Billing code 64835: Nerve repairMedicare rate & RVUs

Medicare pays $755.19 for 64835 nationally in a facility.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 64835 covers

This code is for operative suture repair of two major peripheral nerves in the hand or foot. It is selected for nerve injuries requiring direct repair, such as traumatic nerve damage, and is distinct from repair limited to digital nerves. A hand surgeon, orthopedic surgeon, plastic surgeon, or other surgeon with peripheral nerve expertise typically performs the procedure in an operating room, often after a laceration or other injury.

Report the code when the operative record supports repair of two major nerves in the hand or foot. Documentation should identify the injured nerves, their locations, and the repair performed; a digital nerve repair belongs to a different code family. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care. When other procedures are performed 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%. An assistant at surgery may be paid; 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 64835 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

64835 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 64835 rate is calculated

Each of 64835’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.

Payment rules and modifiers for 64835

64835 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

64835 compared with similar codes

How to choose

64834Nerve repair

64834 is the sibling for one major peripheral nerve in the hand or foot; 64835 represents two nerves.

64836Nerve repair

64836 is the higher-count sibling in the hand-or-foot nerve repair family. Select by the number of nerves repaired, as supported by the operative record.

64831Digital nerve repair

64831 is for repair of a digital nerve. Use 64835 when the procedure repairs two major peripheral nerves rather than digital nerve repair.

64840Leg nerve repair

64840 covers nerve repair in the leg. This code is specific to two major peripheral nerves in the hand or foot.

Codes related to 64835

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

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

Open CMS sourceHow we calculate rates