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Billing code 64832: Nerve repairMedicare rate & RVUs

Reports suture repair of each additional digital nerve in a hand or foot when another digital nerve is repaired during the same operative session.

CMS RVU26DEffective Oct 1, 2026109 payment localities172 Medicare services in 2024

Medicare pays $281.57 for 64832 nationally in a facility.

Medicare rate · 64832

Nerve repair

Swap in your local Medicare rate.

Work RVUs
5.51
Total RVUs
8.43
Global days
ZZZ

National rate · 2026

$281.57

Facility setting, before claim adjustments.

See every locality for 64832 → · 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 64832 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 64832 covers

Code 64832 represents suture repair of an additional digital nerve in the hand or foot during the same operative session as repair of a first digital nerve. It applies when separate digital nerves are injured, such as in a hand or foot laceration requiring repair of more than one digital nerve. Hand surgeons and other surgeons performing peripheral nerve repair typically report it in an operating-room setting.

Report 64832 with the primary procedure for the first digital nerve, not as a stand-alone service. Count each separately repaired additional digital nerve. The operative report should identify the hand or foot, the digital nerves repaired, the injury, and the repair performed, and support the primary procedure reported for the first nerve. CMS classifies this as an add-on code: it is billed only with a primary procedure and paid within that procedure's global period.

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 64832 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

64832 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$258.33
Alaska*Unavailable$361.56
ArizonaUnavailable$274.51
ArkansasUnavailable$255.52
AtlantaUnavailable$290.29
AustinUnavailable$281.45
BakersfieldUnavailable$277.02
Baltimore/Surr. CntysUnavailable$297.50
BeaumontUnavailable$273.47
BrazoriaUnavailable$274.62

64832 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
64832 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 64832 rate is calculated

Each of 64832’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 · 64832

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 5.51Practice expense 1.85Malpractice 1.07

8.4300 adjusted RVUs×$33.4009 conversion factor=$281.57

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

Payment rules and modifiers for 64832

The CMS indicators that decide how 64832 is paid alongside other services.

CMS payment indicators · 64832

Nerve repair

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

64832 compared with similar codes

Compare codes

64832 vs 64831 vs 64837 vs 64834: national Medicare rates

Swap in your local Medicare rate.

  • 64832
    Nerve repair · 5.51 wRVU
    —
  • 64831
    Digital nerve repair · 8.93 wRVU
    —
  • 64837
    Nerve repair · 6.09 wRVU
    —
  • 64834
    Nerve repair · 10.54 wRVU
    —

How to choose

64831Digital nerve repair
64831 reports repair of the first digital nerve; 64832 reports each additional digital nerve repaired in the same operative session.
64837Nerve repair
64837 is for an additional hand or foot nerve that is not digital. Use 64832 when the additional repaired nerve is digital.
64834Nerve repair
64834 describes primary repair of a common sensory nerve in the hand or foot, rather than an additional digital nerve repair.

Codes related to 64832

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

Codes related to 64832
CodeHow it relatesNational office range
Primary code
64831Digital nerve repairPrimary digital nerve repair code; report for the first nerve repaired.No office rate
Used instead
64837Nerve repairAdd-on for an additional hand or foot nerve that is not digital.No office rate
64834Nerve repairPrimary repair code for a common sensory nerve in the hand or foot.No office rate

64832 billing questions

When should 64832 be reported instead of 64831?

Report 64831 for the first digital nerve repaired. Report 64832 for each additional digital nerve repaired during the same operative session.

Can 64832 be billed by itself?

No. It is an add-on code and must be billed with a primary procedure, typically 64831 for repair of the first digital nerve.

How should the additional nerve count be supported?

Document the hand or foot, identify each digital nerve repaired, and describe the injury and repair for each additional nerve.

Does 64832 have its own global period?

CMS treats it as an add-on code paid within the primary procedure's global period.

Is 64832 used for an additional non-digital nerve?

No. It is for an additional digital nerve. Code 64837 is the related add-on for an additional nerve in the hand or foot that is not digital.

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 64832PPRRVU2026_Oct_nonQPP.csv, line 7,250 (RVU26D)

Open CMS sourceHow we calculate rates

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