CPT code 64760: Vagus nerve surgery2026 Medicare rate & RVUs in Florida
Reports surgical division of the vagus nerve, typically as a vagotomy performed during operative treatment of difficult-to-control peptic ulcer disease.
CMS doesn’t publish an office rate for 64760 in Florida.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 64760 covers
This code represents surgical division of the vagus nerve to interrupt its signaling. A surgeon may perform a vagotomy during an upper abdominal operation, classically as part of treatment for peptic ulcer disease that has not responded to medical management. The service is uncommon in current practice; the operative report should identify the vagus nerve and describe the division performed, rather than only documenting exposure, manipulation, or stimulation.
Select this code when the surgeon actually divides the vagus nerve, not another named nerve or nerve fibers serving the stomach. Documentation should support the nerve targeted and the operative work. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is 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 64760 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | Unavailable | $566.70 |
| Miami, FL | Unavailable | $619.91 |
| Rest of Florida | Unavailable | $535.28 |
How the 64760 rate is calculated
Each of 64760’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 · 64760
RVUs × geographic indexes × conversion factor
Work7.40
7.40 RVUs× 1.000 GPCI
Practice expense5.91
5.91 RVUs× 1.000 GPCI
Malpractice1.98
1.98 RVUs× 1.000 GPCI
Adjusted RVUs
15.2900
Conversion factor
$33.4009
Medicare rate
$510.70
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 64760
64760 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 64760
Vagus nerve surgery
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.11/0.76/0.13 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 64760
Vagus nerve surgery
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
64760 without 51 · national facility
$510.70
Vagus nerve surgery
64760-51 · Second procedure: 50%
$255.35
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
64760 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 64755Vagal nerve surgery
- Use this code for division of the vagus nerve. Code 64755 concerns stomach nerves, so the operative report's identified nerve target is the key distinction.
- 64746Phrenic neurotomy
- Code 64746 is directed at the phrenic nerve. This code applies when the surgeon divides the vagus nerve.
- 64771Cranial nerve transection
- Code 64771 describes a different cranial nerve procedure. Select this code when the documented nerve divided is the vagus nerve.
64760 billing questions
How is this code distinguished from a code for stomach nerves?
This code is specific to division of the vagus nerve. Choose a stomach-nerve code when the operative work targets those nerves rather than the vagus.
Does the 90-day global period include routine postoperative care?
Yes. The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Should modifier 50 be reported for bilateral vagus nerve work?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, while other procedures are subject to the standard multiple procedure reduction.
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
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