CPT code 64896: Nerve graft, multiple strands, over 4 cm2026 Medicare rate & RVUs in Galveston, TX
Reports reconstruction of a hand or foot nerve gap with a multiple-strand graft when the graft length exceeds 4 cm.
In Galveston, TX, Medicare pays $1,262.86 for 64896 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 64896 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 64896 covers
This code describes microsurgical reconstruction of a nerve in the hand or foot using a graft arranged in multiple strands to bridge a defect longer than 4 cm. It is typically performed by a hand, plastic, orthopedic, or peripheral nerve surgeon in an operating room. The operative report should identify the treated nerve and anatomical site, explain the graft reconstruction, and document the graft length and multiple-strand configuration.
Select this code based on the graft configuration, anatomical region, and documented length. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this descriptor. Assistant-at-surgery payment may be available; 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.
How Galveston, TX compares for 64896
Across 109 of 109 payment localities, the facility rate for 64896 runs from $1,153.34 in Arkansas to $1,602.66 in Alaska. Galveston, TX pays $1,262.86. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Galveston, TX · this page$1,262.86
- Austin, TX · Texas$1,294.63+$31.77
- Beaumont, TX · Texas$1,237.76−$25.10
- Brazoria, TX · Texas$1,254.71−$8.15
- Dallas, TX · Texas$1,269.40+$6.54
- Fort Worth, TX · Texas$1,267.19+$4.33
- Houston, TX · Texas$1,346.33+$83.47
Other areas in Texas first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Rest of TexasTexas | — | $1,250.13 |
| Los Angeles, CACalifornia | — | $1,341.06 |
| Washington, DC areaDistrict of Columbia | — | $1,416.65 |
| Miami, FLFlorida | — | $1,536.32 |
| Chicago, ILIllinois | — | $1,490.61 |
| Manhattan, NYNew York | — | $1,489.14 |
| AlaskaAlaska | — | $1,602.66 |
| AlabamaAlabama | — | $1,167.81 |
| ArkansasArkansas | — | $1,153.34 |
| ArizonaArizona | — | $1,251.35 |
| Bakersfield, CACalifornia | — | $1,280.51 |
| Chico, CACalifornia | — | $1,267.96 |
| El Centro, CACalifornia | — | $1,268.73 |
| Fresno, CACalifornia | — | $1,267.96 |
| Hanford, CACalifornia | — | $1,267.96 |
| Madera, CACalifornia | — | $1,267.96 |
| Merced, CACalifornia | — | $1,267.96 |
| Modesto, CACalifornia | — | $1,267.96 |
| Napa, CACalifornia | — | $1,389.58 |
| Oxnard, CACalifornia | — | $1,325.10 |
| Redding, CACalifornia | — | $1,267.96 |
| Rest of CaliforniaCalifornia | — | $1,267.96 |
| Riverside, CACalifornia | — | $1,316.96 |
| Sacramento, CACalifornia | — | $1,309.61 |
| Salinas, CACalifornia | — | $1,304.36 |
| San Diego, CACalifornia | — | $1,320.06 |
| Marin County, CACalifornia | — | $1,443.53 |
| San Francisco, CACalifornia | — | $1,438.35 |
| San Benito County, CACalifornia | — | $1,479.39 |
| Santa Clara County, CACalifornia | — | $1,458.22 |
| San Luis Obispo, CACalifornia | — | $1,285.97 |
| Santa Cruz, CACalifornia | — | $1,320.67 |
| Santa Maria, CACalifornia | — | $1,305.15 |
| Santa Rosa, CACalifornia | — | $1,332.55 |
| Stockton, CACalifornia | — | $1,267.96 |
| Vallejo, CACalifornia | — | $1,382.12 |
| Visalia, CACalifornia | — | $1,267.96 |
| Yuba City, CACalifornia | — | $1,267.96 |
| ColoradoColorado | — | $1,288.30 |
| ConnecticutConnecticut | — | $1,364.81 |
| DelawareDelaware | — | $1,269.43 |
| Fort Lauderdale, FLFlorida | — | $1,414.78 |
| Rest of FloridaFlorida | — | $1,344.45 |
| Atlanta, GAGeorgia | — | $1,325.73 |
| Rest of GeorgiaGeorgia | — | $1,270.28 |
| Hawaii, Guam, HIHawaii | — | $1,279.53 |
| IowaIowa | — | $1,158.82 |
| IdahoIdaho | — | $1,172.49 |
| East St. Louis, ILIllinois | — | $1,407.20 |
| Rest of IllinoisIllinois | — | $1,335.58 |
| Suburban Chicago, ILIllinois | — | $1,420.17 |
| IndianaIndiana | — | $1,177.41 |
| KansasKansas | — | $1,170.51 |
| KentuckyKentucky | — | $1,226.83 |
| New Orleans, LALouisiana | — | $1,282.27 |
| Rest of LouisianaLouisiana | — | $1,231.70 |
| Metropolitan Boston, MAMassachusetts | — | $1,380.09 |
| Rest of MassachusettsMassachusetts | — | $1,288.99 |
| Baltimore area, MDMaryland | — | $1,364.38 |
| Rest of MarylandMaryland | — | $1,285.96 |
| Rest of MaineMaine | — | $1,195.19 |
| Southern Maine, MEMaine | — | $1,226.30 |
| Detroit, MIMichigan | — | $1,376.09 |
| Rest of MichiganMichigan | — | $1,269.48 |
| MinnesotaMinnesota | — | $1,191.19 |
| Metropolitan Kansas City, MOMissouri | — | $1,257.22 |
| Metropolitan St. Louis, MOMissouri | — | $1,266.47 |
| Rest of MissouriMissouri | — | $1,224.51 |
| MississippiMississippi | — | $1,188.30 |
| MontanaMontana | — | $1,285.96 |
| North CarolinaNorth Carolina | — | $1,203.22 |
| North DakotaNorth Dakota | — | $1,195.80 |
| NebraskaNebraska | — | $1,159.28 |
| New HampshireNew Hampshire | — | $1,284.40 |
| Northern New JerseyNew Jersey | — | $1,408.69 |
| Rest of New JerseyNew Jersey | — | $1,368.18 |
| New MexicoNew Mexico | — | $1,282.12 |
| NevadaNevada | — | $1,261.25 |
| NYC suburbs and Long Island, NYNew York | — | $1,541.73 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,390.22 |
| Queens, NYNew York | — | $1,475.59 |
| Rest of New YorkNew York | — | $1,220.09 |
| OhioOhio | — | $1,251.05 |
| OklahomaOklahoma | — | $1,207.49 |
| Portland, OROregon | — | $1,305.21 |
| Rest of OregonOregon | — | $1,239.36 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,345.71 |
| Rest of PennsylvaniaPennsylvania | — | $1,243.55 |
| Puerto RicoPuerto Rico | — | $1,288.59 |
| Rhode IslandRhode Island | — | $1,297.23 |
| South CarolinaSouth Carolina | — | $1,231.59 |
| South DakotaSouth Dakota | — | $1,185.14 |
| TennesseeTennessee | — | $1,177.63 |
| UtahUtah | — | $1,245.60 |
| VirginiaVirginia | — | $1,234.37 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,288.59 |
| VermontVermont | — | $1,206.84 |
| Rest of WashingtonWashington | — | $1,281.36 |
| King County, WAWashington | — | $1,389.23 |
| WisconsinWisconsin | — | $1,163.28 |
| West VirginiaWest Virginia | — | $1,297.04 |
| WyomingWyoming | — | $1,246.67 |
64896 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 64896 rate is calculated
Each of 64896’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 · 64896
RVUs × geographic indexes × conversion factor
Work21.41
21.41 RVUs× 1.000 GPCI
Practice expense12.54
12.54 RVUs× 1.000 GPCI
Malpractice4.56
4.56 RVUs× 1.000 GPCI
Adjusted RVUs
38.5100
Conversion factor
$33.4009
Medicare rate
$1,286.27
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Galveston, TX inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,276
- Code
- 64896
- Physician work
- 21.41
- Practice expense
- 12.54
- Malpractice
- 4.56
GPCI2026.csv
101
- Locality
- Galveston, TX
- Physician work
- 1.008
- Practice expense
- 0.993
- Malpractice
- 0.828
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 21.41 | × 1.008 | 21.5813 |
| Practice expense | 12.54 | × 0.993 | 12.4522 |
| Malpractice | 4.56 | × 0.828 | 3.7757 |
| Total RVUs | 37.8092 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Galveston, TX$1262.86
Facility: (21.41 × 1.008 + 12.54 × 0.993 + 4.56 × 0.828) × $33.4009 = $1262.86
Payment rules and modifiers for 64896
64896 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 64896
Nerve graft, multiple strands, over 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 · 64896
Nerve graft, multiple strands, over 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
64896 without 51 · national facility
$1,286.27
Nerve graft, multiple strands, over 4 cm
64896-51 · Second procedure: 50%
$643.14
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 64896 has changed in Galveston, TX
64896 · 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 | $1,262.86 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,262.86 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,262.86 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,262.86 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,386.21 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,386.21 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,386.21 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,386.21 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,415.36 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,415.36 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,415.36 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,415.36 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,392.26 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,423.48 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,423.48 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,423.48 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,423.48 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,430.26 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,430.26 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,430.26 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,430.26 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,438.33 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,438.33 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,438.33 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,438.33 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,477.43 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,477.43 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,477.43 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,477.43 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,490.15 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,490.15 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,490.15 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,490.15 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,488.82 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,488.82 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,488.82 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,488.82 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,498.16 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,498.16 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,498.16 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,498.16 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,499.36 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,499.36 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,499.36 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,499.36 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,694.86 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,694.86 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,686.43 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,686.43 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,629.58 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,629.58 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,629.58 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,629.58 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,500.83 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,500.83 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,500.83 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,500.83 | RVU13AR |
Where the Galveston, TX rate applies
Galveston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 16 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.
- Galveston
- Bacliff
- Bayou Vista
- Bolivar Peninsula
- Clear Lake Shores
- Dickinson
- 64896 in Friendswood · multiple payment areas
- Hitchcock
64896 billing questions
How is this code distinguished from 64895?
Both describe multiple-strand grafting in the hand or foot. Use 64896 when the documented graft length is more than 4 cm; 64895 is the shorter-length sibling.
When would a single-strand graft code be more appropriate?
Choose the single-strand hand or foot code when the reconstruction uses one strand rather than multiple strands. Length determines which code within that single-strand pair applies.
What documentation supports reporting 64896?
Document the hand or foot nerve treated, the graft reconstruction, its multiple-strand configuration, and a graft length greater than 4 cm.
Can modifier 50 be used for bilateral grafting?
No. CMS identifies bilateral adjustment as inappropriate for this code's descriptor or anatomy.
How does the 90-day global period affect postoperative visits?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
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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