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Billing code 64772: Spinal nerve surgeryMedicare rate & RVUs

Reports surgical interruption of a single spinal nerve outside the dura when the operation intentionally severs or avulses that nerve.

CMS RVU26DEffective Oct 1, 2026109 payment localities13.9K Medicare services in 2024

Medicare pays $516.38 for 64772 nationally in a facility.

Medicare rate · 64772

Spinal nerve surgery

Swap in your local Medicare rate.

Work RVUs
7.64
Total RVUs
15.46
Global days
090

National rate · 2026

$516.38

Facility setting, before claim adjustments.

See every locality for 64772 → · 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 64772 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 64772 covers

This operation intentionally interrupts a spinal nerve outside the dura, by severing or avulsing it. A neurosurgeon or spine surgeon typically performs it in an operating room when the treatment plan calls for surgical interruption of a specific spinal nerve. The operative report should identify the nerve, its extradural location, and the procedure performed.

Report this code for one spinal nerve; documentation should distinguish the target from a cranial or peripheral nerve. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When other 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. Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, and team-surgery payment 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 64772 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

64772 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$468.97
Alaska*Unavailable$636.40
ArizonaUnavailable$502.88
ArkansasUnavailable$463.12
AtlantaUnavailable$530.16
AustinUnavailable$523.82
BakersfieldUnavailable$523.04
Baltimore/Surr. CntysUnavailable$547.36
BeaumontUnavailable$493.78
BrazoriaUnavailable$505.99

64772 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
64772 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 64772 rate is calculated

Each of 64772’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 · 64772

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 7.64Practice expense 6.39Malpractice 1.43

15.4600 adjusted RVUs×$33.4009 conversion factor=$516.38

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

Payment rules and modifiers for 64772

64772 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 64772

Spinal 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 · 64772

Spinal 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

64772 without 51 · national facility

$516.38

Spinal nerve surgery

64772-51 · Second procedure: 50%

$258.19

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

64772 compared with similar codes

Compare codes

64772 vs 64771 vs 64763 vs 64766: national Medicare rates

Swap in your local Medicare rate.

  • 64772
    Spinal nerve surgery · 7.64 wRVU
    —
  • 64771
    Cranial nerve transection · 7.95 wRVU
    —
  • 64763
    Nerve neurotomy · 7.37 wRVU
    —
  • 64766
    Nerve neurotomy · 9.23 wRVU
    —

How to choose

64771Cranial nerve transection
Use 64772 for an extradural spinal nerve. Use 64771 when the nerve being interrupted is cranial.
64763Nerve neurotomy
Use 64763 for the specific hip or thigh nerve covered by that code, not for an extradural spinal nerve.
64766Nerve neurotomy
Use 64766 for the specific hip or thigh nerve and site covered by that code; 64772 targets an extradural spinal nerve.

Codes related to 64772

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

Codes related to 64772
CodeHow it relatesNational office range
Same family
64771Cranial nerve transectionRelated nerve-interruption service for a cranial nerve rather than a spinal nerve.No office rate
64763Nerve neurotomyNerve-interruption code for a named hip or thigh nerve.No office rate
64766Nerve neurotomyNerve-interruption code for a named hip or thigh nerve at a different anatomic site.No office rate

64772 billing questions

How is this code distinguished from the cranial nerve code?

This code is for interruption of an extradural spinal nerve. The cranial nerve code, 64771, is selected when the operative target is a cranial nerve.

What should the operative report document?

Document the specific spinal nerve, its extradural location, and the actual nerve interruption performed. The record should support that the target was a spinal nerve rather than a cranial or peripheral nerve.

Does the code include postoperative visits?

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

How is it paid when another procedure is performed in the same session?

The highest-valued procedure is paid in full, and the other procedure or procedures are subject to the standard multiple-procedure reduction.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team-surgery payment is not permitted.

How many spinal nerves does this code describe?

The service is for a single spinal nerve. The operative documentation should identify that nerve and its extradural location.

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 64772PPRRVU2026_Oct_nonQPP.csv, line 7,228 (RVU26D)

Open CMS sourceHow we calculate rates

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