CPT code 64897: Nerve graft, multiple strands, under 4 cm2026 Medicare rate & RVUs in Mississippi
Reports placement of a short, multiple-strand nerve graft to bridge a peripheral nerve defect in an arm or leg, outside the hand or foot.
In Mississippi, Medicare pays $1,054.32 for 64897 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 64897 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 64897 covers
A surgeon uses multiple strands of nerve graft to bridge a defect in a peripheral nerve in the arm or leg. This may follow traumatic nerve injury or removal of damaged nerve tissue when the remaining ends cannot be joined directly. Peripheral nerve, hand, plastic, orthopedic, or neurosurgeons may perform the reconstruction, typically in a hospital or ambulatory surgical setting. The graft length for this code is under 4 cm; hand and foot sites have separate codes in this family.
Choose the code based on the recipient site, number of graft strands, and graft length. The operative report should identify the arm or leg nerve reconstructed, document use of multiple strands, and support a graft length under 4 cm. The service has a 90-day global period, including 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% multiple-procedure reduction. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team-surgery payment 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 Mississippi compares for 64897
Across 109 of 109 payment localities, the facility rate for 64897 runs from $1,023.49 in Arkansas to $1,421.44 in Alaska. Mississippi pays $1,054.32. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Mississippi · this page$1,054.32
- Los Angeles, CA · California$1,191.24+$136.92
- Washington, DC area · District of Columbia$1,257.85+$203.53
- Miami, FL · Florida$1,362.36+$308.04
- Chicago, IL · Illinois$1,321.82+$267.50
- Manhattan, NY · New York$1,321.65+$267.33
- Alaska · Alaska$1,421.44+$367.12
Other areas in Mississippi first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,036.36 |
| ArkansasArkansas | — | $1,023.49 |
| ArizonaArizona | — | $1,110.65 |
| Bakersfield, CACalifornia | — | $1,137.24 |
| Chico, CACalifornia | — | $1,126.18 |
| El Centro, CACalifornia | — | $1,126.85 |
| Fresno, CACalifornia | — | $1,126.18 |
| Hanford, CACalifornia | — | $1,126.18 |
| Madera, CACalifornia | — | $1,126.18 |
| Merced, CACalifornia | — | $1,126.18 |
| Modesto, CACalifornia | — | $1,126.18 |
| Napa, CACalifornia | — | $1,234.95 |
| Oxnard, CACalifornia | — | $1,177.15 |
| Redding, CACalifornia | — | $1,126.18 |
| Rest of CaliforniaCalifornia | — | $1,126.18 |
| Riverside, CACalifornia | — | $1,169.37 |
| Sacramento, CACalifornia | — | $1,163.37 |
| Salinas, CACalifornia | — | $1,158.71 |
| San Diego, CACalifornia | — | $1,172.80 |
| Marin County, CACalifornia | — | $1,283.17 |
| San Francisco, CACalifornia | — | $1,278.61 |
| San Benito County, CACalifornia | — | $1,315.01 |
| Santa Clara County, CACalifornia | — | $1,296.35 |
| San Luis Obispo, CACalifornia | — | $1,142.35 |
| Santa Cruz, CACalifornia | — | $1,173.46 |
| Santa Maria, CACalifornia | — | $1,159.45 |
| Santa Rosa, CACalifornia | — | $1,184.03 |
| Stockton, CACalifornia | — | $1,126.18 |
| Vallejo, CACalifornia | — | $1,228.37 |
| Visalia, CACalifornia | — | $1,126.18 |
| Yuba City, CACalifornia | — | $1,126.18 |
| ColoradoColorado | — | $1,143.88 |
| ConnecticutConnecticut | — | $1,211.42 |
| DelawareDelaware | — | $1,126.72 |
| Fort Lauderdale, FLFlorida | — | $1,255.02 |
| Rest of FloridaFlorida | — | $1,192.63 |
| Atlanta, GAGeorgia | — | $1,176.54 |
| Rest of GeorgiaGeorgia | — | $1,126.80 |
| Hawaii, Guam, HIHawaii | — | $1,136.64 |
| IowaIowa | — | $1,028.71 |
| IdahoIdaho | — | $1,040.79 |
| East St. Louis, ILIllinois | — | $1,247.71 |
| Rest of IllinoisIllinois | — | $1,184.52 |
| Suburban Chicago, ILIllinois | — | $1,259.87 |
| IndianaIndiana | — | $1,045.17 |
| KansasKansas | — | $1,038.94 |
| KentuckyKentucky | — | $1,088.48 |
| New Orleans, LALouisiana | — | $1,137.71 |
| Rest of LouisianaLouisiana | — | $1,092.75 |
| Metropolitan Boston, MAMassachusetts | — | $1,225.72 |
| Rest of MassachusettsMassachusetts | — | $1,144.42 |
| Baltimore area, MDMaryland | — | $1,211.02 |
| Rest of MarylandMaryland | — | $1,141.46 |
| Rest of MaineMaine | — | $1,060.80 |
| Southern Maine, MEMaine | — | $1,088.71 |
| Detroit, MIMichigan | — | $1,220.59 |
| Rest of MichiganMichigan | — | $1,126.24 |
| MinnesotaMinnesota | — | $1,058.02 |
| Metropolitan Kansas City, MOMissouri | — | $1,115.61 |
| Metropolitan St. Louis, MOMissouri | — | $1,123.86 |
| Rest of MissouriMissouri | — | $1,086.25 |
| MontanaMontana | — | $1,141.37 |
| North CarolinaNorth Carolina | — | $1,067.97 |
| North DakotaNorth Dakota | — | $1,061.89 |
| NebraskaNebraska | — | $1,029.17 |
| New HampshireNew Hampshire | — | $1,140.28 |
| Northern New JerseyNew Jersey | — | $1,250.72 |
| Rest of New JerseyNew Jersey | — | $1,214.52 |
| New MexicoNew Mexico | — | $1,137.42 |
| NevadaNevada | — | $1,119.60 |
| NYC suburbs and Long Island, NYNew York | — | $1,368.20 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,233.98 |
| Queens, NYNew York | — | $1,309.84 |
| Rest of New YorkNew York | — | $1,082.96 |
| OhioOhio | — | $1,110.00 |
| OklahomaOklahoma | — | $1,071.46 |
| Portland, OROregon | — | $1,159.12 |
| Rest of OregonOregon | — | $1,100.26 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,194.34 |
| Rest of PennsylvaniaPennsylvania | — | $1,103.42 |
| Puerto RicoPuerto Rico | — | $1,143.77 |
| Rhode IslandRhode Island | — | $1,151.55 |
| South CarolinaSouth Carolina | — | $1,092.92 |
| South DakotaSouth Dakota | — | $1,052.49 |
| TennesseeTennessee | — | $1,045.25 |
| Austin, TXTexas | — | $1,149.41 |
| Beaumont, TXTexas | — | $1,098.26 |
| Brazoria, TXTexas | — | $1,113.77 |
| Dallas, TXTexas | — | $1,126.75 |
| Fort Worth, TXTexas | — | $1,124.74 |
| Galveston, TXTexas | — | $1,120.97 |
| Houston, TXTexas | — | $1,194.55 |
| Rest of TexasTexas | — | $1,109.44 |
| UtahUtah | — | $1,105.38 |
| VirginiaVirginia | — | $1,095.77 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,143.77 |
| VermontVermont | — | $1,071.55 |
| Rest of WashingtonWashington | — | $1,137.69 |
| King County, WAWashington | — | $1,234.01 |
| WisconsinWisconsin | — | $1,032.93 |
| West VirginiaWest Virginia | — | $1,150.25 |
| WyomingWyoming | — | $1,106.73 |
64897 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 64897 rate is calculated
Each of 64897’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 · 64897
RVUs × geographic indexes × conversion factor
Work18.90
18.90 RVUs× 1.000 GPCI
Practice expense11.26
11.26 RVUs× 1.000 GPCI
Malpractice4.02
4.02 RVUs× 1.000 GPCI
Adjusted RVUs
34.1800
Conversion factor
$33.4009
Medicare rate
$1,141.64
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Mississippi inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,277
- Code
- 64897
- Physician work
- 18.90
- Practice expense
- 11.26
- Malpractice
- 4.02
GPCI2026.csv
67
- Locality
- Mississippi
- Physician work
- 1.000
- Practice expense
- 0.861
- Malpractice
- 0.739
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 18.90 | × 1.000 | 18.9000 |
| Practice expense | 11.26 | × 0.861 | 9.6949 |
| Malpractice | 4.02 | × 0.739 | 2.9708 |
| Total RVUs | 31.5656 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Mississippi$1054.32
Facility: (18.9 × 1 + 11.26 × 0.861 + 4.02 × 0.739) × $33.4009 = $1054.32
Payment rules and modifiers for 64897
64897 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 64897
Nerve graft, multiple strands, 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 · 64897
Nerve graft, multiple strands, 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
64897 without 51 · national facility
$1,141.64
Nerve graft, multiple strands, under 4 cm
64897-51 · Second procedure: 50%
$570.82
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 64897 has changed in Mississippi
64897 · 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 | $1,054.32 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,054.32 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,054.32 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,054.32 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,137.78 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,137.78 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,137.78 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,137.78 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,162.29 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,162.29 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,162.29 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,162.29 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,143.32 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,168.36 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,168.36 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,168.36 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,168.36 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,174.17 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,174.17 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,174.17 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,174.17 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,180.21 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,180.21 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,180.21 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,180.21 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,187.43 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,187.43 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,187.43 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,187.43 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,170.71 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,170.71 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,167.51 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,167.51 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,169.84 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,169.84 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,169.84 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,169.84 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,198.80 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,198.80 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,198.80 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,198.80 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,177.64 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,177.64 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,177.64 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,177.64 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,201.78 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,201.78 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,195.80 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,195.80 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,231.83 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,231.83 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,231.83 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,231.83 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,202.29 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,202.29 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,202.29 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,202.29 | RVU13AR |
Where the Mississippi rate applies
Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.
- Abbeville
- Aberdeen
- Ackerman
- Agricola
- Alcorn State University
- Algoma
- Alligator
- Amory
64897 billing questions
How does this differ from a single-strand nerve graft code?
This code is for multiple graft strands in an arm or leg, with graft length under 4 cm. A single-strand graft uses a different code in the same family.
When should the longer-length sibling be used?
Use the longer-length code when the documented graft length is over 4 cm. The operative report should support the length used to select the code.
Should modifier 50 be appended for grafts on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 is not used for bilateral reporting.
What documentation supports reporting multiple strands?
The operative report should describe the nerve and arm or leg site reconstructed, the use of multiple graft strands, and a graft length under 4 cm.
How does the 90-day global period affect postoperative billing?
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 paid?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team-surgery payment 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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