CPT code 64895: Nerve graft, multiple strands, hand or foot, under 4 cm2026 Medicare rate & RVUs in Maryland
Report 64895 for a peripheral nerve gap in the hand or foot reconstructed with a multiple-strand graft shorter than 4 cm.
CMS doesn’t publish an office rate for 64895 in Maryland.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 64895 covers
Code 64895 describes reconstruction of a short nerve gap in the hand or foot using a graft arranged in multiple strands, or cables. Hand surgeons, plastic surgeons, and peripheral nerve surgeons may perform the operation after trauma or another injury leaves a defect that cannot be repaired directly without tension. The operative report should identify the nerve and site, the graft configuration, and its length.
Select this code when the graft uses multiple strands and is shorter than 4 cm; a single-strand graft or a different site or length belongs to another code in the family. CMS assigns a 90-day major-surgery 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 for this code. Assistant-at-surgery payment may be made; co-surgeon payment requires 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.
Where 64895 pays more and less in Maryland
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Baltimore area, MD | Unavailable | $1,264.42 |
| Rest of Maryland | Unavailable | $1,191.77 |
| Washington, DC area | Unavailable | $1,312.75 |
How the 64895 rate is calculated
Each of 64895’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 · 64895
RVUs × geographic indexes × conversion factor
Work19.88
19.88 RVUs× 1.000 GPCI
Practice expense11.58
11.58 RVUs× 1.000 GPCI
Malpractice4.23
4.23 RVUs× 1.000 GPCI
Adjusted RVUs
35.6900
Conversion factor
$33.4009
Medicare rate
$1,192.08
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 64895
64895 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 64895
Nerve graft, multiple strands, hand or foot, 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 · 64895
Nerve graft, multiple strands, hand or foot, 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
64895 without 51 · national facility
$1,192.08
Nerve graft, multiple strands, hand or foot, under 4 cm
64895-51 · Second procedure: 50%
$596.04
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%).
64895 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 64890Nerve graftSingle strand, under 4 cm
- Both codes describe a hand-or-foot nerve graft shorter than 4 cm. Choose 64895 for multiple strands and 64890 for a single strand.
- 64896Nerve graftMultiple strands, over 4 cm
- Both describe a multiple-strand nerve graft in the hand or foot; 64896 is for a graft longer than 4 cm.
- 64897Nerve graftMultiple strands, under 4 cm
- Both describe a multiple-strand nerve graft shorter than 4 cm. Code 64897 is for the arm or leg rather than the hand or foot.
64895 billing questions
How is 64895 distinguished from 64890?
64895 is for a multiple-strand graft in the hand or foot; 64890 is for a single-strand graft at those sites. The operative report should support the strand configuration.
What if the multiple-strand graft is 4 cm or longer?
Compare the documented graft length with the code-family threshold. Code 64896 is the multiple-strand hand-or-foot option for a graft longer than 4 cm.
Should modifier 50 be used for grafting both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.
What documentation supports reporting 64895?
Document the hand or foot nerve site, the use of multiple strands, and graft length under 4 cm. The operative report should also describe the nerve defect and graft reconstruction.
How does the global period affect postoperative visits?
The 90-day major-surgery global includes the day-before preoperative visit and 90 days of related postoperative care.
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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