CPT code 64859: Nerve repair, each additional major nerve2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $192.36 for 64859 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 64859 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 64859 covers

This add-on represents microsurgical repair of another major peripheral nerve in an arm or leg during the same operation as a primary major-nerve repair. It is relevant when an injury, such as a traumatic laceration, affects more than one major nerve and the surgeon directly sutures each damaged nerve. The operating surgeon may be a peripheral nerve, hand, plastic, orthopedic, or neurosurgical specialist working in an operative setting.

Report 64859 only with the qualifying primary nerve-repair procedure, such as 64856 or 64857, when the operative record supports repair of a distinct additional nerve. Document the nerve’s name and location, the injury, and the repair performed; a second repair of the same nerve or multiple sutures within one repair do not establish another nerve. CMS identifies this as an add-on code: it is billed with the primary procedure, and 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 South Dakota compares for 64859

Across 109 of 109 payment localities, the facility rate for 64859 runs from $189.67 in Wisconsin to $270.75 in Alaska. South Dakota pays $192.36. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

64859 rates by state

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

See 64859 in every payment locality

How the 64859 rate is calculated

Each of 64859’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 64859

The CMS indicators that decide how 64859 is paid alongside other services.

What modifiers do to the payment

When to use modifier 80

Codes related to 64859

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

How 64859 has changed in South Dakota

Price 64859 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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