No office rate
Use 64716 for intracranial transection or avulsion of the facial nerve. This code is for another cranial nerve not covered by a specifically named code.
On this page
CMS RVU26D · Effective 2026-10-01
64771 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$567.89
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Nerve surgery
About 64771: Intracranial transection of another cranial nerve
Reports intentional division or avulsion of an intracranial cranial nerve not represented by a more specifically named transection code.
A surgeon reports this service when an intracranial cranial nerve is intentionally divided or avulsed. It represents destructive nerve surgery, rather than nerve decompression, repair, or removal of a nerve lesion. Neurosurgeons and other surgeons qualified to perform intracranial nerve procedures typically perform it in an operating room. The operative report should identify the nerve, its intracranial location, and the transection or avulsion performed.
Select this code when the treated nerve and operative approach fit the “other cranial nerve” category, rather than a separately named cranial nerve procedure. Documentation should establish the surgical intent and distinguish the work from procedures that preserve or decompress the nerve. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeons and team surgery are not permitted.
CMS billing rules for 64771
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.95 · 48%
- Practice expense (office) RVU7.31 · 44%
- Malpractice RVU1.47 · 9%
114
Medicare services in 2024 · #4781 by national volume
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.
64771 compared with similar codes
Office rates for Austin, from the same CMS release.
No office rate
Use 64742 for facial nerve transection or avulsion at an extracranial location. This code concerns another cranial nerve within the intracranial category.
No office rate
Use 64772 for transection or avulsion of a spinal nerve. This code concerns an intracranial cranial nerve.
The same code, a different location
How does Austin compare?
64771 across payment areas
Same release and payment basis · bars start at $0
Austin · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 64771
Office
Unavailable
Facility
$541.58
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 64771
Office
Unavailable
Facility
$597.87
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 64771
Office
Unavailable
Facility
$622.14
No comparable office rate is available.
Miami
Florida · 64771
Office
Unavailable
Facility
$643.88
No comparable office rate is available.
Chicago
Illinois · 64771
Office
Unavailable
Facility
$625.46
No comparable office rate is available.
Manhattan
New York · 64771
Office
Unavailable
Facility
$644.12
No comparable office rate is available.
Alaska*
Alaska · 64771
Office
Unavailable
Facility
$685.39
No comparable office rate is available.
Alabama
Alabama · 64771
Office
Unavailable
Facility
$506.97
No comparable office rate is available.
Arkansas
Arkansas · 64771
Office
Unavailable
Facility
$500.56
No comparable office rate is available.
Arizona
Arizona · 64771
Office
Unavailable
Facility
$544.16
No comparable office rate is available.
Bakersfield
California · 64771
Office
Unavailable
Facility
$568.08
No comparable office rate is available.
Chico
California · 64771
Office
Unavailable
Facility
$563.97
No comparable office rate is available.
El Centro
California · 64771
Office
Unavailable
Facility
$564.21
No comparable office rate is available.
Fresno
California · 64771
Office
Unavailable
Facility
$563.97
No comparable office rate is available.
Hanford-Corcoran
California · 64771
Office
Unavailable
Facility
$563.97
No comparable office rate is available.
Madera
California · 64771
Office
Unavailable
Facility
$563.97
No comparable office rate is available.
Merced
California · 64771
Office
Unavailable
Facility
$563.97
No comparable office rate is available.
Modesto
California · 64771
Office
Unavailable
Facility
$563.97
No comparable office rate is available.
Napa
California · 64771
Office
Unavailable
Facility
$629.01
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 64771
Office
Unavailable
Facility
$592.16
No comparable office rate is available.
Redding
California · 64771
Office
Unavailable
Facility
$563.97
No comparable office rate is available.
Rest Of California
California · 64771
Office
Unavailable
Facility
$563.97
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 64771
Office
Unavailable
Facility
$579.80
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 64771
Office
Unavailable
Facility
$585.37
No comparable office rate is available.
Salinas
California · 64771
Office
Unavailable
Facility
$583.07
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 64771
Office
Unavailable
Facility
$592.13
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 64771
Office
Unavailable
Facility
$657.57
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 64771
Office
Unavailable
Facility
$655.90
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 64771
Office
Unavailable
Facility
$673.14
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 64771
Office
Unavailable
Facility
$666.32
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 64771
Office
Unavailable
Facility
$574.47
No comparable office rate is available.
Santa Cruz-Watsonville
California · 64771
Office
Unavailable
Facility
$594.09
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 64771
Office
Unavailable
Facility
$583.98
No comparable office rate is available.
Santa Rosa-Petaluma
California · 64771
Office
Unavailable
Facility
$599.65
No comparable office rate is available.
Stockton
California · 64771
Office
Unavailable
Facility
$563.97
No comparable office rate is available.
Vallejo
California · 64771
Office
Unavailable
Facility
$626.61
No comparable office rate is available.
Visalia
California · 64771
Office
Unavailable
Facility
$563.97
No comparable office rate is available.
Yuba City
California · 64771
Office
Unavailable
Facility
$563.97
No comparable office rate is available.
Colorado
Colorado · 64771
Office
Unavailable
Facility
$566.86
No comparable office rate is available.
Connecticut
Connecticut · 64771
Office
Unavailable
Facility
$593.22
No comparable office rate is available.
Delaware
Delaware · 64771
Office
Unavailable
Facility
$552.24
No comparable office rate is available.
Fort Lauderdale
Florida · 64771
Office
Unavailable
Facility
$601.64
No comparable office rate is available.
Rest Of Florida
Florida · 64771
Office
Unavailable
Facility
$572.75
No comparable office rate is available.
Atlanta
Georgia · 64771
Office
Unavailable
Facility
$573.37
No comparable office rate is available.
Rest Of Georgia
Georgia · 64771
Office
Unavailable
Facility
$541.85
No comparable office rate is available.
Hawaii, Guam
Hawaii · 64771
Office
Unavailable
Facility
$571.58
No comparable office rate is available.
Iowa
Iowa · 64771
Office
Unavailable
Facility
$508.44
No comparable office rate is available.
Idaho
Idaho · 64771
Office
Unavailable
Facility
$513.39
No comparable office rate is available.
East St. Louis
Illinois · 64771
Office
Unavailable
Facility
$589.05
No comparable office rate is available.
Rest Of Illinois
Illinois · 64771
Office
Unavailable
Facility
$565.20
No comparable office rate is available.
Suburban Chicago
Illinois · 64771
Office
Unavailable
Facility
$605.15
No comparable office rate is available.
Indiana
Indiana · 64771
Office
Unavailable
Facility
$515.74
No comparable office rate is available.
Kansas
Kansas · 64771
Office
Unavailable
Facility
$511.00
No comparable office rate is available.
Kentucky
Kentucky · 64771
Office
Unavailable
Facility
$527.52
No comparable office rate is available.
New Orleans
Louisiana · 64771
Office
Unavailable
Facility
$551.07
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 64771
Office
Unavailable
Facility
$528.66
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 64771
Office
Unavailable
Facility
$611.65
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 64771
Office
Unavailable
Facility
$566.02
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 64771
Office
Unavailable
Facility
$592.51
No comparable office rate is available.
Rest Of Maryland
Maryland · 64771
Office
Unavailable
Facility
$560.36
No comparable office rate is available.
Rest Of Maine
Maine · 64771
Office
Unavailable
Facility
$520.70
No comparable office rate is available.
Southern Maine
Maine · 64771
Office
Unavailable
Facility
$538.48
No comparable office rate is available.
Detroit
Michigan · 64771
Office
Unavailable
Facility
$583.93
No comparable office rate is available.
Rest Of Michigan
Michigan · 64771
Office
Unavailable
Facility
$543.89
No comparable office rate is available.
Minnesota
Minnesota · 64771
Office
Unavailable
Facility
$531.31
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 64771
Office
Unavailable
Facility
$542.77
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 64771
Office
Unavailable
Facility
$547.18
No comparable office rate is available.
Rest Of Missouri
Missouri · 64771
Office
Unavailable
Facility
$523.83
No comparable office rate is available.
Mississippi
Mississippi · 64771
Office
Unavailable
Facility
$512.04
No comparable office rate is available.
Montana**
Montana · 64771
Office
Unavailable
Facility
$558.70
No comparable office rate is available.
North Carolina
North Carolina · 64771
Office
Unavailable
Facility
$524.71
No comparable office rate is available.
North Dakota**
North Dakota · 64771
Office
Unavailable
Facility
$529.63
No comparable office rate is available.
Nebraska
Nebraska · 64771
Office
Unavailable
Facility
$509.46
No comparable office rate is available.
New Hampshire
New Hampshire · 64771
Office
Unavailable
Facility
$562.67
No comparable office rate is available.
Northern Nj
New Jersey · 64771
Office
Unavailable
Facility
$617.93
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 64771
Office
Unavailable
Facility
$596.64
No comparable office rate is available.
New Mexico
New Mexico · 64771
Office
Unavailable
Facility
$548.40
No comparable office rate is available.
Nevada**
Nevada · 64771
Office
Unavailable
Facility
$550.84
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 64771
Office
Unavailable
Facility
$664.02
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 64771
Office
Unavailable
Facility
$604.25
No comparable office rate is available.
Queens
New York · 64771
Office
Unavailable
Facility
$641.93
No comparable office rate is available.
Rest Of New York
New York · 64771
Office
Unavailable
Facility
$532.01
No comparable office rate is available.
Ohio
Ohio · 64771
Office
Unavailable
Facility
$537.95
No comparable office rate is available.
Oklahoma
Oklahoma · 64771
Office
Unavailable
Facility
$521.72
No comparable office rate is available.
Portland
Oregon · 64771
Office
Unavailable
Facility
$577.58
No comparable office rate is available.
Rest Of Oregon
Oregon · 64771
Office
Unavailable
Facility
$543.24
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 64771
Office
Unavailable
Facility
$583.06
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 64771
Office
Unavailable
Facility
$536.08
No comparable office rate is available.
Puerto Rico
Puerto Rico · 64771
Office
Unavailable
Facility
$560.75
No comparable office rate is available.
Rhode Island
Rhode Island · 64771
Office
Unavailable
Facility
$566.60
No comparable office rate is available.
South Carolina
South Carolina · 64771
Office
Unavailable
Facility
$532.88
No comparable office rate is available.
South Dakota**
South Dakota · 64771
Office
Unavailable
Facility
$526.20
No comparable office rate is available.
Tennessee
Tennessee · 64771
Office
Unavailable
Facility
$513.85
No comparable office rate is available.
Utah
Utah · 64771
Office
Unavailable
Facility
$539.14
No comparable office rate is available.
Virginia
Virginia · 64771
Office
Unavailable
Facility
$540.21
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 64771
Office
Unavailable
Facility
$560.75
No comparable office rate is available.
Vermont
Vermont · 64771
Office
Unavailable
Facility
$532.10
No comparable office rate is available.
Rest Of Washington
Washington · 64771
Office
Unavailable
Facility
$563.45
No comparable office rate is available.
Seattle (King Cnty)
Washington · 64771
Office
Unavailable
Facility
$618.51
No comparable office rate is available.
Wisconsin
Wisconsin · 64771
Office
Unavailable
Facility
$514.57
No comparable office rate is available.
West Virginia
West Virginia · 64771
Office
Unavailable
Facility
$547.97
No comparable office rate is available.
Wyoming**
Wyoming · 64771
Office
Unavailable
Facility
$546.03
No comparable office rate is available.
See how rates vary across the country
64771 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- 64771 in Austin
Multiple payment areas
- 64771 in Barton Creek
- 64771 in Bee Cave
- 64771 in Briarcliff
- 64771 in Cedar Park
Multiple payment areas
- 64771 in Creedmoor
Multiple payment areas
- 64771 in Elgin
Multiple payment areas
- 64771 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 64771 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$624.68
$567.89 × 110% = $624.68
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 64771 in Austin.
PPRRVU2026_Oct_nonQPP.csv
7,227
- Code
- 64771
- Physician work
- 7.95
- Practice expense
- 7.31
- Malpractice
- 1.47
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.95 | × 1.002 | 7.9659 |
| Practice expense | 7.31 | × 1.058 | 7.7340 |
| Malpractice | 1.47 | × 0.886 | 1.3024 |
| Total RVUs | 17.0023 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$567.89
Open 64771 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.95 | 1.002 |
| Practice expense | 7.31 | 1.058 |
| Malpractice | 1.47 | 0.886 |
(7.95 × 1.002 + 7.31 × 1.058 + 1.47 × 0.886) × $33.4009 = $567.89
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
64771 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $567.89 | RVU26D |
| 2026-07-01 | Not available in this setting | $567.89 | RVU26C |
| 2026-04-01 | Not available in this setting | $567.89 | RVU26B |
| 2026-01-01 | Not available in this setting | $567.89 | RVU26A |
| 2025-10-01 | Not available in this setting | $608.42 | RVU25D |
| 2025-07-01 | Not available in this setting | $608.42 | RVU25C |
| 2025-04-01 | Not available in this setting | $608.42 | RVU25B |
| 2025-01-01 | Not available in this setting | $608.42 | RVU25A |
64771 billing questions
How does this differ from a named cranial nerve transection code?
Use this code for an intracranial cranial nerve not represented by a more specifically named transection code. For example, facial nerve transection has separate codes based on its intracranial or extracranial location.
Does this code describe nerve decompression or repair?
No. It represents intentional division or avulsion of the nerve, not decompression, repair, or removal of a nerve lesion.
What should the operative report document?
Document the specific nerve, its intracranial location, and the intentional transection or avulsion. The report should make clear that the service was not a nerve-preserving procedure.
Can modifier 50 be used for bilateral work?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used.
Can an assistant-at-surgery be reported?
CMS allows assistant-at-surgery payment for this procedure. Co-surgeons and team surgery are not permitted.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
7,22464760,,Incision of vagus nerve,A,,7.40,5.91,NA,5.91,,1.98,15.29,15.29,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,22564763,,Incise hip/thigh nerve,A,,7.37,5.76,NA,5.76,,1.97,15.10,15.10,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,22664766,,Incise hip/thigh nerve,A,,9.23,6.81,NA,6.81,,2.48,18.52,18.52,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,22764771,,Sever cranial nerve,A,,7.95,7.31,NA,7.31,,1.47,16.73,16.73,0,090,0.11,0.76,0.13,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,22864772,,Incision of spinal nerve,A,,7.64,6.39,NA,6.39,,1.43,15.46,15.46,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,22964774,,Remove skin nerve lesion,A,,5.66,5.48,NA,5.48,,1.19,12.33,12.33,0,090,0.11,0.76,0.13,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,23064776,,Remove digit nerve lesion,A,,5.46,4.84,NA,4.84,,0.91,11.21,11.21,0,090,0.11,0.76,0.13,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858