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Billing code 64732: Brow nerve surgeryMedicare rate & RVUs

Reports surgical interruption of a supraorbital or supratrochlear nerve at the brow, typically for selected patients with focal neuralgia or migraine trigger pain.

CMS RVU26DEffective Oct 1, 2026109 payment localities14 Medicare services in 2024

Medicare pays $494.33 for 64732 nationally in a facility.

Medicare rate · 64732

Brow nerve surgery

Swap in your local Medicare rate.

Work RVUs
4.77
Total RVUs
14.80
Global days
090

National rate · 2026

$494.33

Facility setting, before claim adjustments.

See every locality for 64732 → · 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 64732 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 64732 covers

This operation intentionally interrupts a brow sensory nerve, generally the supraorbital or supratrochlear nerve, by transection or avulsion. It may be performed for selected patients with persistent focal neuralgia or as part of surgery for migraine trigger pain. Plastic surgeons, facial plastic surgeons, and peripheral nerve or neurosurgical specialists may perform it in a hospital or ambulatory surgical setting. The operative report should identify the nerve and side and describe the interruption performed.

Report 64732 when the documented service is nerve transection or avulsion at the brow, rather than exposure or decompression alone. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For bilateral surgery, modifier 50 is paid at 150%. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures at 50%. An assistant at surgery may be paid; co-surgeons and team surgery are 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 64732 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

64732 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$431.71
Alaska*Unavailable$561.26
ArizonaUnavailable$476.36
ArkansasUnavailable$424.00
AtlantaUnavailable$512.59
AustinUnavailable$502.54
BakersfieldUnavailable$496.83
Baltimore/Surr. CntysUnavailable$532.35
BeaumontUnavailable$465.46
BrazoriaUnavailable$478.43

64732 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
64732 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 64732 rate is calculated

Each of 64732’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 · 64732

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 4.77Practice expense 8.02Malpractice 2.01

14.8000 adjusted RVUs×$33.4009 conversion factor=$494.33

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

Payment rules and modifiers for 64732

64732 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 64732

Brow 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)0Not permitted.
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 · 64732

Brow 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

64732 without 50 · national facility

$494.33

Brow nerve surgery

64732-50 · Bilateral: 150%

$741.50

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

64732 compared with similar codes

Compare codes

64732 vs 64722 vs 64734 vs 64744: national Medicare rates

Swap in your local Medicare rate.

  • 64732
    Brow nerve surgery · 4.77 wRVU
    —
  • 64722
    Nerve decompression · 4.7 wRVU
    —
  • 64734
    Nerve transection · 5.41 wRVU
    —
  • 64744
    Occipital neurectomy · 5.58 wRVU
    —

How to choose

64722Nerve decompression
64722 describes nerve decompression. Choose 64732 when the surgeon intentionally transects or avulses a supraorbital or supratrochlear nerve.
64734Nerve transection
64734 concerns nerve interruption at the cheek, while 64732 is for a brow nerve.
64744Occipital neurectomy
64744 concerns nerve interruption at the back of the head; 64732 is specific to the brow region.

Codes related to 64732

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

Codes related to 64732
CodeHow it relatesNational office range
Used instead
64722Nerve decompressionFor nerve decompression; 64732 describes intentional interruption of a brow nerve.No office rate
Same family
64734Nerve transectionNerve interruption at the cheek, rather than the brow.No office rate
64736Mental nerve surgeryNerve interruption at the chin, rather than the brow.No office rate
64738Nerve neurectomyNerve interruption at the jaw, rather than the brow.No office rate
64740Nerve neurotomyNerve interruption involving the tongue region.No office rate
64742Facial nerve surgeryNerve interruption involving the facial nerve, not a brow sensory nerve.No office rate
64744Occipital neurectomyNerve interruption at the back of the head, rather than the brow.No office rate

64732 billing questions

When is 64732 appropriate instead of a nerve decompression code?

Use 64732 for documented transection or avulsion of a brow nerve. Decompression describes relieving pressure on a nerve, not intentionally interrupting it.

What details should the operative report include?

Document the specific brow nerve, side, indication, and whether it was transected or avulsed. The record should make clear that nerve interruption—not decompression alone—was performed.

How is bilateral brow nerve surgery reported?

For a bilateral procedure, report modifier 50; CMS pays it at 150%.

Does the 90-day global period include postoperative care?

Yes. The global period 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. CMS does not permit co-surgeons or team surgery for this code.

How does CMS handle multiple procedures in the same 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 64732PPRRVU2026_Oct_nonQPP.csv, line 7,215 (RVU26D)

Open CMS sourceHow we calculate rates

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