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Billing code 64836: Nerve repairMedicare rate & RVUs

Reports graft-based repair of a non-digital nerve in the hand or foot when injury leaves a gap that cannot be repaired directly.

CMS RVU26DEffective Oct 1, 2026109 payment localities39 Medicare services in 2024

Medicare pays $755.19 for 64836 nationally in a facility.

Medicare rate · 64836

Nerve repair

Work RVUs
11.44
Total RVUs
22.61
Global days
090

National rate · 2026

$755.19

Facility setting, before claim adjustments.

See every locality for 64836 →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 64836 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 64836 covers

This service restores continuity of a non-digital nerve in the hand or foot using a nerve graft when the injured ends cannot be brought together for direct repair. A hand surgeon or peripheral nerve surgeon typically performs it in an operating room after traumatic injury, such as a laceration with a nerve gap. The operative report should identify the repaired nerve and site, the gap or reason direct repair was not feasible, and the graft-based reconstruction performed.

Report the code for the graft-based repair, not for a digital nerve repair or a direct nerve repair. The day-before preoperative visit and 90 days of related postoperative care are included in its major-surgery global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral repairs, 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 64836 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

64836 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$683.38
Alaska*Unavailable$928.61
ArizonaUnavailable$734.42
ArkansasUnavailable$674.55
AtlantaUnavailable$777.39
AustinUnavailable$763.58
BakersfieldUnavailable$758.58
Baltimore/Surr. CntysUnavailable$801.91
BeaumontUnavailable$723.16
BrazoriaUnavailable$737.70

64836 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
64836 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 64836 rate is calculated

Each of 64836’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 · 64836

RVUs × geographic indexes × conversion factor

Work11.44

11.44 RVUs× 1.000 GPCI

Practice expense8.73

8.73 RVUs× 1.000 GPCI

Malpractice2.44

2.44 RVUs× 1.000 GPCI

Adjusted RVUs

22.6100

Conversion factor

$33.4009

Medicare rate

$755.19

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

Payment rules and modifiers for 64836

64836 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 64836

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)2Paid.
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 · 64836

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

64836 without 50 · national facility

$755.19

Nerve repair

64836-50 · Bilateral: 150%

$1,132.79

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

64836 compared with similar codes

Compare codes · National

4 codes, side by side

  • 64836

    Nerve repair11.44 wRVU

    Not priced

  • 64834

    Nerve repair10.54 wRVU

    Not priced

  • 64831

    Digital nerve repair8.93 wRVU

    Not priced

  • 64840

    Leg nerve repair13.67 wRVU

    Not priced

How to choose

64834Nerve repair
Use 64834 for non-digital hand or foot nerve repair without graft-based reconstruction. Choose 64836 when the documented repair uses a nerve graft.
64831Digital nerve repair
64831 is for repair of a digital nerve in the hand or foot; 64836 concerns a non-digital nerve requiring graft-based repair.
64840Leg nerve repair
64840 applies to nerve repair in the leg. The anatomic site for 64836 is the hand or foot.

Codes related to 64836

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

Codes related to 64836
CodeHow it relatesNational office range
Same family
64834Nerve repairHand or foot repair of a non-digital nerve without the graft-based reconstruction.No office rate
64835Nerve repairNeighboring hand or foot nerve repair code; distinguish by the documented repair technique.No office rate
64832Nerve repairAdditional digital nerve repair code, not for a non-digital nerve.No office rate
Add-on codes
64837Nerve repairAdditional-nerve repair code that may be reported with the applicable primary hand or foot nerve repair.No office rate
Used instead
64831Digital nerve repairFor repair of a digital nerve rather than a non-digital hand or foot nerve.No office rate
64840Leg nerve repairUsed for nerve repair in the leg rather than the hand or foot.No office rate

64836 billing questions

How does this differ from 64834?

64836 is used for a hand or foot nerve repair involving a graft. 64834 describes repair of a non-digital nerve without that graft-based reconstruction.

Can this code be used for a digital nerve?

No. Digital nerve repairs are reported with the digital nerve repair codes, including 64831 and, when applicable, 64832.

What documentation supports graft-based repair?

Document the nerve and anatomic site, the injury and resulting gap, why direct repair was not feasible, and the graft reconstruction performed.

How is a bilateral repair reported?

For bilateral procedures, report modifier 50; CMS pays the bilateral procedure at 150%.

What postoperative care is included?

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

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 64836PPRRVU2026_Oct_nonQPP.csv, line 7,253 (RVU26D)

Open CMS sourceHow we calculate rates

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