FeeBase
Log inGet started
Menu

Billing code 64713: Nerve revisionMedicare rate & RVUs

Reports open revision of a major peripheral nerve in the arm when prior surgery or injury leaves a nerve requiring operative correction.

CMS RVU26DEffective Oct 1, 2026109 payment localities620 Medicare services in 2024

Medicare pays $745.17 for 64713 nationally in a facility.

Medicare rate · 64713

Nerve revision

Work RVUs
11.12
Total RVUs
22.31
Global days
090

National rate · 2026

$745.17

Facility setting, before claim adjustments.

See every locality for 64713 →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 64713 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 64713 covers

This code describes open revision surgery on a major peripheral nerve in the arm. A surgeon may explore and revise a nerve affected by recurrent compression, scar tethering, or another problem after prior surgery or injury. It is typically performed by an orthopedic, hand, or peripheral nerve surgeon in a hospital operating room or ambulatory surgery center. The operative report should identify the nerve and arm, the reason revision is needed, prior treatment when relevant, and the work performed to address the problem.

Report this code for the arm nerve revision service, rather than a code that specifies a different nerve or site. 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 other procedures are subject to the standard 50% reduction. 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 64713 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

64713 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$671.83
Alaska*Unavailable$910.88
ArizonaUnavailable$723.85
ArkansasUnavailable$662.83
AtlantaUnavailable$768.21
AustinUnavailable$752.77
BakersfieldUnavailable$746.14
Baltimore/Surr. CntysUnavailable$792.53
BeaumontUnavailable$713.17
BrazoriaUnavailable$726.60

64713 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
64713 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 64713 rate is calculated

Each of 64713’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 · 64713

RVUs × geographic indexes × conversion factor

Work11.12

11.12 RVUs× 1.000 GPCI

Practice expense8.61

8.61 RVUs× 1.000 GPCI

Malpractice2.58

2.58 RVUs× 1.000 GPCI

Adjusted RVUs

22.3100

Conversion factor

$33.4009

Medicare rate

$745.17

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

Payment rules and modifiers for 64713

64713 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 64713

Nerve revision

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)0.11/0.76/0.13Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 64713

Nerve revision

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

64713 without 50 · national facility

$745.17

Nerve revision

64713-50 · Bilateral: 150%

$1,117.76

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

64713 compared with similar codes

Compare codes · National

5 codes, side by side

  • 64713

    Nerve revision11.12 wRVU

    Not priced

  • 64708

    Nerve neuroplasty6.2 wRVU

    Not priced

  • 64718

    Ulnar nerve surgery7.08 wRVU

    Not priced

  • 64719

    Ulnar nerve surgery4.85 wRVU

    Not priced

  • 64721

    Carpal tunnel release4.85 wRVU

    $482.64

How to choose

64708Nerve neuroplasty
64713 identifies revision of a major nerve in the arm. 64708 is the broader major peripheral nerve neuroplasty code covering the arm or leg.
64718Ulnar nerve surgery
Use 64718 for the specified ulnar nerve procedure at the elbow; 64713 is the arm nerve revision code when that more specific site and nerve code does not describe the service.
64719Ulnar nerve surgery
64719 identifies ulnar nerve surgery at the wrist. 64713 applies to major arm nerve revision outside that specifically coded service.
64721Carpal tunnel release
64721 describes median nerve surgery at the carpal tunnel. It is not the general code for revision of a major arm nerve.

Codes related to 64713

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

Codes related to 64713
CodeHow it relatesNational office range
Same family
64708Nerve neuroplastyRelated open neuroplasty code for major peripheral nerves of the arm or leg.No office rate
Used instead
64718Ulnar nerve surgerySpecifies revision or neuroplasty of the ulnar nerve at the elbow.No office rate
64719Ulnar nerve surgerySpecifies revision or neuroplasty of the ulnar nerve at the wrist.No office rate
64721Carpal tunnel releaseFor median nerve surgery at the carpal tunnel rather than broad arm nerve revision.$426.06–$612.23

64713 billing questions

How does this code differ from 64708?

64713 is for revision of a major nerve in the arm. Use 64708 when the performed neuroplasty falls within that code’s broader arm-or-leg service rather than this arm revision service.

Should a specific nerve code be used instead?

When the operation is specifically a revision of the ulnar nerve at the elbow or wrist, compare 64718 or 64719, respectively. The operative site and actual procedure determine the appropriate code.

What documentation supports reporting 64713?

Document the arm nerve treated, the reason revision was necessary, relevant prior surgery or injury, and the operative steps. The record should make clear that the service was a revision rather than a different nerve procedure.

How is related postoperative care handled?

CMS assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

How does CMS handle bilateral reporting and other procedures in the same session?

Bilateral reporting with modifier 50 is paid at 150%. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are paid at 50%.

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 64713PPRRVU2026_Oct_nonQPP.csv, line 7,205 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 64713 pays?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 64713 and the rest of your codes on one sheet

Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.

Build my fee sheetOr price your code list free →