CPT code 64874: Nerve repair, additional nerve, extensive mobilization2026 Medicare rate & RVUs in Montana

Reports repair or revision of an additional nerve when the work requires extensive mobilization or transposition during a qualifying primary nerve procedure.

CMS RVU26DEffective Oct 1, 2026One payment locality45 Medicare services in 2024

In Montana, Medicare pays $148.59 for 64874 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$148.59Hospital or facility

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.

We’ll open 64874 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Montana
  2. What 64874 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 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 Montana 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. Montana pays $148.59. The RVUs are the same everywhere; the geographic indexes change the dollars.

64874 in Montana vs other payment areas
  1. Montana · this page$148.59
  2. Los Angeles, CA · California$151.46+$2.87
  3. Washington, DC area · District of Columbia$161.71+$13.12
  4. Miami, FL · Florida$181.06+$32.47
  5. Chicago, IL · Illinois$175.85+$27.26
  6. Manhattan, NY · New York$171.83+$23.24
  7. Alaska · Alaska$190.10+$41.51

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

Every other payment area

64874 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$135.91
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

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
64874 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 64874 in every payment locality

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

Office or facility?

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 Montana 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

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Facility calculation for 64874 in Montana
ComponentRVULocality factorAdjusted
Physician work2.91× 1.0002.9100
Practice expense0.93× 1.0000.9300
Malpractice0.61× 0.9980.6088
Total RVUs4.4488
Conversion factor× 33.4009

Facility rate, Montana$148.59

Facility: (2.91 × 1 + 0.93 × 1 + 0.61 × 0.998) × $33.4009 = $148.59

Open 64874 in the RVU calculator

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

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

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.

When to use modifier 80

How 64874 has changed in Montana

64874 · 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$148.59RVU26D
2026-07-01Not available in this setting$148.59RVU26C
2026-04-01Not available in this setting$148.59RVU26B
2026-01-01Not available in this setting$148.59RVU26A
2025-10-01Not available in this setting$166.47RVU25D
2025-07-01Not available in this setting$166.47RVU25C
2025-04-01Not available in this setting$166.47RVU25B
2025-01-01Not available in this setting$166.47RVU25A
2024-10-01Not available in this setting$170.32RVU24D
2024-07-01Not available in this setting$170.32RVU24C
2024-04-01Not available in this setting$170.32RVU24B
2024-03-09Not available in this setting$170.32RVU24AR
2024-01-01Not available in this setting$167.54RVU24A
2023-10-01Not available in this setting$172.72RVU23D
2023-07-01Not available in this setting$172.72RVU23C
2023-04-01Not available in this setting$172.72RVU23B
2023-01-01Not available in this setting$172.72RVU23A
2022-10-01Not available in this setting$176.01RVU22D
2022-07-01Not available in this setting$176.01RVU22C
2022-04-01Not available in this setting$176.01RVU22B
2022-01-01Not available in this setting$176.01RVU22A
2021-10-01Not available in this setting$178.16RVU21D
2021-07-01Not available in this setting$178.16RVU21C
2021-04-01Not available in this setting$178.16RVU21B
2021-01-01Not available in this setting$178.16RVU21A
2020-10-01Not available in this setting$188.62RVU20D
2020-07-01Not available in this setting$188.62RVU20C
2020-04-01Not available in this setting$188.62RVU20B
2020-01-01Not available in this setting$188.62RVU20A
2019-10-01Not available in this setting$196.95RVU19D
2019-07-01Not available in this setting$196.95RVU19C
2019-04-01Not available in this setting$195.77RVU19B
2019-01-01Not available in this setting$195.77RVU19A
2018-10-01Not available in this setting$197.45RVU18D
2018-07-01Not available in this setting$197.45RVU18C
2018-04-01Not available in this setting$197.45RVU18B
2018-01-01Not available in this setting$197.45RVU18AR1
2017-10-01Not available in this setting$177.60RVU17D
2017-07-01Not available in this setting$177.60RVU17C
2017-04-01Not available in this setting$177.60RVU17B
2017-01-01Not available in this setting$177.60RVU17A
2016-10-01Not available in this setting$182.32RVU16D
2016-07-01Not available in this setting$182.32RVU16C
2016-04-01Not available in this setting$182.32RVU16B
2016-01-01Not available in this setting$182.32RVU16A
2015-10-01Not available in this setting$175.14RVU15D
2015-07-01Not available in this setting$175.14RVU15C
2015-04-01Not available in this setting$174.27RVU15B
2015-01-01Not available in this setting$174.27RVU15A
2014-10-01Not available in this setting$175.45RVU14D
2014-07-01Not available in this setting$175.45RVU14C
2014-04-01Not available in this setting$175.45RVU14B
2014-01-01Not available in this setting$175.45RVU14A
2013-10-01Not available in this setting$179.24RVU13D
2013-07-01Not available in this setting$179.24RVU13C
2013-04-01Not available in this setting$179.24RVU13B
2013-01-01Not available in this setting$179.24RVU13AR

Price 64874 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

  • Absarokee
  • Acton
  • Alberton
  • Alder
  • Alzada
  • Amsterdam
  • Anaconda-Deer Lodge County
  • Antelope

Browse all communities in Montana

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
RVUs for 64874PPRRVU2026_Oct_nonQPP.csv, line 7,267 (RVU26D)
Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

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