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

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, 2026One payment locality

In North Dakota, Medicare pays $91.20 for 64872 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$91.20Hospital or facility

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.

We’ll open 64872 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Dakota
  2. What 64872 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 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 North Dakota 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. North Dakota pays $91.20. The RVUs are the same everywhere; the geographic indexes change the dollars.

64872 in North Dakota vs other payment areas
  1. North Dakota · this page$91.20
  2. Los Angeles, CA · California$101.27+$10.07
  3. Washington, DC area · District of Columbia$108.31+$17.11
  4. Miami, FL · Florida$121.83+$30.63
  5. Chicago, IL · Illinois$118.26+$27.06
  6. Manhattan, NY · New York$115.26+$24.06
  7. Alaska · Alaska$126.98+$35.78

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

Every other payment area

64872 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$90.86
ArkansasArkansas—$89.81
ArizonaArizona—$96.87
Bakersfield, CACalifornia—$97.27
Chico, CACalifornia—$96.12
El Centro, CACalifornia—$96.19
Fresno, CACalifornia—$96.12
Hanford, CACalifornia—$96.12

64872 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
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

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.

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.

The exact North Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,266

Code
64872
Physician work
1.94
Practice expense
0.62
Malpractice
0.42

GPCI2026.csv

84

Locality
North Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.406
Facility calculation for 64872 in North Dakota
ComponentRVULocality factorAdjusted
Physician work1.94× 1.0001.9400
Practice expense0.62× 1.0000.6200
Malpractice0.42× 0.4060.1705
Total RVUs2.7305
Conversion factor× 33.4009

Facility rate, North Dakota$91.20

Facility: (1.94 × 1 + 0.62 × 1 + 0.42 × 0.406) × $33.4009 = $91.20

Open 64872 in the RVU calculator

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

How 64872 has changed in North Dakota

64872 · 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$91.20RVU26D
2026-07-01Not available in this setting$91.20RVU26C
2026-04-01Not available in this setting$91.20RVU26B
2026-01-01Not available in this setting$91.20RVU26A
2025-10-01Not available in this setting$105.35RVU25D
2025-07-01Not available in this setting$105.35RVU25C
2025-04-01Not available in this setting$105.35RVU25B
2025-01-01Not available in this setting$105.35RVU25A
2024-10-01Not available in this setting$107.41RVU24D
2024-07-01Not available in this setting$107.41RVU24C
2024-04-01Not available in this setting$107.41RVU24B
2024-03-09Not available in this setting$107.41RVU24AR
2024-01-01Not available in this setting$105.66RVU24A
2023-10-01Not available in this setting$108.76RVU23D
2023-07-01Not available in this setting$108.76RVU23C
2023-04-01Not available in this setting$108.76RVU23B
2023-01-01Not available in this setting$108.76RVU23A
2022-10-01Not available in this setting$109.78RVU22D
2022-07-01Not available in this setting$109.78RVU22C
2022-04-01Not available in this setting$109.78RVU22B
2022-01-01Not available in this setting$109.78RVU22A
2021-10-01Not available in this setting$111.19RVU21D
2021-07-01Not available in this setting$111.19RVU21C
2021-04-01Not available in this setting$111.19RVU21B
2021-01-01Not available in this setting$111.19RVU21A
2020-10-01Not available in this setting$114.91RVU20D
2020-07-01Not available in this setting$114.91RVU20C
2020-04-01Not available in this setting$114.91RVU20B
2020-01-01Not available in this setting$114.91RVU20A
2019-10-01Not available in this setting$115.38RVU19D
2019-07-01Not available in this setting$115.38RVU19C
2019-04-01Not available in this setting$115.38RVU19B
2019-01-01Not available in this setting$115.38RVU19A
2018-10-01Not available in this setting$115.41RVU18D
2018-07-01Not available in this setting$115.41RVU18C
2018-04-01Not available in this setting$115.41RVU18B
2018-01-01Not available in this setting$115.41RVU18AR1
2017-10-01Not available in this setting$115.32RVU17D
2017-07-01Not available in this setting$115.32RVU17C
2017-04-01Not available in this setting$115.32RVU17B
2017-01-01Not available in this setting$115.32RVU17A
2016-10-01Not available in this setting$119.89RVU16D
2016-07-01Not available in this setting$119.89RVU16C
2016-04-01Not available in this setting$119.89RVU16B
2016-01-01Not available in this setting$119.89RVU16A
2015-10-01Not available in this setting$116.36RVU15D
2015-07-01Not available in this setting$116.36RVU15C
2015-04-01Not available in this setting$115.78RVU15B
2015-01-01Not available in this setting$115.78RVU15A
2014-10-01Not available in this setting$118.36RVU14D
2014-07-01Not available in this setting$118.36RVU14C
2014-04-01Not available in this setting$118.36RVU14B
2014-01-01Not available in this setting$118.36RVU14A
2013-10-01Not available in this setting$112.09RVU13D
2013-07-01Not available in this setting$112.09RVU13C
2013-04-01Not available in this setting$112.09RVU13B
2013-01-01Not available in this setting$112.09RVU13AR

Price 64872 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Abercrombie
  • Adams
  • Alamo
  • Alexander
  • Alice
  • Almont
  • Alsen
  • Ambrose

Browse all communities in North Dakota

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)
Geographic factors for North DakotaGPCI2026.csv, line 84 (RVU26D)

Open CMS sourceHow we calculate rates

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