CPT code 64874: Nerve repair, additional nerve, extensive mobilization2026 Medicare rate & RVUs in Washington, DC area
Reports repair or revision of an additional nerve when the work requires extensive mobilization or transposition during a qualifying primary nerve procedure.
In Washington, DC area, Medicare pays $161.71 for 64874 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 64874 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 64874 covers
This add-on represents repair or revision of another nerve when the surgeon must extensively free it from surrounding tissue or move it to a different position. It may arise during operative treatment of peripheral nerve injuries or reconstructive nerve surgery. Peripheral nerve, hand, orthopedic, or plastic surgeons typically perform this work in an operating room; the operative note should identify the additional nerve and describe the mobilization or transposition performed.
Report 64874 only with a qualifying primary procedure, not as a stand-alone service. The record should distinguish the additional nerve and its work from the nerve repair represented by the primary code. CMS treats this as an add-on paid within the primary procedure’s global period, so it is not separately paid outside that global period. Select the primary code for the main nerve procedure, then report this code only when the additional nerve work meets its scope.
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 64874
Across 109 of 109 payment localities, the facility rate for 64874 runs from $133.23 in Wisconsin to $190.10 in Alaska. Washington, DC area pays $161.71. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Washington, DC area · this page$161.71
- Los Angeles, CA · California$151.46−$10.25
- Miami, FL · Florida$181.06+$19.35
- Chicago, IL · Illinois$175.85+$14.14
- Manhattan, NY · New York$171.83+$10.12
- Alaska · Alaska$190.10+$28.39
- Alabama · Alabama$135.91−$25.80
Other areas in District of Columbia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | — | $134.37 |
| ArizonaArizona | — | $144.74 |
| Bakersfield, CACalifornia | — | $145.50 |
| Chico, CACalifornia | — | $143.81 |
| El Centro, CACalifornia | — | $143.92 |
| Fresno, CACalifornia | — | $143.81 |
| Hanford, CACalifornia | — | $143.81 |
| Madera, CACalifornia | — | $143.81 |
| Merced, CACalifornia | — | $143.81 |
| Modesto, CACalifornia | — | $143.81 |
| Napa, CACalifornia | — | $154.61 |
| Oxnard, CACalifornia | — | $149.33 |
| Redding, CACalifornia | — | $143.81 |
| Rest of CaliforniaCalifornia | — | $143.81 |
| Riverside, CACalifornia | — | $150.37 |
| Sacramento, CACalifornia | — | $147.74 |
| Salinas, CACalifornia | — | $147.13 |
| San Diego, CACalifornia | — | $148.31 |
| Marin County, CACalifornia | — | $159.58 |
| San Francisco, CACalifornia | — | $158.89 |
| San Benito County, CACalifornia | — | $163.60 |
| Santa Clara County, CACalifornia | — | $160.77 |
| San Luis Obispo, CACalifornia | — | $145.15 |
| Santa Cruz, CACalifornia | — | $147.90 |
| Santa Maria, CACalifornia | — | $147.06 |
| Santa Rosa, CACalifornia | — | $149.18 |
| Stockton, CACalifornia | — | $143.81 |
| Vallejo, CACalifornia | — | $153.61 |
| Visalia, CACalifornia | — | $143.81 |
| Yuba City, CACalifornia | — | $143.81 |
| ColoradoColorado | — | $147.33 |
| ConnecticutConnecticut | — | $157.25 |
| DelawareDelaware | — | $146.69 |
| Fort Lauderdale, FLFlorida | — | $165.50 |
| Rest of FloridaFlorida | — | $157.52 |
| Atlanta, GAGeorgia | — | $153.52 |
| Rest of GeorgiaGeorgia | — | $149.19 |
| Hawaii, Guam, HIHawaii | — | $144.31 |
| IowaIowa | — | $133.71 |
| IdahoIdaho | — | $135.41 |
| East St. Louis, ILIllinois | — | $166.81 |
| Rest of IllinoisIllinois | — | $157.40 |
| Suburban Chicago, ILIllinois | — | $165.88 |
| IndianaIndiana | — | $135.89 |
| KansasKansas | — | $135.55 |
| KentuckyKentucky | — | $143.45 |
| New Orleans, LALouisiana | — | $149.57 |
| Rest of LouisianaLouisiana | — | $144.21 |
| Metropolitan Boston, MAMassachusetts | — | $156.40 |
| Rest of MassachusettsMassachusetts | — | $147.70 |
| Baltimore area, MDMaryland | — | $157.29 |
| Rest of MarylandMaryland | — | $148.31 |
| Rest of MaineMaine | — | $138.45 |
| Southern Maine, MEMaine | — | $140.84 |
| Detroit, MIMichigan | — | $161.52 |
| Rest of MichiganMichigan | — | $148.56 |
| MinnesotaMinnesota | — | $135.19 |
| Metropolitan Kansas City, MOMissouri | — | $146.27 |
| Metropolitan St. Louis, MOMissouri | — | $147.18 |
| Rest of MissouriMissouri | — | $143.82 |
| MississippiMississippi | — | $139.00 |
| MontanaMontana | — | $148.59 |
| North CarolinaNorth Carolina | — | $139.20 |
| North DakotaNorth Dakota | — | $136.53 |
| NebraskaNebraska | — | $133.57 |
| New HampshireNew Hampshire | — | $147.36 |
| Northern New JerseyNew Jersey | — | $161.11 |
| Rest of New JerseyNew Jersey | — | $157.36 |
| New MexicoNew Mexico | — | $150.15 |
| NevadaNevada | — | $145.26 |
| NYC suburbs and Long Island, NYNew York | — | $178.19 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $160.24 |
| Queens, NYNew York | — | $169.51 |
| Rest of New YorkNew York | — | $141.03 |
| OhioOhio | — | $146.09 |
| OklahomaOklahoma | — | $140.77 |
| Portland, OROregon | — | $148.42 |
| Rest of OregonOregon | — | $142.46 |
| Metropolitan Philadelphia, PAPennsylvania | — | $155.59 |
| Rest of PennsylvaniaPennsylvania | — | $144.97 |
| Puerto RicoPuerto Rico | — | $148.67 |
| Rhode IslandRhode Island | — | $149.31 |
| South CarolinaSouth Carolina | — | $143.22 |
| South DakotaSouth Dakota | — | $135.11 |
| TennesseeTennessee | — | $136.37 |
| Austin, TXTexas | — | $148.31 |
| Beaumont, TXTexas | — | $144.39 |
| Brazoria, TXTexas | — | $144.65 |
| Dallas, TXTexas | — | $146.49 |
| Fort Worth, TXTexas | — | $146.45 |
| Galveston, TXTexas | — | $145.69 |
| Houston, TXTexas | — | $156.85 |
| Rest of TexasTexas | — | $145.07 |
| UtahUtah | — | $144.69 |
| VirginiaVirginia | — | $142.12 |
| Virgin Islands, VIUnited States Virgin Islands | — | $148.67 |
| VermontVermont | — | $138.26 |
| Rest of WashingtonWashington | — | $146.67 |
| King County, WAWashington | — | $156.82 |
| WisconsinWisconsin | — | $133.23 |
| West VirginiaWest Virginia | — | $153.35 |
| WyomingWyoming | — | $143.34 |
64874 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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 64874 rate is calculated
Each of 64874’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 · 64874
RVUs × geographic indexes × conversion factor
Work2.91
2.91 RVUs× 1.000 GPCI
Practice expense0.93
0.93 RVUs× 1.000 GPCI
Malpractice0.61
0.61 RVUs× 1.000 GPCI
Adjusted RVUs
4.4500
Conversion factor
$33.4009
Medicare rate
$148.63
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Washington, DC area inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,267
- Code
- 64874
- Physician work
- 2.91
- Practice expense
- 0.93
- Malpractice
- 0.61
GPCI2026.csv
39
- Locality
- Washington, DC area
- Physician work
- 1.054
- Practice expense
- 1.178
- Malpractice
- 1.113
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.91 | × 1.054 | 3.0671 |
| Practice expense | 0.93 | × 1.178 | 1.0955 |
| Malpractice | 0.61 | × 1.113 | 0.6789 |
| Total RVUs | 4.8416 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Washington, DC area$161.71
Facility: (2.91 × 1.054 + 0.93 × 1.178 + 0.61 × 1.113) × $33.4009 = $161.71
Payment rules and modifiers for 64874
The CMS indicators that decide how 64874 is paid alongside other services.
CMS payment indicators · 64874
Nerve repair, additional nerve, extensive mobilization
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 80 · payment effect
With and without the modifier
64874 without 80 · national facility
$148.63
Nerve repair, additional nerve, extensive mobilization
64874-80 · Assistant: 16%
$23.78
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
How 64874 has changed in Washington, DC area
64874 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $161.71 | RVU26D |
| 2026-07-01 | Not available in this setting | $161.71 | RVU26C |
| 2026-04-01 | Not available in this setting | $161.71 | RVU26B |
| 2026-01-01 | Not available in this setting | $161.71 | RVU26A |
| 2025-10-01 | Not available in this setting | $185.47 | RVU25D |
| 2025-07-01 | Not available in this setting | $185.47 | RVU25C |
| 2025-04-01 | Not available in this setting | $185.47 | RVU25B |
| 2025-01-01 | Not available in this setting | $185.47 | RVU25A |
| 2024-10-01 | Not available in this setting | $189.67 | RVU24D |
| 2024-07-01 | Not available in this setting | $189.67 | RVU24C |
| 2024-04-01 | Not available in this setting | $189.67 | RVU24B |
| 2024-03-09 | Not available in this setting | $189.67 | RVU24AR |
| 2024-01-01 | Not available in this setting | $186.58 | RVU24A |
| 2023-10-01 | Not available in this setting | $194.61 | RVU23D |
| 2023-07-01 | Not available in this setting | $194.61 | RVU23C |
| 2023-04-01 | Not available in this setting | $194.61 | RVU23B |
| 2023-01-01 | Not available in this setting | $194.61 | RVU23A |
| 2022-10-01 | Not available in this setting | $200.60 | RVU22D |
| 2022-07-01 | Not available in this setting | $200.60 | RVU22C |
| 2022-04-01 | Not available in this setting | $200.60 | RVU22B |
| 2022-01-01 | Not available in this setting | $200.60 | RVU22A |
| 2021-10-01 | Not available in this setting | $203.12 | RVU21D |
| 2021-07-01 | Not available in this setting | $203.12 | RVU21C |
| 2021-04-01 | Not available in this setting | $203.12 | RVU21B |
| 2021-01-01 | Not available in this setting | $203.12 | RVU21A |
| 2020-10-01 | Not available in this setting | $205.20 | RVU20D |
| 2020-07-01 | Not available in this setting | $205.20 | RVU20C |
| 2020-04-01 | Not available in this setting | $205.20 | RVU20B |
| 2020-01-01 | Not available in this setting | $205.20 | RVU20A |
| 2019-10-01 | Not available in this setting | $204.66 | RVU19D |
| 2019-07-01 | Not available in this setting | $204.66 | RVU19C |
| 2019-04-01 | Not available in this setting | $203.75 | RVU19B |
| 2019-01-01 | Not available in this setting | $203.75 | RVU19A |
| 2018-10-01 | Not available in this setting | $205.30 | RVU18D |
| 2018-07-01 | Not available in this setting | $205.30 | RVU18C |
| 2018-04-01 | Not available in this setting | $205.30 | RVU18B |
| 2018-01-01 | Not available in this setting | $205.30 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $190.10 | RVU17D |
| 2017-07-01 | Not available in this setting | $190.10 | RVU17C |
| 2017-04-01 | Not available in this setting | $190.10 | RVU17B |
| 2017-01-01 | Not available in this setting | $190.10 | RVU17A |
| 2016-10-01 | Not available in this setting | $199.45 | RVU16D |
| 2016-07-01 | Not available in this setting | $199.45 | RVU16C |
| 2016-04-01 | Not available in this setting | $199.45 | RVU16B |
| 2016-01-01 | Not available in this setting | $199.45 | RVU16A |
| 2015-10-01 | Not available in this setting | $191.29 | RVU15D |
| 2015-07-01 | Not available in this setting | $191.29 | RVU15C |
| 2015-04-01 | Not available in this setting | $190.34 | RVU15B |
| 2015-01-01 | Not available in this setting | $190.34 | RVU15A |
| 2014-10-01 | Not available in this setting | $192.22 | RVU14D |
| 2014-07-01 | Not available in this setting | $192.22 | RVU14C |
| 2014-04-01 | Not available in this setting | $192.22 | RVU14B |
| 2014-01-01 | Not available in this setting | $192.22 | RVU14A |
| 2013-10-01 | Not available in this setting | $197.21 | RVU13D |
| 2013-07-01 | Not available in this setting | $197.21 | RVU13C |
| 2013-04-01 | Not available in this setting | $197.21 | RVU13B |
| 2013-01-01 | Not available in this setting | $197.21 | RVU13AR |
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
64874 billing questions
Can 64874 be reported by itself?
No. It is an add-on and must be billed with a qualifying primary procedure.
What documentation supports 64874?
Identify the additional nerve and describe the repair or revision, including the extensive mobilization or transposition that required the additional work.
How is 64874 different from 64837?
Both are nerve-repair add-on codes, but they belong to different coding contexts. Choose based on the applicable primary procedure and the specific additional nerve work, not simply the number of nerves treated.
Is 64874 paid separately from the primary procedure’s global period?
No. CMS classifies it as an add-on paid within the primary procedure’s global period.
Should the additional nerve be listed separately in the operative note?
Yes. The note should make clear which nerve received the additional repair or revision and what extensive mobilization or transposition was performed.
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
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