $334.03 |
| San Francisco, CACalifornia | — | $332.55 |
| San Benito County, CACalifornia | — | $342.50 |
| Santa Clara County, CACalifornia | — | $336.46 |
| San Luis Obispo, CACalifornia | — | $303.95 |
| Santa Cruz, CACalifornia | — | $309.69 |
| Santa Maria, CACalifornia | — | $307.93 |
| Santa Rosa, CACalifornia | — | $312.36 |
| Stockton, CACalifornia | — | $301.16 |
| Vallejo, CACalifornia | — | $321.56 |
| Visalia, CACalifornia | — | $301.16 |
| Yuba City, CACalifornia | — | $301.16 |
| ColoradoColorado | — | $308.71 |
| ConnecticutConnecticut | — | $329.81 |
| DelawareDelaware | — | $307.48 |
| Fort Lauderdale, FLFlorida | — | $347.56 |
| Rest of FloridaFlorida | — | $330.62 |
| Atlanta, GAGeorgia | — | $322.01 |
| Rest of GeorgiaGeorgia | — | $312.97 |
| Hawaii, Guam, HIHawaii | — | $302.23 |
| IowaIowa | — | $279.94 |
| IdahoIdaho | — | $283.56 |
| East St. Louis, ILIllinois | — | $350.48 |
| Rest of IllinoisIllinois | — | $330.44 |
| Suburban Chicago, ILIllinois | — | $348.32 |
| IndianaIndiana | — | $284.58 |
| KansasKansas | — | $283.87 |
| KentuckyKentucky | — | $300.75 |
| New Orleans, LALouisiana | — | $313.71 |
| Rest of LouisianaLouisiana | — | $302.35 |
| Metropolitan Boston, MAMassachusetts | — | $327.76 |
| Rest of MassachusettsMassachusetts | — | $309.50 |
| Baltimore area, MDMaryland | — | $329.91 |
| Rest of MarylandMaryland | — | $310.88 |
| Rest of MaineMaine | — | $290.03 |
| Southern Maine, MEMaine | — | $295.02 |
| Detroit, MIMichigan | — | $339.15 |
| Rest of MichiganMichigan | — | $311.59 |
| MinnesotaMinnesota | — | $282.94 |
| Metropolitan Kansas City, MOMissouri | — | $306.68 |
| Metropolitan St. Louis, MOMissouri | — | $308.61 |
| Rest of MissouriMissouri | — | $301.56 |
| MississippiMississippi | — | $291.29 |
| MontanaMontana | — | $311.54 |
| North CarolinaNorth Carolina | — | $291.61 |
| North DakotaNorth Dakota | — | $285.84 |
| NebraskaNebraska | — | $279.63 |
| New HampshireNew Hampshire | — | $308.86 |
| Northern New JerseyNew Jersey | — | $337.77 |
| Rest of New JerseyNew Jersey | — | $329.94 |
| New MexicoNew Mexico | — | $314.98 |
| NevadaNevada | — | $304.44 |
| NYC suburbs and Long Island, NYNew York | — | $374.11 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $336.06 |
| Queens, NYNew York | — | $355.63 |
| Rest of New YorkNew York | — | $295.49 |
| OhioOhio | — | $306.34 |
| OklahomaOklahoma | — | $295.01 |
| Portland, OROregon | — | $310.96 |
| Rest of OregonOregon | — | $298.48 |
| Metropolitan Philadelphia, PAPennsylvania | — | $326.33 |
| Rest of PennsylvaniaPennsylvania | — | $303.93 |
| Puerto RicoPuerto Rico | — | $311.69 |
| Rhode IslandRhode Island | — | $312.94 |
| South CarolinaSouth Carolina | — | $300.19 |
| South DakotaSouth Dakota | — | $282.80 |
| TennesseeTennessee | — | $285.63 |
| UtahUtah | — | $303.31 |
| VirginiaVirginia | — | $297.76 |
| Virgin Islands, VIUnited States Virgin Islands | — | $311.69 |
| VermontVermont | — | $289.53 |
| Rest of WashingtonWashington | — | $307.33 |
| King County, WAWashington | — | $328.56 |
| WisconsinWisconsin | — | $278.86 |
| West VirginiaWest Virginia | — | $321.86 |
| WyomingWyoming | — | $300.34 |
64837 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 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.
How the rate is built · 64837
RVUs × geographic indexes × conversion factor
Work6.09
6.09 RVUs× 1.000 GPCI
Practice expense1.94
1.94 RVUs× 1.000 GPCI
Malpractice1.30
1.30 RVUs× 1.000 GPCI
Adjusted RVUs
9.3300
Conversion factor
$33.4009
Medicare rate
$311.63
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Dallas, TX inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,254
- Code
- 64837
- Physician work
- 6.09
- Practice expense
- 1.94
- Malpractice
- 1.30
GPCI2026.csv
99
- Locality
- Dallas, TX
- Physician work
- 1.009
- Practice expense
- 0.996
- Malpractice
- 0.858
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.09 | × 1.009 | 6.1448 |
| Practice expense | 1.94 | × 0.996 | 1.9322 |
| Malpractice | 1.30 | × 0.858 | 1.1154 |
| Total RVUs | 9.1924 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Dallas, TX$307.04
Facility: (6.09 × 1.009 + 1.94 × 0.996 + 1.3 × 0.858) × $33.4009 = $307.04
Payment rules and modifiers for 64837
The CMS indicators that decide how 64837 is paid alongside other services.
CMS payment indicators · 64837
Nerve repair, each additional nerve, transposed
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| 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. |
What modifiers do to the payment
Modifier 80 · payment effect
With and without the modifier
64837 without 80 · national facility
$311.63
Nerve repair, each additional nerve, transposed
64837-80 · Assistant: 16%
$49.86
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
How 64837 has changed in Dallas, TX
64837 · 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 | $307.04 | RVU26D |
| 2026-07-01 | Not available in this setting | $307.04 | RVU26C |
| 2026-04-01 | Not available in this setting | $307.04 | RVU26B |
| 2026-01-01 | Not available in this setting | $307.04 | RVU26A |
| 2025-10-01 | Not available in this setting | $348.52 | RVU25D |
| 2025-07-01 | Not available in this setting | $348.52 | RVU25C |
| 2025-04-01 | Not available in this setting | $348.52 | RVU25B |
| 2025-01-01 | Not available in this setting | $348.52 | RVU25A |
| 2024-10-01 | Not available in this setting | $356.27 | RVU24D |
| 2024-07-01 | Not available in this setting | $356.27 | RVU24C |
| 2024-04-01 | Not available in this setting | $356.27 | RVU24B |
| 2024-03-09 | Not available in this setting | $356.27 | RVU24AR |
| 2024-01-01 | Not available in this setting | $350.45 | RVU24A |
| 2023-10-01 | Not available in this setting | $357.41 | RVU23D |
| 2023-07-01 | Not available in this setting | $357.41 | RVU23C |
| 2023-04-01 | Not available in this setting | $357.41 | RVU23B |
| 2023-01-01 | Not available in this setting | $357.41 | RVU23A |
| 2022-10-01 | Not available in this setting | $358.19 | RVU22D |
| 2022-07-01 | Not available in this setting | $358.19 | RVU22C |
| 2022-04-01 | Not available in this setting | $358.19 | RVU22B |
| 2022-01-01 | Not available in this setting | $358.19 | RVU22A |
| 2021-10-01 | Not available in this setting | $361.83 | RVU21D |
| 2021-07-01 | Not available in this setting | $361.83 | RVU21C |
| 2021-04-01 | Not available in this setting | $361.83 | RVU21B |
| 2021-01-01 | Not available in this setting | $361.83 | RVU21A |
| 2020-10-01 | Not available in this setting | $374.85 | RVU20D |
| 2020-07-01 | Not available in this setting | $374.85 | RVU20C |
| 2020-04-01 | Not available in this setting | $374.85 | RVU20B |
| 2020-01-01 | Not available in this setting | $374.85 | RVU20A |
| 2019-10-01 | Not available in this setting | $377.48 | RVU19D |
| 2019-07-01 | Not available in this setting | $377.48 | RVU19C |
| 2019-04-01 | Not available in this setting | $377.48 | RVU19B |
| 2019-01-01 | Not available in this setting | $377.48 | RVU19A |
| 2018-10-01 | Not available in this setting | $378.71 | RVU18D |
| 2018-07-01 | Not available in this setting | $378.71 | RVU18C |
| 2018-04-01 | Not available in this setting | $378.71 | RVU18B |
| 2018-01-01 | Not available in this setting | $378.71 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $392.43 | RVU17D |
| 2017-07-01 | Not available in this setting | $392.43 | RVU17C |
| 2017-04-01 | Not available in this setting | $392.43 | RVU17B |
| 2017-01-01 | Not available in this setting | $392.43 | RVU17A |
| 2016-10-01 | Not available in this setting | $381.89 | RVU16D |
| 2016-07-01 | Not available in this setting | $381.89 | RVU16C |
| 2016-04-01 | Not available in this setting | $381.89 | RVU16B |
| 2016-01-01 | Not available in this setting | $381.89 | RVU16A |
| 2015-10-01 | Not available in this setting | $390.82 | RVU15D |
| 2015-07-01 | Not available in this setting | $390.82 | RVU15C |
| 2015-04-01 | Not available in this setting | $388.87 | RVU15B |
| 2015-01-01 | Not available in this setting | $388.87 | RVU15A |
| 2014-10-01 | Not available in this setting | $374.67 | RVU14D |
| 2014-07-01 | Not available in this setting | $374.67 | RVU14C |
| 2014-04-01 | Not available in this setting | $374.67 | RVU14B |
| 2014-01-01 | Not available in this setting | $374.67 | RVU14A |
| 2013-10-01 | Not available in this setting | $372.80 | RVU13D |
| 2013-07-01 | Not available in this setting | $372.80 | RVU13C |
| 2013-04-01 | Not available in this setting | $372.80 | RVU13B |
| 2013-01-01 | Not available in this setting | $372.80 | RVU13AR |
Where the Dallas, TX rate applies
Dallas, TX is a Medicare payment area, not a city. Our Census mapping connects it to 32 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.
- 64837 in Dallas · multiple payment areas
- Addison
- Balch Springs
- Bear Creek Ranch
- 64837 in Carrollton · multiple payment areas
- 64837 in Cedar Hill · multiple payment areas
- Cockrell Hill
- 64837 in Combine · multiple payment areas
64837 billing questions
Which primary code must accompany 64837?
Report 64837 with 64836, which represents repair with transposition of the first qualifying hand or foot nerve. The additional nerve must also be repaired with transposition.
Can 64837 be used for an additional digital nerve?
No. Code 64837 applies to additional non-digital nerves of the hand or foot; 64832 is the add-on for an additional digital nerve.
How does 64837 differ from 64835?
Both concern additional non-digital hand or foot nerves, but 64837 is for repair with transposition. Code 64835 describes an additional nerve repair without that transposition distinction.
What should the operative report document?
Identify the additional nerve and describe its repair and transposition. The record should also support the primary 64836 service for the first nerve.
Is 64837 billed as a stand-alone service?
No. CMS identifies it as an add-on code, so it is billed only with a primary procedure; payment is within that procedure's global period.
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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