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CPT code 64872: Nerve repair, secondary repair2026 Medicare rate & RVUs

Use this add-on for secondary nerve repair performed with a primary procedure when the operative work requires repair beyond an initial nerve repair.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $99.53 for 64872 nationally in a facility.

Medicare rate · 64872

Nerve repair, secondary repair

Office or facility?

Work RVUs
1.94
Total RVUs
2.98
Global days
ZZZ

National rate · 2026

$99.53

Facility setting, before claim adjustments.

See every locality for 64872 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 64872 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 64872 covers

This code represents secondary repair of a nerve, rather than a straightforward initial repair. A surgeon may perform this work during an operation to address a nerve that cannot be repaired with a simple primary repair, such as when delayed treatment or the condition of the nerve ends requires a more involved repair. Peripheral nerve, hand, plastic, or neurosurgeons may perform it in an operating room. The operative report should identify the nerve and explain why secondary repair was needed.

Report 64872 only with a primary procedure, as an add-on, and not as a stand-alone service. The primary procedure and the secondary repair should be supported by the operative documentation, including the reason for secondary repair and the work performed. CMS treats this add-on as paid within the primary procedure's global period; it is not a separate service outside that 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.

Where 64872 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

64872 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$90.86
AlaskaUnavailable$126.98
ArizonaUnavailable$96.87
ArkansasUnavailable$89.81
Atlanta, GAUnavailable$102.88
Austin, TXUnavailable$99.27
Bakersfield, CAUnavailable$97.27
Baltimore area, MDUnavailable$105.41
Beaumont, TXUnavailable$96.67
Brazoria, TXUnavailable$96.78

64872 rates by state

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

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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
64872 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

How the 64872 rate is calculated

Each of 64872’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 · 64872

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.94

1.94 RVUs× 1.000 GPCI

Practice expense0.62

0.62 RVUs× 1.000 GPCI

Malpractice0.42

0.42 RVUs× 1.000 GPCI

Adjusted RVUs

2.9800

Conversion factor

$33.4009

Medicare rate

$99.53

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

Payment rules and modifiers for 64872

The CMS indicators that decide how 64872 is paid alongside other services.

CMS payment indicators · 64872

Nerve repair, secondary repair

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 80 · payment effect

With and without the modifier

64872 without 80 · national facility

$99.53

Nerve repair, secondary repair

64872-80 · Assistant: 16%

$15.92

A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.

When to use modifier 80

64872 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 64872

    Nerve repair, secondary repair1.94 wRVU

    Not priced

  • 64856

    Brachial plexus repair, repair or transposition14.69 wRVU

    Not priced

  • 64857

    Nerve repair, arm or leg, no transposition15.42 wRVU

    Not priced

  • 64874

    Nerve repair, additional nerve, extensive mobilization2.91 wRVU

    Not priced

How to choose

64856Brachial plexus repairRepair or transposition
64856 applies to major peripheral nerve repair in the arm or leg. 64872 describes secondary repair and is reported only with a primary procedure.
64857Nerve repairArm or leg, no transposition
64857 is a primary repair code for a major peripheral nerve in the arm or leg. Choose 64872 when the operative service is secondary repair and report it with a primary procedure.
64874Nerve repairAdditional nerve, extensive mobilization
64874 is a related nerve-repair add-on. Distinguish it from 64872 by the specific secondary repair work documented and the applicable code descriptor.

Codes related to 64872

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

Codes related to 64872
CodeHow it relatesNational office range
Same family
64874Nerve repair, additional nerve, extensive mobilizationRelated add-on nerve repair code; distinguish it by the specific repair work documented.No office rate
Used instead
64856Brachial plexus repair, repair or transpositionFor a major peripheral nerve repair in the arm or leg when the service is not secondary repair.No office rate
64857Nerve repair, arm or leg, no transpositionFor major peripheral nerve repair in the arm or leg when the service is not secondary repair.No office rate
64858Nerve repair, sciatic nerveFor repair involving the sciatic nerve rather than secondary repair described by 64872.No office rate

64872 billing questions

Can 64872 be billed by itself?

No. CMS identifies it as an add-on code that must be billed with a primary procedure.

What documentation supports secondary repair?

Document the nerve involved, why an initial repair was not sufficient, and the secondary repair performed. The operative report should make the additional work clear.

How is 64872 different from a primary nerve repair code?

Use a primary repair code when the operative service is an initial repair. 64872 is for secondary repair and must accompany a primary procedure.

How does the global period affect payment?

CMS pays 64872 within the global period of the primary procedure. It is not treated as a separate service outside that period.

Does the code identify a particular nerve or body site?

The descriptor identifies secondary nerve repair but does not specify a nerve or site. Document the nerve and repair circumstances in the operative report.

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 64872PPRRVU2026_Oct_nonQPP.csv, line 7,266 (RVU26D)

Open CMS sourceHow we calculate rates

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