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Billing code 64714: Nerve surgeryMedicare rate & RVUs

Reports surgical freeing or repositioning of the lumbar plexus when treatment is directed to this nerve network rather than another named nerve.

CMS RVU26DEffective Oct 1, 2026109 payment localities783 Medicare services in 2024

Medicare pays $715.78 for 64714 nationally in a facility.

Medicare rate · 64714

Nerve surgery

Swap in your local Medicare rate.

Work RVUs
10.29
Total RVUs
21.43
Global days
090

National rate · 2026

$715.78

Facility setting, before claim adjustments.

See every locality for 64714 → · 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 64714 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 64714 covers

This operation addresses the lumbar plexus, a network of nerves in the lower back and pelvis. The surgeon may free it from restrictive tissue or reposition it as part of treatment for a documented nerve problem. Neurosurgeons, orthopedic surgeons, and other surgeons with peripheral nerve expertise may perform the procedure, usually in an operating room. The operative report should identify the lumbar plexus as the target and describe the work performed.

Select the code by the nerve treated: a procedure on the lumbar plexus is distinct from work on the sciatic nerve or a less specifically identified major peripheral nerve. Document the indication, anatomy, and whether the nerve was released, repositioned, or both. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For same-session procedures, the highest-valued procedure is paid in full and other procedures 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 64714 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

64714 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$644.40
Alaska*Unavailable$870.44
ArizonaUnavailable$695.15
ArkansasUnavailable$635.63
AtlantaUnavailable$737.66
AustinUnavailable$724.20
BakersfieldUnavailable$718.83
Baltimore/Surr. CntysUnavailable$761.64
BeaumontUnavailable$683.82
BrazoriaUnavailable$698.20

64714 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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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.

View every state and territory as a table
64714 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 64714 rate is calculated

Each of 64714’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 · 64714

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 10.29Practice expense 8.73Malpractice 2.41

21.4300 adjusted RVUs×$33.4009 conversion factor=$715.78

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 64714

64714 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 64714

Nerve surgery

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 · 64714

Nerve surgery

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

64714 without 50 · national facility

$715.78

Nerve surgery

64714-50 · Bilateral: 150%

$1,073.67

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

64714 compared with similar codes

Compare codes

64714 vs 64712 vs 64713 vs 64708: national Medicare rates

Swap in your local Medicare rate.

  • 64714
    Nerve surgery · 10.29 wRVU
    —
  • 64712
    Nerve revision · 7.87 wRVU
    —
  • 64713
    Nerve revision · 11.12 wRVU
    —
  • 64708
    Nerve neuroplasty · 6.2 wRVU
    —

How to choose

64712Nerve revision
Choose 64714 for the lumbar plexus and 64712 for the sciatic nerve. The operative anatomy determines the code.
64713Nerve revision
64713 addresses the brachial plexus in the arm; 64714 addresses the lumbar plexus in the lower back and pelvis.
64708Nerve neuroplasty
64708 is for a major peripheral nerve in the arm or leg that is not covered by a more specific named-nerve code. Use 64714 when the lumbar plexus is treated.

Codes related to 64714

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

Codes related to 64714
CodeHow it relatesNational office range
Same family
64712Nerve revisionNamed nerve procedure for the sciatic nerve rather than the lumbar plexus.No office rate
64713Nerve revisionNamed nerve procedure for the brachial plexus.No office rate
Used instead
64708Nerve neuroplastyFor a major peripheral nerve in the arm or leg not otherwise specified.No office rate

64714 billing questions

When should this code be chosen instead of the sciatic nerve code?

Use this code when the lumbar plexus is the operative target. Use 64712 when the procedure is on the sciatic nerve.

How does this differ from code 64708?

This code identifies the lumbar plexus specifically. Code 64708 is for a major peripheral nerve in the arm or leg that is not otherwise specified by a more specific code.

What documentation supports reporting this code?

The operative report should identify the lumbar plexus, describe the nerve work performed, and support the clinical reason for the procedure.

How is bilateral work reported?

For bilateral procedures, report modifier 50; CMS payment is 150% under the listed bilateral rule.

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.

What postoperative care is included?

The 90-day global period 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
RVUs for 64714PPRRVU2026_Oct_nonQPP.csv, line 7,206 (RVU26D)

Open CMS sourceHow we calculate rates

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