No office rate
64722 describes nerve decompression. Use 64744 when the operative service transects or avulses the greater occipital nerve.
On this page
CMS RVU26D · Effective 2026-10-01
64744 in Chico
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$535.46
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.
Peripheral nerve surgery
About 64744: Greater occipital nerve transection
Surgical transection or avulsion of the greater occipital nerve, generally reported for operative treatment of persistent occipital neuralgia.
This operation intentionally interrupts or removes the greater occipital nerve in the posterior scalp and occipital region, usually to treat persistent occipital neuralgia when surgical neurectomy is selected. The surgeon identifies the targeted nerve and divides or avulses it. This is a destructive nerve procedure, rather than decompression, and is generally performed in an operating room.
Report 64744 for operative treatment of the greater occipital nerve. The operative report should identify the nerve, side, indication, and transection or avulsion performed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 64744
- 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 procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.58 · 34%
- Practice expense (office) RVU8.30 · 51%
- Malpractice RVU2.35 · 14%
69
Medicare services in 2024 · #5157 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.
64744 compared with similar codes
Office rates for Chico, from the same CMS release.
No office rate
64742 concerns transection of a facial nerve; 64744 is specific to the greater occipital nerve in the back of the head.
No office rate
64732 concerns a brow-region nerve. Select 64744 for operative transection or avulsion of the greater occipital nerve.
The same code, a different location
How does Chico compare?
64744 across payment areas
Same release and payment basis · bars start at $0
Chico · 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.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California 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
Merced
California · 64744
Office
Unavailable
Facility
$535.46
No comparable office rate is available.
Modesto
California · 64744
Office
Unavailable
Facility
$535.46
No comparable office rate is available.
Napa
California · 64744
Office
Unavailable
Facility
$603.38
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 64744
Office
Unavailable
Facility
$568.18
No comparable office rate is available.
Redding
California · 64744
Office
Unavailable
Facility
$535.46
No comparable office rate is available.
Rest Of California
California · 64744
Office
Unavailable
Facility
$535.46
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 64744
Office
Unavailable
Facility
$560.53
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 64744
Office
Unavailable
Facility
$557.57
No comparable office rate is available.
Salinas
California · 64744
Office
Unavailable
Facility
$555.53
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 64744
Office
Unavailable
Facility
$566.08
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 64744
Office
Unavailable
Facility
$631.00
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 64744
Office
Unavailable
Facility
$628.33
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 64744
Office
Unavailable
Facility
$648.71
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 64744
Office
Unavailable
Facility
$637.80
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 64744
Office
Unavailable
Facility
$547.38
No comparable office rate is available.
Santa Cruz-Watsonville
California · 64744
Office
Unavailable
Facility
$569.19
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 64744
Office
Unavailable
Facility
$556.91
No comparable office rate is available.
Santa Rosa-Petaluma
California · 64744
Office
Unavailable
Facility
$574.48
No comparable office rate is available.
Stockton
California · 64744
Office
Unavailable
Facility
$535.46
No comparable office rate is available.
Vallejo
California · 64744
Office
Unavailable
Facility
$599.53
No comparable office rate is available.
Visalia
California · 64744
Office
Unavailable
Facility
$535.46
No comparable office rate is available.
Yuba City
California · 64744
Office
Unavailable
Facility
$535.46
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 64744
Office
Unavailable
Facility
$610.38
No comparable office rate is available.
Miami
Florida · 64744
Office
Unavailable
Facility
$673.48
No comparable office rate is available.
Chicago
Illinois · 64744
Office
Unavailable
Facility
$646.43
No comparable office rate is available.
Manhattan
New York · 64744
Office
Unavailable
Facility
$644.93
No comparable office rate is available.
Alaska*
Alaska · 64744
Office
Unavailable
Facility
$618.06
No comparable office rate is available.
Alabama
Alabama · 64744
Office
Unavailable
Facility
$473.38
No comparable office rate is available.
Arkansas
Arkansas · 64744
Office
Unavailable
Facility
$464.94
No comparable office rate is available.
Arizona
Arizona · 64744
Office
Unavailable
Facility
$522.20
No comparable office rate is available.
Colorado
Colorado · 64744
Office
Unavailable
Facility
$544.89
No comparable office rate is available.
Connecticut
Connecticut · 64744
Office
Unavailable
Facility
$583.65
No comparable office rate is available.
Delaware
Delaware · 64744
Office
Unavailable
Facility
$531.77
No comparable office rate is available.
Fort Lauderdale
Florida · 64744
Office
Unavailable
Facility
$609.12
No comparable office rate is available.
Rest Of Florida
Florida · 64744
Office
Unavailable
Facility
$569.38
No comparable office rate is available.
Atlanta
Georgia · 64744
Office
Unavailable
Facility
$562.87
No comparable office rate is available.
Rest Of Georgia
Georgia · 64744
Office
Unavailable
Facility
$527.23
No comparable office rate is available.
Hawaii, Guam
Hawaii · 64744
Office
Unavailable
Facility
$547.03
No comparable office rate is available.
Iowa
Iowa · 64744
Office
Unavailable
Facility
$471.20
No comparable office rate is available.
Idaho
Idaho · 64744
Office
Unavailable
Facility
$478.55
No comparable office rate is available.
East St. Louis
Illinois · 64744
Office
Unavailable
Facility
$599.51
No comparable office rate is available.
Rest Of Illinois
Illinois · 64744
Office
Unavailable
Facility
$562.17
No comparable office rate is available.
Suburban Chicago
Illinois · 64744
Office
Unavailable
Facility
$611.48
No comparable office rate is available.
Indiana
Indiana · 64744
Office
Unavailable
Facility
$481.51
No comparable office rate is available.
Kansas
Kansas · 64744
Office
Unavailable
Facility
$476.55
No comparable office rate is available.
Kentucky
Kentucky · 64744
Office
Unavailable
Facility
$504.65
No comparable office rate is available.
New Orleans
Louisiana · 64744
Office
Unavailable
Facility
$536.42
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 64744
Office
Unavailable
Facility
$506.92
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 64744
Office
Unavailable
Facility
$594.89
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 64744
Office
Unavailable
Facility
$543.84
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 64744
Office
Unavailable
Facility
$583.92
No comparable office rate is available.
Rest Of Maryland
Maryland · 64744
Office
Unavailable
Facility
$540.85
No comparable office rate is available.
Rest Of Maine
Maine · 64744
Office
Unavailable
Facility
$490.25
No comparable office rate is available.
Southern Maine
Maine · 64744
Office
Unavailable
Facility
$510.64
No comparable office rate is available.
Detroit
Michigan · 64744
Office
Unavailable
Facility
$586.24
No comparable office rate is available.
Rest Of Michigan
Michigan · 64744
Office
Unavailable
Facility
$528.10
No comparable office rate is available.
Minnesota
Minnesota · 64744
Office
Unavailable
Facility
$494.88
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 64744
Office
Unavailable
Facility
$523.38
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 64744
Office
Unavailable
Facility
$528.95
No comparable office rate is available.
Rest Of Missouri
Missouri · 64744
Office
Unavailable
Facility
$501.80
No comparable office rate is available.
Mississippi
Mississippi · 64744
Office
Unavailable
Facility
$483.08
No comparable office rate is available.
Montana**
Montana · 64744
Office
Unavailable
Facility
$541.94
No comparable office rate is available.
North Carolina
North Carolina · 64744
Office
Unavailable
Facility
$495.19
No comparable office rate is available.
North Dakota**
North Dakota · 64744
Office
Unavailable
Facility
$495.47
No comparable office rate is available.
Nebraska
Nebraska · 64744
Office
Unavailable
Facility
$471.93
No comparable office rate is available.
New Hampshire
New Hampshire · 64744
Office
Unavailable
Facility
$543.65
No comparable office rate is available.
Northern Nj
New Jersey · 64744
Office
Unavailable
Facility
$603.53
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 64744
Office
Unavailable
Facility
$582.67
No comparable office rate is available.
New Mexico
New Mexico · 64744
Office
Unavailable
Facility
$534.86
No comparable office rate is available.
Nevada**
Nevada · 64744
Office
Unavailable
Facility
$529.27
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 64744
Office
Unavailable
Facility
$673.69
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 64744
Office
Unavailable
Facility
$593.30
No comparable office rate is available.
Queens
New York · 64744
Office
Unavailable
Facility
$639.17
No comparable office rate is available.
Rest Of New York
New York · 64744
Office
Unavailable
Facility
$504.92
No comparable office rate is available.
Ohio
Ohio · 64744
Office
Unavailable
Facility
$518.61
No comparable office rate is available.
Oklahoma
Oklahoma · 64744
Office
Unavailable
Facility
$494.93
No comparable office rate is available.
Portland
Oregon · 64744
Office
Unavailable
Facility
$555.76
No comparable office rate is available.
Rest Of Oregon
Oregon · 64744
Office
Unavailable
Facility
$517.68
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 64744
Office
Unavailable
Facility
$571.97
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 64744
Office
Unavailable
Facility
$515.05
No comparable office rate is available.
Puerto Rico
Puerto Rico · 64744
Office
Unavailable
Facility
$543.97
No comparable office rate is available.
Rhode Island
Rhode Island · 64744
Office
Unavailable
Facility
$546.31
No comparable office rate is available.
South Carolina
South Carolina · 64744
Office
Unavailable
Facility
$509.25
No comparable office rate is available.
South Dakota**
South Dakota · 64744
Office
Unavailable
Facility
$489.98
No comparable office rate is available.
Tennessee
Tennessee · 64744
Office
Unavailable
Facility
$480.53
No comparable office rate is available.
Austin
Texas · 64744
Office
Unavailable
Facility
$549.60
No comparable office rate is available.
Beaumont
Texas · 64744
Office
Unavailable
Facility
$511.57
No comparable office rate is available.
Brazoria
Texas · 64744
Office
Unavailable
Facility
$523.82
No comparable office rate is available.
Dallas
Texas · 64744
Office
Unavailable
Facility
$531.52
No comparable office rate is available.
Fort Worth
Texas · 64744
Office
Unavailable
Facility
$529.77
No comparable office rate is available.
Galveston
Texas · 64744
Office
Unavailable
Facility
$528.15
No comparable office rate is available.
Houston
Texas · 64744
Office
Unavailable
Facility
$571.16
No comparable office rate is available.
Rest Of Texas
Texas · 64744
Office
Unavailable
Facility
$520.34
No comparable office rate is available.
Utah
Utah · 64744
Office
Unavailable
Facility
$517.46
No comparable office rate is available.
Virginia
Virginia · 64744
Office
Unavailable
Facility
$514.31
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 64744
Office
Unavailable
Facility
$543.97
No comparable office rate is available.
Vermont
Vermont · 64744
Office
Unavailable
Facility
$500.55
No comparable office rate is available.
Rest Of Washington
Washington · 64744
Office
Unavailable
Facility
$540.45
No comparable office rate is available.
Seattle (King Cnty)
Washington · 64744
Office
Unavailable
Facility
$599.98
No comparable office rate is available.
Wisconsin
Wisconsin · 64744
Office
Unavailable
Facility
$476.14
No comparable office rate is available.
West Virginia
West Virginia · 64744
Office
Unavailable
Facility
$539.61
No comparable office rate is available.
Wyoming**
Wyoming · 64744
Office
Unavailable
Facility
$521.69
No comparable office rate is available.
See how rates vary across the country
64744 · 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?
Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 64744 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$589.01
$535.46 × 110% = $589.01
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 64744 in Chico.
PPRRVU2026_Oct_nonQPP.csv
7,221
- Code
- 64744
- Physician work
- 5.58
- Practice expense
- 8.30
- Malpractice
- 2.35
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.58 | × 1.017 | 5.6749 |
| Practice expense | 8.30 | × 1.096 | 9.0968 |
| Malpractice | 2.35 | × 0.536 | 1.2596 |
| Total RVUs | 16.0313 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico$535.46
Open 64744 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.58 | 1.017 |
| Practice expense | 8.3 | 1.096 |
| Malpractice | 2.35 | 0.536 |
(5.58 × 1.017 + 8.3 × 1.096 + 2.35 × 0.536) × $33.4009 = $535.46
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
64744 · 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 | $535.46 | RVU26D |
| 2026-07-01 | Not available in this setting | $535.46 | RVU26C |
| 2026-04-01 | Not available in this setting | $535.46 | RVU26B |
| 2026-01-01 | Not available in this setting | $535.46 | RVU26A |
| 2025-10-01 | Not available in this setting | $499.05 | RVU25D |
| 2025-07-01 | Not available in this setting | $499.05 | RVU25C |
| 2025-04-01 | Not available in this setting | $499.05 | RVU25B |
| 2025-01-01 | Not available in this setting | $499.05 | RVU25A |
64744 billing questions
Is 64744 used for occipital nerve decompression?
No. 64744 describes transection or avulsion of the greater occipital nerve; decompression is a different operative approach. Code the procedure actually performed.
What operative documentation supports 64744?
Document the greater occipital nerve, the treated side, the clinical indication, and whether the nerve was transected or avulsed.
How is bilateral surgery reported?
CMS lists bilateral reporting with modifier 50, paid at 150%. The operative documentation should support treatment on both sides.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon be paid for 64744?
Assistant-at-surgery payment is allowed only when medical necessity is documented. CMS does not permit co-surgeon or team-surgery payment for this code.
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.
7,21864738,,Incision of jaw nerve,A,,6.20,5.36,NA,5.36,,0.90,12.46,12.46,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,21964740,,Incision of tongue nerve,A,,6.06,5.95,NA,5.95,,0.88,12.89,12.89,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,22064742,,Incision of facial nerve,A,,6.68,5.55,NA,5.55,,0.51,12.74,12.74,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,22164744,,Incise nerve back of head,A,,5.58,8.30,NA,8.30,,2.35,16.23,16.23,0,090,0.11,0.76,0.13,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,22264746,,Incise diaphragm nerve,A,,6.40,4.97,NA,4.97,,1.62,12.99,12.99,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,22364755,,Incision of stomach nerves,A,,14.67,7.46,NA,7.46,,3.92,26.05,26.05,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,22464760,,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
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536