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Billing code 64755: Vagal nerve surgeryMedicare rate & RVUs

Reports surgical transection of vagal nerve branches within the abdomen, such as during an operation directed at gastric vagal innervation.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $870.09 for 64755 nationally in a facility.

Medicare rate · 64755

Vagal nerve surgery

Swap in your local Medicare rate.

Work RVUs
14.67
Total RVUs
26.05
Global days
090

National rate · 2026

$870.09

Facility setting, before claim adjustments.

See every locality for 64755 → · 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 64755 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 64755 covers

This procedure involves surgically dividing vagal nerve tissue within the abdomen, including branches serving the stomach. A surgeon typically performs it in an operating room as part of an abdominal operation; vagotomy has historically been used in treatment of peptic ulcer disease. The operative report should identify the nerve branches and anatomic level treated, the reason for the procedure, and any accompanying gastric operation.

Report the code when the documented work is intra-abdominal vagal nerve transection, rather than a cervical vagal procedure or a different nerve operation. 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 other procedures are subject to the standard multiple-procedure reduction. 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 64755 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

64755 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$782.12
Alaska*Unavailable$1,072.50
ArizonaUnavailable$843.52
ArkansasUnavailable$771.46
AtlantaUnavailable$901.87
AustinUnavailable$870.60
BakersfieldUnavailable$852.13
Baltimore/Surr. CntysUnavailable$927.15
BeaumontUnavailable$838.37
BrazoriaUnavailable$842.97

64755 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.

View every state and territory as a table
64755 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 64755 rate is calculated

Each of 64755’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 · 64755

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 14.67Practice expense 7.46Malpractice 3.92

26.0500 adjusted RVUs×$33.4009 conversion factor=$870.09

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

Payment rules and modifiers for 64755

64755 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 64755

Vagal 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)0The 150% bilateral adjustment doesn’t apply.
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 · 64755

Vagal 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 51 · payment effect

With and without the modifier

64755 without 51 · national facility

$870.09

Vagal nerve surgery

64755-51 · Second procedure: 50%

$435.05

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%).

When to use modifier 51

64755 compared with similar codes

Compare codes

64755 vs 64760 vs 43635 vs 43640: national Medicare rates

Swap in your local Medicare rate.

  • 64755
    Vagal nerve surgery · 14.67 wRVU
    —
  • 64760
    Vagus nerve surgery · 7.4 wRVU
    —
  • 43635
    Partial gastrectomy · 2.01 wRVU
    —
  • 43640
    Vagotomy · 19.07 wRVU
    —

How to choose

64760Vagus nerve surgery
Choose 64755 for intra-abdominal vagal nerve transection; 64760 identifies the cervical site.
43635Partial gastrectomy
43635 describes a vagotomy performed with a drainage procedure. Distinguish it from reporting focused intra-abdominal nerve transection based on the documented operation.
43640Vagotomy
43640 describes vagotomy without a drainage procedure. Use the documented operative service to distinguish it from intra-abdominal nerve transection.

Codes related to 64755

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

Codes related to 64755
CodeHow it relatesNational office range
Used instead
64760Vagus nerve surgeryVagal nerve procedure at the cervical level rather than within the abdomen.No office rate
43635Partial gastrectomyVagotomy with a drainage procedure, such as pyloroplasty or gastroenterostomy.No office rate
43640VagotomyVagotomy without a drainage procedure.No office rate

64755 billing questions

How does this differ from 64760?

64755 concerns vagal nerve transection within the abdomen. 64760 is the cervical vagal nerve procedure, so the documented operative site distinguishes them.

What documentation supports reporting 64755?

Document the intra-abdominal nerve branches divided, the operative site, the indication, and any associated procedure. The record should make clear that the nerve work was abdominal rather than cervical.

How is it paid when performed with another procedure?

For procedures performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple-procedure reduction.

Is postoperative care included?

Yes. The major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be allowed. Co-surgeon payment requires supporting documentation; 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 64755PPRRVU2026_Oct_nonQPP.csv, line 7,223 (RVU26D)

Open CMS sourceHow we calculate rates

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