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Billing code 27326: NeurectomyMedicare rate & RVUs

Reports surgical excision of a targeted nerve or nerve segment in the popliteal region when treatment requires removal rather than decompression.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $504.35 for 27326 nationally in a facility.

Medicare rate · 27326

Neurectomy

Work RVUs
6.31
Total RVUs
15.10
Global days
090

National rate · 2026

$504.35

Facility setting, before claim adjustments.

See every locality for 27326 →Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 27326 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 27326 covers

This operation removes a selected nerve or nerve segment in the popliteal region behind the knee. An orthopedic surgeon or peripheral nerve surgeon performs it in an operative setting when the documented treatment plan calls for excision of a nerve in that location. The operative report should identify the nerve or branch and describe the procedure performed; the popliteal location distinguishes this service from neurectomy in another anatomic region.

Report 27326 for the popliteal neurectomy itself, not for drainage of a lesion or exploration of the knee joint. The day-before preoperative visit and 90 days of related postoperative care are included in the major-surgery global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; 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 27326 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

27326 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$453.93
Alaska*Unavailable$605.98
ArizonaUnavailable$490.23
ArkansasUnavailable$447.68
AtlantaUnavailable$517.90
AustinUnavailable$514.16
BakersfieldUnavailable$514.91
Baltimore/Surr. CntysUnavailable$536.44
BeaumontUnavailable$478.77
BrazoriaUnavailable$494.02

27326 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

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27326 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

How the 27326 rate is calculated

Each of 27326’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 · 27326

RVUs × geographic indexes × conversion factor

Work6.31

6.31 RVUs× 1.000 GPCI

Practice expense7.46

7.46 RVUs× 1.000 GPCI

Malpractice1.33

1.33 RVUs× 1.000 GPCI

Adjusted RVUs

15.1000

Conversion factor

$33.4009

Medicare rate

$504.35

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 27326

27326 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27326

Neurectomy

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
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.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 27326

Neurectomy

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

27326 without 50 · national facility

$504.35

Neurectomy

27326-50 · Bilateral: 150%

$756.53

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

27326 compared with similar codes

Compare codes · National

4 codes, side by side

  • 27326

    Neurectomy6.31 wRVU

    Not priced

  • 27325

    Hamstring neurectomy7.02 wRVU

    Not priced

  • 64714

    Nerve surgery10.29 wRVU

    Not priced

  • 64708

    Nerve neuroplasty6.2 wRVU

    Not priced

How to choose

27325Hamstring neurectomy
Use 27326 for a neurectomy in the popliteal region and 27325 for one in the hamstring region. The operative location determines the choice.
64714Nerve surgery
64714 describes neuroplasty of a major peripheral nerve in the leg. Choose 27326 when the documented work is excision of a nerve or nerve segment in the popliteal region.
64708Nerve neuroplasty
64708 covers major peripheral nerve neuroplasty in an arm or leg. It is not the code for excision of a popliteal nerve segment.

Codes related to 27326

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 27326
CodeHow it relatesNational office range
Same family
27325Hamstring neurectomyNeurectomy in the hamstring region; distinguish by the documented operative site.No office rate
Used instead
64714Nerve surgeryA major peripheral nerve neuroplasty service, used when the work is neuroplasty rather than neurectomy.No office rate
64708Nerve neuroplastyMajor peripheral nerve neuroplasty of an arm or leg, rather than nerve excision.No office rate

27326 billing questions

How does 27326 differ from 27325?

27326 is for neurectomy in the popliteal region behind the knee. 27325 identifies neurectomy in the hamstring region; select based on the documented operative site.

Can 27326 be reported for nerve decompression?

No. 27326 describes excision of a nerve or nerve segment in the popliteal region, not a procedure whose purpose is nerve decompression.

What documentation supports 27326?

The operative report should identify the nerve or branch treated, establish its popliteal location, and describe the neurectomy performed.

How is a bilateral procedure reported?

Use modifier 50 for a bilateral procedure; CMS pays the bilateral service at 150% under the supplied fee schedule rule.

Is postoperative care separately included in the claim?

The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period.

Can an assistant or co-surgeon be paid?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, while 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
RVUs for 27326PPRRVU2026_Oct_nonQPP.csv, line 2,837 (RVU26D)

Open CMS sourceHow we calculate rates

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