CPT code 64892: Nerve graft, single strand, arm or leg, under 4 cm2026 Medicare rate & RVUs in Redding, CA
Reports a single-strand nerve graft under 4 cm used to bridge a nerve defect in an arm or leg when direct repair is not feasible.
In Redding, CA, Medicare pays $945.12 for 64892 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 64892 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 64892 covers
The surgeon bridges a gap in an arm or leg nerve by placing a single strand of nerve graft between the nerve ends. The service includes obtaining the graft. It is used when injury, resection, or another defect leaves insufficient nerve length for direct repair. Peripheral nerve, hand, plastic, orthopedic, and neurosurgeons may perform the procedure in an operating room, commonly in a hospital setting.
Select this code when the graft is a single strand, the treated nerve is in an arm or leg, and the graft length is under 4 cm. The operative report should identify the nerve and site, graft strand count and length, and why bridging was needed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate; an assistant may be paid, co-surgeons require supporting documentation, and team surgery is not permitted.
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 Redding, CA compares for 64892
Across 109 of 109 payment localities, the facility rate for 64892 runs from $855.12 in Arkansas to $1,184.06 in Alaska. Redding, CA pays $945.12. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Redding, CA · this page$945.12
- Bakersfield, CA · California$954.10+$8.98
- Chico, CA · California$945.12
- El Centro, CA · California$945.67+$0.55
- Fresno, CA · California$945.12
- Hanford, CA · California$945.12
- Los Angeles, CA · California$1,000.37+$55.25
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Madera, CACalifornia | — | $945.12 |
| Merced, CACalifornia | — | $945.12 |
| Modesto, CACalifornia | — | $945.12 |
| Napa, CACalifornia | — | $1,039.66 |
| Oxnard, CACalifornia | — | $988.91 |
| Rest of CaliforniaCalifornia | — | $945.12 |
| Riverside, CACalifornia | — | $980.15 |
| Sacramento, CACalifornia | — | $977.20 |
| Salinas, CACalifornia | — | $973.30 |
| San Diego, CACalifornia | — | $985.78 |
| Marin County, CACalifornia | — | $1,081.40 |
| San Francisco, CACalifornia | — | $1,077.70 |
| San Benito County, CACalifornia | — | $1,108.14 |
| Santa Clara County, CACalifornia | — | $1,093.01 |
| San Luis Obispo, CACalifornia | — | $959.46 |
| Santa Cruz, CACalifornia | — | $986.84 |
| Santa Maria, CACalifornia | — | $974.10 |
| Santa Rosa, CACalifornia | — | $995.79 |
| Stockton, CACalifornia | — | $945.12 |
| Vallejo, CACalifornia | — | $1,034.33 |
| Visalia, CACalifornia | — | $945.12 |
| Yuba City, CACalifornia | — | $945.12 |
| Washington, DC areaDistrict of Columbia | — | $1,054.26 |
| Miami, FLFlorida | — | $1,135.09 |
| Chicago, ILIllinois | — | $1,101.20 |
| Manhattan, NYNew York | — | $1,105.55 |
| AlaskaAlaska | — | $1,184.06 |
| AlabamaAlabama | — | $866.01 |
| ArkansasArkansas | — | $855.12 |
| ArizonaArizona | — | $928.92 |
| ColoradoColorado | — | $958.57 |
| ConnecticutConnecticut | — | $1,013.72 |
| DelawareDelaware | — | $942.50 |
| Fort Lauderdale, FLFlorida | — | $1,047.25 |
| Rest of FloridaFlorida | — | $995.03 |
| Atlanta, GAGeorgia | — | $983.69 |
| Rest of GeorgiaGeorgia | — | $939.84 |
| Hawaii, Guam, HIHawaii | — | $954.76 |
| IowaIowa | — | $860.94 |
| IdahoIdaho | — | $870.88 |
| East St. Louis, ILIllinois | — | $1,038.68 |
| Rest of IllinoisIllinois | — | $987.23 |
| Suburban Chicago, ILIllinois | — | $1,051.58 |
| IndianaIndiana | — | $874.63 |
| KansasKansas | — | $868.92 |
| KentuckyKentucky | — | $908.68 |
| New Orleans, LALouisiana | — | $950.07 |
| Rest of LouisianaLouisiana | — | $912.02 |
| Metropolitan Boston, MAMassachusetts | — | $1,028.64 |
| Rest of MassachusettsMassachusetts | — | $958.70 |
| Baltimore area, MDMaryland | — | $1,013.28 |
| Rest of MarylandMaryland | — | $955.13 |
| Rest of MaineMaine | — | $887.11 |
| Southern Maine, MEMaine | — | $911.75 |
| Detroit, MIMichigan | — | $1,017.96 |
| Rest of MichiganMichigan | — | $939.98 |
| MinnesotaMinnesota | — | $887.94 |
| Metropolitan Kansas City, MOMissouri | — | $932.09 |
| Metropolitan St. Louis, MOMissouri | — | $939.15 |
| Rest of MissouriMissouri | — | $906.10 |
| MississippiMississippi | — | $880.18 |
| MontanaMontana | — | $954.71 |
| North CarolinaNorth Carolina | — | $893.29 |
| North DakotaNorth Dakota | — | $890.25 |
| NebraskaNebraska | — | $861.54 |
| New HampshireNew Hampshire | — | $954.99 |
| Northern New JerseyNew Jersey | — | $1,047.97 |
| Rest of New JerseyNew Jersey | — | $1,016.67 |
| New MexicoNew Mexico | — | $949.15 |
| NevadaNevada | — | $937.08 |
| NYC suburbs and Long Island, NYNew York | — | $1,144.06 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,032.54 |
| Queens, NYNew York | — | $1,096.54 |
| Rest of New YorkNew York | — | $905.93 |
| OhioOhio | — | $926.80 |
| OklahomaOklahoma | — | $894.98 |
| Portland, OROregon | — | $972.26 |
| Rest of OregonOregon | — | $921.26 |
| Metropolitan Philadelphia, PAPennsylvania | — | $998.84 |
| Rest of PennsylvaniaPennsylvania | — | $921.61 |
| Puerto RicoPuerto Rico | — | $956.97 |
| Rhode IslandRhode Island | — | $963.91 |
| South CarolinaSouth Carolina | — | $913.26 |
| South DakotaSouth Dakota | — | $882.63 |
| TennesseeTennessee | — | $874.18 |
| Austin, TXTexas | — | $962.88 |
| Beaumont, TXTexas | — | $917.20 |
| Brazoria, TXTexas | — | $932.08 |
| Dallas, TXTexas | — | $942.75 |
| Fort Worth, TXTexas | — | $940.83 |
| Galveston, TXTexas | — | $937.97 |
| Houston, TXTexas | — | $997.64 |
| Rest of TexasTexas | — | $927.37 |
| UtahUtah | — | $923.82 |
| VirginiaVirginia | — | $917.25 |
| Virgin Islands, VIUnited States Virgin Islands | — | $956.97 |
| VermontVermont | — | $897.81 |
| Rest of WashingtonWashington | — | $953.24 |
| King County, WAWashington | — | $1,036.31 |
| WisconsinWisconsin | — | $865.58 |
| West VirginiaWest Virginia | — | $958.19 |
| WyomingWyoming | — | $926.62 |
64892 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 64892 rate is calculated
Each of 64892’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 · 64892
RVUs × geographic indexes × conversion factor
Work15.35
15.35 RVUs× 1.000 GPCI
Practice expense9.98
9.98 RVUs× 1.000 GPCI
Malpractice3.26
3.26 RVUs× 1.000 GPCI
Adjusted RVUs
28.5900
Conversion factor
$33.4009
Medicare rate
$954.93
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Redding, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,273
- Code
- 64892
- Physician work
- 15.35
- Practice expense
- 9.98
- Malpractice
- 3.26
GPCI2026.csv
19
- Locality
- Redding, CA
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 15.35 | × 1.017 | 15.6109 |
| Practice expense | 9.98 | × 1.096 | 10.9381 |
| Malpractice | 3.26 | × 0.536 | 1.7474 |
| Total RVUs | 28.2964 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding, CA$945.12
Facility: (15.35 × 1.017 + 9.98 × 1.096 + 3.26 × 0.536) × $33.4009 = $945.12
Payment rules and modifiers for 64892
64892 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 64892
Nerve graft, single strand, arm or leg, under 4 cm
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| 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. |
| Split (54/55/56) | 0.11/0.76/0.13 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 64892
Nerve graft, single strand, arm or leg, under 4 cm
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
64892 without 51 · national facility
$954.93
Nerve graft, single strand, arm or leg, under 4 cm
64892-51 · Second procedure: 50%
$477.47
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 64892 has changed in Redding, CA
64892 · 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 | $945.12 | RVU26D |
| 2026-07-01 | Not available in this setting | $945.12 | RVU26C |
| 2026-04-01 | Not available in this setting | $945.12 | RVU26B |
| 2026-01-01 | Not available in this setting | $945.12 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,029.95 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,029.95 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,029.95 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,029.95 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,050.84 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,050.84 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,050.84 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,050.84 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,033.69 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,064.03 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,064.03 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,064.03 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,064.03 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,073.41 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,073.41 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,073.41 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,073.41 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,078.11 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,078.11 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,078.11 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,078.11 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,091.81 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,091.81 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,091.81 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,091.81 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,087.02 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,087.02 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,081.15 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,081.15 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,085.02 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,085.02 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,085.02 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,085.02 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,082.73 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,082.73 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,082.73 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,082.73 | RVU17A |
| 2016-10-01 | Not available in this setting | Rate data unavailable | RVU16D |
| 2016-07-01 | Not available in this setting | Rate data unavailable | RVU16C |
| 2016-04-01 | Not available in this setting | Rate data unavailable | RVU16B |
| 2016-01-01 | Not available in this setting | Rate data unavailable | RVU16A |
| 2015-10-01 | Not available in this setting | Rate data unavailable | RVU15D |
| 2015-07-01 | Not available in this setting | Rate data unavailable | RVU15C |
| 2015-04-01 | Not available in this setting | Rate data unavailable | RVU15B |
| 2015-01-01 | Not available in this setting | Rate data unavailable | RVU15A |
| 2014-10-01 | Not available in this setting | Rate data unavailable | RVU14D |
| 2014-07-01 | Not available in this setting | Rate data unavailable | RVU14C |
| 2014-04-01 | Not available in this setting | Rate data unavailable | RVU14B |
| 2014-01-01 | Not available in this setting | Rate data unavailable | RVU14A |
| 2013-10-01 | Not available in this setting | Rate data unavailable | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Redding, CA rate applies
Redding, CA is a Medicare payment area, not a city. Our Census mapping connects it to 32 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Redding
- Anderson
- Bella Vista
- Big Bend
- Burney
- Cassel
- Castella
- Centerville
64892 billing questions
How is this code distinguished from 64893?
Both describe a single-strand graft for an arm or leg nerve. Use 64892 for a graft under 4 cm and 64893 for a graft over 4 cm.
When would 64897 be more appropriate?
64897 describes a multiple-strand graft for an arm or leg under 4 cm. This code is for a single strand.
Is obtaining the donor graft separately reportable?
Obtaining the graft is included in this service; do not separately report the graft-harvesting work as part of the same graft service.
Can modifier 50 be used for bilateral grafting?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used.
What documentation supports this code?
Document the arm or leg nerve treated, the nerve defect requiring a graft, the single-strand configuration, and graft length under 4 cm.
How does the 90-day global period affect follow-up billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
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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