CPT code 64840: Leg nerve repair, major peripheral nerve2026 Medicare rate & RVUs in Connecticut

Repair of a major peripheral nerve in the leg, reported for operative treatment of nerve injury rather than repair of a smaller distal nerve.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Connecticut, Medicare pays $939.82 for 64840 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$939.82Hospital or facility

Check a contract rate as a % of Medicare · 64840 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 64840 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 64840 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 64840 covers

This service covers operative repair of a major peripheral nerve in the leg, such as repair after a traumatic laceration or transection. It is typically performed by a surgeon with peripheral nerve, orthopedic, plastic, or neurosurgical expertise in an operating room. The operative report should identify the injured nerve and leg location, describe the injury and repair performed, and distinguish the service from treatment of a smaller nerve in the hand or foot or repair of the sciatic nerve.

Report the code supported by the nerve treated and the operative service; document the findings and repair technique. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Bilateral reporting with 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 Connecticut compares for 64840

Across 109 of 109 payment localities, the facility rate for 64840 runs from $790.98 in Arkansas to $1,090.96 in Alaska. Connecticut pays $939.82. The RVUs are the same everywhere; the geographic indexes change the dollars.

64840 in Connecticut vs other payment areas
  1. Connecticut · this page$939.82
  2. Los Angeles, CA · California$931.43−$8.39
  3. Washington, DC area · District of Columbia$979.35+$39.53
  4. Miami, FL · Florida$1,046.97+$107.15
  5. Chicago, IL · Illinois$1,015.51+$75.69
  6. Manhattan, NY · New York$1,024.59+$84.77
  7. Alaska · Alaska$1,090.96+$151.14

Other areas in Connecticut first, then benchmark localities. Bars start at $0.

Every other payment area

64840 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$801.23
ArkansasArkansas—$790.98
ArizonaArizona—$860.53
Bakersfield, CACalifornia—$887.24
Chico, CACalifornia—$879.23
El Centro, CACalifornia—$879.71
Fresno, CACalifornia—$879.23
Hanford, CACalifornia—$879.23

64840 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
64840 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 64840 in every payment locality

How the 64840 rate is calculated

Each of 64840’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 · 64840

RVUs × geographic indexes × conversion factor

Office or facility?

Work13.67

13.67 RVUs× 1.000 GPCI

Practice expense9.91

9.91 RVUs× 1.000 GPCI

Malpractice2.91

2.91 RVUs× 1.000 GPCI

Adjusted RVUs

26.4900

Conversion factor

$33.4009

Medicare rate

$884.79

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Connecticut inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,255

Code
64840
Physician work
13.67
Practice expense
9.91
Malpractice
2.91

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Facility calculation for 64840 in Connecticut
ComponentRVULocality factorAdjusted
Physician work13.67× 1.02013.9434
Practice expense9.91× 1.07710.6731
Malpractice2.91× 1.2103.5211
Total RVUs28.1376
Conversion factor× 33.4009

Facility rate, Connecticut$939.82

Facility: (13.67 × 1.02 + 9.91 × 1.077 + 2.91 × 1.21) × $33.4009 = $939.82

Open 64840 in the RVU calculator

Payment rules and modifiers for 64840

64840 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 64840

Leg nerve repair, major peripheral nerve

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.11/0.76/0.13Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 64840

Leg nerve repair, major peripheral 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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

64840 without 50 · national facility

$884.79

Leg nerve repair, major peripheral nerve

64840-50 · Bilateral: 150%

$1,327.19

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).

When to use modifier 50

How 64840 has changed in Connecticut

64840 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$939.82RVU26D
2026-07-01Not available in this setting$939.82RVU26C
2026-04-01Not available in this setting$939.82RVU26B
2026-01-01Not available in this setting$939.82RVU26A
2025-10-01Not available in this setting$1,013.48RVU25D
2025-07-01Not available in this setting$1,013.48RVU25C
2025-04-01Not available in this setting$1,013.48RVU25B
2025-01-01Not available in this setting$1,013.48RVU25A
2024-10-01Not available in this setting$1,033.55RVU24D
2024-07-01Not available in this setting$1,033.55RVU24C
2024-04-01Not available in this setting$1,033.55RVU24B
2024-03-09Not available in this setting$1,033.55RVU24AR
2024-01-01Not available in this setting$1,016.69RVU24A
2023-10-01Not available in this setting$1,039.72RVU23D
2023-07-01Not available in this setting$1,039.72RVU23C
2023-04-01Not available in this setting$1,039.72RVU23B
2023-01-01Not available in this setting$1,039.72RVU23A
2022-10-01Not available in this setting$1,045.22RVU22D
2022-07-01Not available in this setting$1,045.22RVU22C
2022-04-01Not available in this setting$1,045.22RVU22B
2022-01-01Not available in this setting$1,045.22RVU22A
2021-10-01Not available in this setting$1,047.19RVU21D
2021-07-01Not available in this setting$1,047.19RVU21C
2021-04-01Not available in this setting$1,047.19RVU21B
2021-01-01Not available in this setting$1,047.19RVU21A
2020-10-01Not available in this setting$1,072.25RVU20D
2020-07-01Not available in this setting$1,072.25RVU20C
2020-04-01Not available in this setting$1,072.25RVU20B
2020-01-01Not available in this setting$1,072.25RVU20A
2019-10-01Not available in this setting$1,083.81RVU19D
2019-07-01Not available in this setting$1,083.81RVU19C
2019-04-01Not available in this setting$1,083.81RVU19B
2019-01-01Not available in this setting$1,083.81RVU19A
2018-10-01Not available in this setting$1,080.77RVU18D
2018-07-01Not available in this setting$1,080.77RVU18C
2018-04-01Not available in this setting$1,080.77RVU18B
2018-01-01Not available in this setting$1,080.77RVU18AR1
2017-10-01Not available in this setting$1,090.79RVU17D
2017-07-01Not available in this setting$1,090.79RVU17C
2017-04-01Not available in this setting$1,090.79RVU17B
2017-01-01Not available in this setting$1,090.79RVU17A
2016-10-01Not available in this setting$1,144.33RVU16D
2016-07-01Not available in this setting$1,144.33RVU16C
2016-04-01Not available in this setting$1,144.33RVU16B
2016-01-01Not available in this setting$1,144.33RVU16A
2015-10-01Not available in this setting$1,083.96RVU15D
2015-07-01Not available in this setting$1,083.96RVU15C
2015-04-01Not available in this setting$1,078.56RVU15B
2015-01-01Not available in this setting$1,078.56RVU15A
2014-10-01Not available in this setting$1,017.97RVU14D
2014-07-01Not available in this setting$1,017.97RVU14C
2014-04-01Not available in this setting$1,017.97RVU14B
2014-01-01Not available in this setting$1,017.97RVU14A
2013-10-01Not available in this setting$1,001.75RVU13D
2013-07-01Not available in this setting$1,001.75RVU13C
2013-04-01Not available in this setting$1,001.75RVU13B
2013-01-01Not available in this setting$1,001.75RVU13AR

Price 64840 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

64840 billing questions

How is this different from repair of a hand or foot nerve?

This code is for a major peripheral nerve in the leg. Codes such as 64834 address a nerve in the hand or foot, except a digital nerve.

When would the sciatic nerve repair code be considered instead?

Use the sciatic nerve repair code, 64858, when the operative repair is of the sciatic nerve. Code selection depends on the nerve actually repaired.

What documentation supports reporting this service?

Document the nerve and leg location, the nature of the injury, operative findings, and the repair performed. The record should support repair of a major peripheral nerve rather than a smaller distal nerve.

How does the 90-day global period affect related care?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period for this major surgery.

How are bilateral and same-session procedures handled?

Bilateral reporting with modifier 50 is paid at 150%. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeons and team surgery are not permitted under the CMS rules for this code.

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
RVUs for 64840PPRRVU2026_Oct_nonQPP.csv, line 7,255 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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