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Billing code 64874: Nerve repairMedicare rate & RVUs

Reports repair or revision of an additional nerve when the work requires extensive mobilization or transposition during a qualifying primary nerve procedure.

CMS RVU26DEffective Oct 1, 2026109 payment localities45 Medicare services in 2024

Medicare pays $148.63 for 64874 nationally in a facility.

Medicare rate · 64874

Nerve repair

Swap in your local Medicare rate.

Work RVUs
2.91
Total RVUs
4.45
Global days
ZZZ

National rate · 2026

$148.63

Facility setting, before claim adjustments.

See every locality for 64874 → · 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 64874 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 64874 covers

This add-on represents repair or revision of another nerve when the surgeon must extensively free it from surrounding tissue or move it to a different position. It may arise during operative treatment of peripheral nerve injuries or reconstructive nerve surgery. Peripheral nerve, hand, orthopedic, or plastic surgeons typically perform this work in an operating room; the operative note should identify the additional nerve and describe the mobilization or transposition performed.

Report 64874 only with a qualifying primary procedure, not as a stand-alone service. The record should distinguish the additional nerve and its work from the nerve repair represented by the primary code. CMS treats this as an add-on paid within the primary procedure’s global period, so it is not separately paid outside that global period. Select the primary code for the main nerve procedure, then report this code only when the additional nerve work meets its scope.

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 64874 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

64874 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$135.91
Alaska*Unavailable$190.10
ArizonaUnavailable$144.74
ArkansasUnavailable$134.37
AtlantaUnavailable$153.52
AustinUnavailable$148.31
BakersfieldUnavailable$145.50
Baltimore/Surr. CntysUnavailable$157.29
BeaumontUnavailable$144.39
BrazoriaUnavailable$144.65

64874 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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 every state and territory as a table
64874 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 64874 rate is calculated

Each of 64874’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 · 64874

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 2.91Practice expense 0.93Malpractice 0.61

4.4500 adjusted RVUs×$33.4009 conversion factor=$148.63

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

Payment rules and modifiers for 64874

The CMS indicators that decide how 64874 is paid alongside other services.

CMS payment indicators · 64874

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)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 80 · payment effect

With and without the modifier

64874 without 80 · national facility

$148.63

Nerve repair

64874-80 · Assistant: 16%

$23.78

A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.

When to use modifier 80

64874 compared with similar codes

Compare codes

64874 vs 64837 vs 64856 vs 64857: national Medicare rates

Swap in your local Medicare rate.

  • 64874
    Nerve repair · 2.91 wRVU
    —
  • 64837
    Nerve repair · 6.09 wRVU
    —
  • 64856
    Brachial plexus repair · 14.69 wRVU
    —
  • 64857
    Nerve repair · 15.42 wRVU
    —

How to choose

64837Nerve repair
64837 is another nerve-repair add-on, but it applies in a different coding context. Match the add-on to the primary procedure and documented work rather than choosing between them by nerve count alone.
64856Brachial plexus repair
64856 represents a primary major peripheral nerve repair in an arm or leg. 64874 represents qualifying additional nerve work and cannot replace the primary procedure code.
64857Nerve repair
64857 is a primary nerve-repair service, whereas 64874 is an add-on for additional nerve repair or revision involving extensive mobilization or transposition.

Codes related to 64874

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

Codes related to 64874
CodeHow it relatesNational office range
Same family
64837Nerve repairAnother nerve-repair add-on; use the code matching the applicable primary procedure and work.No office rate
64872Nerve repairSecondary nerve repair or revision code within the related nerve-surgery section.No office rate
64856Brachial plexus repairPrimary repair code for a major peripheral nerve in an arm or leg.No office rate
64857Nerve repairPrimary arm or leg nerve-repair code; distinguish its primary-service scope from this add-on.No office rate

64874 billing questions

Can 64874 be reported by itself?

No. It is an add-on and must be billed with a qualifying primary procedure.

What documentation supports 64874?

Identify the additional nerve and describe the repair or revision, including the extensive mobilization or transposition that required the additional work.

How is 64874 different from 64837?

Both are nerve-repair add-on codes, but they belong to different coding contexts. Choose based on the applicable primary procedure and the specific additional nerve work, not simply the number of nerves treated.

Is 64874 paid separately from the primary procedure’s global period?

No. CMS classifies it as an add-on paid within the primary procedure’s global period.

Should the additional nerve be listed separately in the operative note?

Yes. The note should make clear which nerve received the additional repair or revision and what extensive mobilization or transposition was 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

Show the CMS file lines behind this rate
RVUs for 64874PPRRVU2026_Oct_nonQPP.csv, line 7,267 (RVU26D)

Open CMS sourceHow we calculate rates

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