CPT code 64872: Nerve repair, secondary repair2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $108.31 for 64872 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 64872 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 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.

How Washington, DC area compares for 64872

Across 109 of 109 payment localities, the facility rate for 64872 runs from $88.96 in Wisconsin to $126.98 in Alaska. Washington, DC area pays $108.31. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

64872 rates by state

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

See 64872 in every payment locality

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.

Payment rules and modifiers for 64872

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

What modifiers do to the payment

When to use modifier 80

Codes related to 64872

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

How 64872 has changed in Washington, DC area

Price 64872 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

Browse all communities in District of Columbia

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