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Billing code 64834: Nerve repairMedicare rate & RVUs

Reports direct repair of one non-digital nerve in the hand or foot, typically after traumatic injury requiring operative nerve coaptation.

CMS RVU26DEffective Oct 1, 2026109 payment localities103 Medicare services in 2024

Medicare pays $660.67 for 64834 nationally in a facility.

Medicare rate · 64834

Nerve repair

Work RVUs
10.54
Total RVUs
19.78
Global days
090

National rate · 2026

$660.67

Facility setting, before claim adjustments.

See every locality for 64834 →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 64834 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 64834 covers

This code describes operative repair of one nerve in the hand or foot, such as direct coaptation of a transected nerve after a laceration or other injury. It is generally performed by a hand, plastic, orthopedic, or peripheral nerve surgeon in an operating room. The code is for a hand or foot nerve repair rather than repair of a digital nerve, which has a separate code family.

Report one unit for the nerve repaired. The operative note should identify the nerve, its location and injury, and the repair performed; use the graft-requiring code when a nerve graft is needed. Code 64835 is used for each additional nerve repaired without a graft. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; 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 64834 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

64834 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$603.62
Alaska*Unavailable$826.02
ArizonaUnavailable$644.35
ArkansasUnavailable$596.59
AtlantaUnavailable$677.72
AustinUnavailable$668.99
BakersfieldUnavailable$667.87
Baltimore/Surr. CntysUnavailable$698.64
BeaumontUnavailable$634.03
BrazoriaUnavailable$648.09

64834 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
64834 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 64834 rate is calculated

Each of 64834’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 · 64834

RVUs × geographic indexes × conversion factor

Work10.54

10.54 RVUs× 1.000 GPCI

Practice expense7.45

7.45 RVUs× 1.000 GPCI

Malpractice1.79

1.79 RVUs× 1.000 GPCI

Adjusted RVUs

19.7800

Conversion factor

$33.4009

Medicare rate

$660.67

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 64834

64834 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 64834

Nerve repair

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)0Not paid without supporting documentation.
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 · 64834

Nerve repair

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned 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

64834 without 50 · national facility

$660.67

Nerve repair

64834-50 · Bilateral: 150%

$991.01

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

64834 compared with similar codes

Compare codes · National

5 codes, side by side

  • 64834

    Nerve repair10.54 wRVU

    Not priced

  • 64831

    Digital nerve repair8.93 wRVU

    Not priced

  • 64835

    Nerve repair11.44 wRVU

    Not priced

  • 64836

    Nerve repair11.44 wRVU

    Not priced

  • 64840

    Leg nerve repair13.67 wRVU

    Not priced

How to choose

64831Digital nerve repair
64831 applies to repair of a digital nerve. Use 64834 for one hand or foot nerve outside that digital-nerve code.
64835Nerve repair
64835 reports each additional hand or foot nerve repaired without a graft; 64834 reports the first nerve.
64836Nerve repair
64836 is for a hand or foot nerve repair requiring a graft. Code 64834 describes repair of one nerve without that graft requirement.
64840Leg nerve repair
64840 describes nerve repair in the leg. Choose 64834 when the repaired nerve is in the hand or foot.

Codes related to 64834

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

Codes related to 64834
CodeHow it relatesNational office range
Used instead
64831Digital nerve repairUsed for repair of a digital nerve in the hand or foot.No office rate
64836Nerve repairUsed when repair of one hand or foot nerve requires a nerve graft.No office rate
64840Leg nerve repairFor nerve repair in the leg rather than the hand or foot.No office rate
Add-on codes
64835Nerve repairAdd-on code for each additional hand or foot nerve repaired without a graft.No office rate
Same family
64837Nerve repairAdditional-nerve code in the graft-requiring hand or foot nerve repair family.No office rate

64834 billing questions

When should 64834 be used instead of 64831?

Use 64834 for one hand or foot nerve that is not coded as a digital nerve. Code 64831 is for repair of a digital nerve.

How is repair of an additional nerve reported?

Report 64835 for each additional hand or foot nerve repaired without a graft, alongside the primary repair when supported by the operative note.

When is 64836 used instead?

Use 64836 when the hand or foot nerve repair requires a nerve graft. The record should describe the graft-based repair.

What documentation supports 64834?

Document the injured nerve and its hand or foot location, the nature of the injury, and the repair performed. Identify separately any additional nerve repaired.

How does the global period affect postoperative care?

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

Can 64834 be reported for bilateral repairs?

For bilateral procedures, modifier 50 is paid at 150%. If multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others 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 64834PPRRVU2026_Oct_nonQPP.csv, line 7,251 (RVU26D)

Open CMS sourceHow we calculate rates

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