No office rate
64782 identifies the first major peripheral nerve excision in the limb. Use 64783 for each additional major peripheral nerve excised in that same limb.
On this page
CMS RVU26D · Effective 2026-10-01
64782 Neuroma excision Medicare reimbursement rates
Reports surgical removal of a neuroma involving a major peripheral nerve in an arm or leg, rather than a digital, cutaneous, or sciatic nerve. Compare 64782 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 64782?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 64782 pays more and less
Peripheral nerve surgery
About 64782: Major limb nerve neuroma excision
Reports surgical removal of a neuroma involving a major peripheral nerve in an arm or leg, rather than a digital, cutaneous, or sciatic nerve.
A surgeon exposes and removes a neuroma arising from a major peripheral nerve in an arm or leg. The service may address a painful nerve lesion after trauma or prior surgery. It is typically performed by an orthopedic, hand, plastic, or peripheral nerve surgeon in an operating room. The operative report should identify the affected nerve and limb, describe the neuroma and its removal, and distinguish the nerve from a digital, cutaneous, or sciatic nerve.
Report this code for the major limb nerve neuroma excision itself; a separate code is available for each additional major peripheral nerve excised in the same limb. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Do not apply a bilateral adjustment or modifier 50. Assistant-at-surgery payment is restricted; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 64782
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU6.69 · 51%
- Practice expense (office) RVU5.31 · 41%
- Malpractice RVU1.06 · 8%
709
Medicare services in 2024 · #3251 by national volume
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.
64782 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
Use 64776 when the neuroma involves a digital nerve; 64782 is for a major peripheral nerve in the arm or leg.
No office rate
64786 is specific to a sciatic nerve neuroma. This code applies to other major peripheral nerves in an arm or leg.
See how rates vary across the country
64782 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Compare 64782 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office Unavailable | Facility $398.68 |
| Alaska* | Office Unavailable | Facility $543.57 |
| Arizona | Office Unavailable | Facility $425.62 |
| Arkansas | Office Unavailable | Facility $394.04 |
| Atlanta | Office Unavailable | Facility $446.84 |
| Austin | Office Unavailable | Facility $442.91 |
| Bakersfield | Office Unavailable | Facility $443.64 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $461.13 |
| Beaumont | Office Unavailable | Facility $417.74 |
| Brazoria | Office Unavailable | Facility $428.62 |
| Chicago | Office Unavailable | Facility $484.52 |
| Chico | Office Unavailable | Facility $440.61 |
| Colorado | Office Unavailable | Facility $442.49 |
| Connecticut | Office Unavailable | Facility $461.78 |
| Dallas | Office Unavailable | Facility $432.49 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $483.85 |
| Delaware | Office Unavailable | Facility $431.63 |
| Detroit | Office Unavailable | Facility $454.30 |
| East St. Louis | Office Unavailable | Facility $457.93 |
| El Centro | Office Unavailable | Facility $440.79 |
| Fort Lauderdale | Office Unavailable | Facility $467.13 |
| Fort Worth | Office Unavailable | Facility $431.18 |
| Fresno | Office Unavailable | Facility $440.61 |
| Galveston | Office Unavailable | Facility $430.67 |
| Hanford-Corcoran | Office Unavailable | Facility $440.61 |
| Hawaii, Guam | Office Unavailable | Facility $445.61 |
| Houston | Office Unavailable | Facility $450.07 |
| Idaho | Office Unavailable | Facility $403.37 |
| Indiana | Office Unavailable | Facility $405.07 |
| Iowa | Office Unavailable | Facility $399.79 |
| Kansas | Office Unavailable | Facility $401.63 |
| Kentucky | Office Unavailable | Facility $413.52 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $465.94 |
| Madera | Office Unavailable | Facility $440.61 |
| Manhattan | Office Unavailable | Facility $500.00 |
| Merced | Office Unavailable | Facility $440.61 |
| Metropolitan Boston | Office Unavailable | Facility $475.89 |
| Metropolitan Kansas City | Office Unavailable | Facility $424.58 |
| Metropolitan Philadelphia | Office Unavailable | Facility $454.34 |
| Metropolitan St. Louis | Office Unavailable | Facility $427.77 |
| Miami | Office Unavailable | Facility $497.62 |
| Minnesota | Office Unavailable | Facility $416.43 |
| Mississippi | Office Unavailable | Facility $402.32 |
| Modesto | Office Unavailable | Facility $440.61 |
| Montana** | Office Unavailable | Facility $436.14 |
| Napa | Office Unavailable | Facility $489.27 |
| Nebraska | Office Unavailable | Facility $400.54 |
| Nevada** | Office Unavailable | Facility $430.48 |
| New Hampshire | Office Unavailable | Facility $439.06 |
| New Mexico | Office Unavailable | Facility $428.61 |
| New Orleans | Office Unavailable | Facility $430.57 |
| North Carolina | Office Unavailable | Facility $411.55 |
| North Dakota** | Office Unavailable | Facility $415.19 |
| Northern Nj | Office Unavailable | Facility $481.08 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $514.38 |
| Ohio | Office Unavailable | Facility $421.07 |
| Oklahoma | Office Unavailable | Facility $409.34 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $461.40 |
| Portland | Office Unavailable | Facility $450.41 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $470.56 |
| Puerto Rico | Office Unavailable | Facility $437.64 |
| Queens | Office Unavailable | Facility $498.44 |
| Redding | Office Unavailable | Facility $440.61 |
| Rest Of California | Office Unavailable | Facility $440.61 |
| Rest Of Florida | Office Unavailable | Facility $446.22 |
| Rest Of Georgia | Office Unavailable | Facility $423.86 |
| Rest Of Illinois | Office Unavailable | Facility $440.72 |
| Rest Of Louisiana | Office Unavailable | Facility $414.33 |
| Rest Of Maine | Office Unavailable | Facility $408.64 |
| Rest Of Maryland | Office Unavailable | Facility $437.68 |
| Rest Of Massachusetts | Office Unavailable | Facility $442.00 |
| Rest Of Michigan | Office Unavailable | Facility $425.35 |
| Rest Of Missouri | Office Unavailable | Facility $410.82 |
| Rest Of New Jersey | Office Unavailable | Facility $464.91 |
| Rest Of New York | Office Unavailable | Facility $416.83 |
| Rest Of Oregon | Office Unavailable | Facility $424.99 |
| Rest Of Pennsylvania | Office Unavailable | Facility $419.73 |
| Rest Of Texas | Office Unavailable | Facility $423.74 |
| Rest Of Washington | Office Unavailable | Facility $440.06 |
| Rhode Island | Office Unavailable | Facility $442.49 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $452.06 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $456.74 |
| Salinas | Office Unavailable | Facility $454.91 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $461.47 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $511.01 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $509.80 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $522.76 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $517.84 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $448.24 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $462.61 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $455.49 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $466.93 |
| Seattle (King Cnty) | Office Unavailable | Facility $481.17 |
| South Carolina | Office Unavailable | Facility $417.43 |
| South Dakota** | Office Unavailable | Facility $412.71 |
| Southern Maine | Office Unavailable | Facility $421.56 |
| Stockton | Office Unavailable | Facility $440.61 |
| Suburban Chicago | Office Unavailable | Facility $469.90 |
| Tennessee | Office Unavailable | Facility $403.68 |
| Utah | Office Unavailable | Facility $421.96 |
| Vallejo | Office Unavailable | Facility $487.54 |
| Vermont | Office Unavailable | Facility $416.95 |
| Virgin Islands | Office Unavailable | Facility $437.64 |
| Virginia | Office Unavailable | Facility $422.79 |
| Visalia | Office Unavailable | Facility $440.61 |
| West Virginia | Office Unavailable | Facility $428.24 |
| Wisconsin | Office Unavailable | Facility $404.27 |
| Wyoming** | Office Unavailable | Facility $427.01 |
| Yuba City | Office Unavailable | Facility $440.61 |
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
64782 billing questions
How does this differ from excision of a digital nerve neuroma?
This code is for a neuroma of a major peripheral nerve in the arm or leg. A digital nerve neuroma is reported with the code for the digital nerve service.
Can this code be reported for a sciatic nerve neuroma?
No. The sciatic nerve has a separate neuroma excision code, 64786.
How is another major nerve excised during the same session reported?
Code 64783 is the add-on code for each additional major peripheral nerve excised in the same limb. Document each nerve and its treatment in the operative report.
Does the 90-day global include routine postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 or an assistant-at-surgery claim be used?
The CMS bilateral adjustment does not apply to this code, so do not use modifier 50 for a bilateral adjustment. Assistant-at-surgery payment is restricted.
When may co-surgeons be reported?
Co-surgeon payment requires supporting documentation. Team surgery is not permitted for this code.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
7,22964774,,Remove skin nerve lesion,A,,5.66,5.48,NA,5.48,,1.19,12.33,12.33,0,090,0.11,0.76,0.13,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,23064776,,Remove digit nerve lesion,A,,5.46,4.84,NA,4.84,,0.91,11.21,11.21,0,090,0.11,0.76,0.13,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,23164778,,Digit nerve surgery add-on,A,,3.03,0.97,NA,0.97,,0.64,4.64,4.64,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,23264782,,Remove limb nerve lesion,A,,6.69,5.31,NA,5.31,,1.06,13.06,13.06,0,090,0.11,0.76,0.13,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,23364783,,Limb nerve surgery add-on,A,,3.62,1.15,NA,1.15,,0.78,5.55,5.55,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,23464784,,Remove nerve lesion,A,,10.35,7.72,NA,7.72,,2.08,20.15,20.15,0,090,0.11,0.76,0.13,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,23564786,,Remove sciatic nerve lesion,A,,15.84,8.41,NA,8.41,,4.23,28.48,28.48,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00