No office rate
Use 64836 for the first non-digital hand or foot nerve repaired with transposition; 64837 reports each additional qualifying nerve.
On this page
CMS RVU26D · Effective 2026-10-01
64837 in Chico
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$301.16
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 64837: Additional transposed hand or foot nerve repair
Reports repair with transposition of each additional non-digital nerve in the hand or foot during the same operation as the primary nerve repair.
This add-on represents repair of an additional non-digital nerve in the hand or foot when the surgeon also transposes that nerve. Transposition moves the nerve into a different position or tissue bed as part of the repair. It is typically performed by a hand, orthopedic, plastic, or peripheral nerve surgeon in an operating room after traumatic injury or during reconstruction when more than one nerve requires this treatment.
Report 64837 only with the primary repair code 64836 for the first nerve repaired with transposition. The operative report should identify the additional nerve and document its repair and transposition; the add-on is for another nerve, not another nerve end or a repeat repair of the same nerve. CMS classifies it as an add-on code: it is billed only with a primary procedure and its payment falls within that procedure's global period.
CMS billing rules for 64837
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU6.09 · 65%
- Practice expense (office) RVU1.94 · 21%
- Malpractice RVU1.30 · 14%
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.
64837 compared with similar codes
Office rates for Chico, from the same CMS release.
No office rate
Use 64835 for an additional non-digital hand or foot nerve repaired without the transposition represented by 64837.
No office rate
Use 64832 for each additional digital nerve. Code 64837 is for additional non-digital nerves of the hand or foot repaired with transposition.
The same code, a different location
How does Chico compare?
64837 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 · 64837
Office
Unavailable
Facility
$301.16
No comparable office rate is available.
Modesto
California · 64837
Office
Unavailable
Facility
$301.16
No comparable office rate is available.
Napa
California · 64837
Office
Unavailable
Facility
$323.69
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 64837
Office
Unavailable
Facility
$312.75
No comparable office rate is available.
Redding
California · 64837
Office
Unavailable
Facility
$301.16
No comparable office rate is available.
Rest Of California
California · 64837
Office
Unavailable
Facility
$301.16
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 64837
Office
Unavailable
Facility
$315.13
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 64837
Office
Unavailable
Facility
$309.37
No comparable office rate is available.
Salinas
California · 64837
Office
Unavailable
Facility
$308.09
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 64837
Office
Unavailable
Facility
$310.55
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 64837
Office
Unavailable
Facility
$334.03
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 64837
Office
Unavailable
Facility
$332.55
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 64837
Office
Unavailable
Facility
$342.50
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 64837
Office
Unavailable
Facility
$336.46
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 64837
Office
Unavailable
Facility
$303.95
No comparable office rate is available.
Santa Cruz-Watsonville
California · 64837
Office
Unavailable
Facility
$309.69
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 64837
Office
Unavailable
Facility
$307.93
No comparable office rate is available.
Santa Rosa-Petaluma
California · 64837
Office
Unavailable
Facility
$312.36
No comparable office rate is available.
Stockton
California · 64837
Office
Unavailable
Facility
$301.16
No comparable office rate is available.
Vallejo
California · 64837
Office
Unavailable
Facility
$321.56
No comparable office rate is available.
Visalia
California · 64837
Office
Unavailable
Facility
$301.16
No comparable office rate is available.
Yuba City
California · 64837
Office
Unavailable
Facility
$301.16
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 64837
Office
Unavailable
Facility
$339.06
No comparable office rate is available.
Miami
Florida · 64837
Office
Unavailable
Facility
$380.68
No comparable office rate is available.
Chicago
Illinois · 64837
Office
Unavailable
Facility
$369.61
No comparable office rate is available.
Manhattan
New York · 64837
Office
Unavailable
Facility
$360.59
No comparable office rate is available.
Alaska*
Alaska · 64837
Office
Unavailable
Facility
$398.05
No comparable office rate is available.
Alabama
Alabama · 64837
Office
Unavailable
Facility
$284.69
No comparable office rate is available.
Arkansas
Arkansas · 64837
Office
Unavailable
Facility
$281.43
No comparable office rate is available.
Arizona
Arizona · 64837
Office
Unavailable
Facility
$303.37
No comparable office rate is available.
Colorado
Colorado · 64837
Office
Unavailable
Facility
$308.71
No comparable office rate is available.
Connecticut
Connecticut · 64837
Office
Unavailable
Facility
$329.81
No comparable office rate is available.
Delaware
Delaware · 64837
Office
Unavailable
Facility
$307.48
No comparable office rate is available.
Fort Lauderdale
Florida · 64837
Office
Unavailable
Facility
$347.56
No comparable office rate is available.
Rest Of Florida
Florida · 64837
Office
Unavailable
Facility
$330.62
No comparable office rate is available.
Atlanta
Georgia · 64837
Office
Unavailable
Facility
$322.01
No comparable office rate is available.
Rest Of Georgia
Georgia · 64837
Office
Unavailable
Facility
$312.97
No comparable office rate is available.
Hawaii, Guam
Hawaii · 64837
Office
Unavailable
Facility
$302.23
No comparable office rate is available.
Iowa
Iowa · 64837
Office
Unavailable
Facility
$279.94
No comparable office rate is available.
Idaho
Idaho · 64837
Office
Unavailable
Facility
$283.56
No comparable office rate is available.
East St. Louis
Illinois · 64837
Office
Unavailable
Facility
$350.48
No comparable office rate is available.
Rest Of Illinois
Illinois · 64837
Office
Unavailable
Facility
$330.44
No comparable office rate is available.
Suburban Chicago
Illinois · 64837
Office
Unavailable
Facility
$348.32
No comparable office rate is available.
Indiana
Indiana · 64837
Office
Unavailable
Facility
$284.58
No comparable office rate is available.
Kansas
Kansas · 64837
Office
Unavailable
Facility
$283.87
No comparable office rate is available.
Kentucky
Kentucky · 64837
Office
Unavailable
Facility
$300.75
No comparable office rate is available.
New Orleans
Louisiana · 64837
Office
Unavailable
Facility
$313.71
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 64837
Office
Unavailable
Facility
$302.35
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 64837
Office
Unavailable
Facility
$327.76
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 64837
Office
Unavailable
Facility
$309.50
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 64837
Office
Unavailable
Facility
$329.91
No comparable office rate is available.
Rest Of Maryland
Maryland · 64837
Office
Unavailable
Facility
$310.88
No comparable office rate is available.
Rest Of Maine
Maine · 64837
Office
Unavailable
Facility
$290.03
No comparable office rate is available.
Southern Maine
Maine · 64837
Office
Unavailable
Facility
$295.02
No comparable office rate is available.
Detroit
Michigan · 64837
Office
Unavailable
Facility
$339.15
No comparable office rate is available.
Rest Of Michigan
Michigan · 64837
Office
Unavailable
Facility
$311.59
No comparable office rate is available.
Minnesota
Minnesota · 64837
Office
Unavailable
Facility
$282.94
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 64837
Office
Unavailable
Facility
$306.68
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 64837
Office
Unavailable
Facility
$308.61
No comparable office rate is available.
Rest Of Missouri
Missouri · 64837
Office
Unavailable
Facility
$301.56
No comparable office rate is available.
Mississippi
Mississippi · 64837
Office
Unavailable
Facility
$291.29
No comparable office rate is available.
Montana**
Montana · 64837
Office
Unavailable
Facility
$311.54
No comparable office rate is available.
North Carolina
North Carolina · 64837
Office
Unavailable
Facility
$291.61
No comparable office rate is available.
North Dakota**
North Dakota · 64837
Office
Unavailable
Facility
$285.84
No comparable office rate is available.
Nebraska
Nebraska · 64837
Office
Unavailable
Facility
$279.63
No comparable office rate is available.
New Hampshire
New Hampshire · 64837
Office
Unavailable
Facility
$308.86
No comparable office rate is available.
Northern Nj
New Jersey · 64837
Office
Unavailable
Facility
$337.77
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 64837
Office
Unavailable
Facility
$329.94
No comparable office rate is available.
New Mexico
New Mexico · 64837
Office
Unavailable
Facility
$314.98
No comparable office rate is available.
Nevada**
Nevada · 64837
Office
Unavailable
Facility
$304.44
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 64837
Office
Unavailable
Facility
$374.11
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 64837
Office
Unavailable
Facility
$336.06
No comparable office rate is available.
Queens
New York · 64837
Office
Unavailable
Facility
$355.63
No comparable office rate is available.
Rest Of New York
New York · 64837
Office
Unavailable
Facility
$295.49
No comparable office rate is available.
Ohio
Ohio · 64837
Office
Unavailable
Facility
$306.34
No comparable office rate is available.
Oklahoma
Oklahoma · 64837
Office
Unavailable
Facility
$295.01
No comparable office rate is available.
Portland
Oregon · 64837
Office
Unavailable
Facility
$310.96
No comparable office rate is available.
Rest Of Oregon
Oregon · 64837
Office
Unavailable
Facility
$298.48
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 64837
Office
Unavailable
Facility
$326.33
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 64837
Office
Unavailable
Facility
$303.93
No comparable office rate is available.
Puerto Rico
Puerto Rico · 64837
Office
Unavailable
Facility
$311.69
No comparable office rate is available.
Rhode Island
Rhode Island · 64837
Office
Unavailable
Facility
$312.94
No comparable office rate is available.
South Carolina
South Carolina · 64837
Office
Unavailable
Facility
$300.19
No comparable office rate is available.
South Dakota**
South Dakota · 64837
Office
Unavailable
Facility
$282.80
No comparable office rate is available.
Tennessee
Tennessee · 64837
Office
Unavailable
Facility
$285.63
No comparable office rate is available.
Austin
Texas · 64837
Office
Unavailable
Facility
$310.85
No comparable office rate is available.
Beaumont
Texas · 64837
Office
Unavailable
Facility
$302.72
No comparable office rate is available.
Brazoria
Texas · 64837
Office
Unavailable
Facility
$303.12
No comparable office rate is available.
Dallas
Texas · 64837
Office
Unavailable
Facility
$307.04
No comparable office rate is available.
Fort Worth
Texas · 64837
Office
Unavailable
Facility
$306.95
No comparable office rate is available.
Galveston
Texas · 64837
Office
Unavailable
Facility
$305.34
No comparable office rate is available.
Houston
Texas · 64837
Office
Unavailable
Facility
$329.13
No comparable office rate is available.
Rest Of Texas
Texas · 64837
Office
Unavailable
Facility
$304.11
No comparable office rate is available.
Utah
Utah · 64837
Office
Unavailable
Facility
$303.31
No comparable office rate is available.
Virginia
Virginia · 64837
Office
Unavailable
Facility
$297.76
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 64837
Office
Unavailable
Facility
$311.69
No comparable office rate is available.
Vermont
Vermont · 64837
Office
Unavailable
Facility
$289.53
No comparable office rate is available.
Rest Of Washington
Washington · 64837
Office
Unavailable
Facility
$307.33
No comparable office rate is available.
Seattle (King Cnty)
Washington · 64837
Office
Unavailable
Facility
$328.56
No comparable office rate is available.
Wisconsin
Wisconsin · 64837
Office
Unavailable
Facility
$278.86
No comparable office rate is available.
West Virginia
West Virginia · 64837
Office
Unavailable
Facility
$321.86
No comparable office rate is available.
Wyoming**
Wyoming · 64837
Office
Unavailable
Facility
$300.34
No comparable office rate is available.
See how rates vary across the country
64837 · 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 64837 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$331.28
$301.16 × 110% = $331.28
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 64837 in Chico.
PPRRVU2026_Oct_nonQPP.csv
7,254
- Code
- 64837
- Physician work
- 6.09
- Practice expense
- 1.94
- Malpractice
- 1.30
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.09 | × 1.017 | 6.1935 |
| Practice expense | 1.94 | × 1.096 | 2.1262 |
| Malpractice | 1.30 | × 0.536 | 0.6968 |
| Total RVUs | 9.0166 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico$301.16
Open 64837 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.09 | 1.017 |
| Practice expense | 1.94 | 1.096 |
| Malpractice | 1.3 | 0.536 |
(6.09 × 1.017 + 1.94 × 1.096 + 1.3 × 0.536) × $33.4009 = $301.16
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
64837 · 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 | $301.16 | RVU26D |
| 2026-07-01 | Not available in this setting | $301.16 | RVU26C |
| 2026-04-01 | Not available in this setting | $301.16 | RVU26B |
| 2026-01-01 | Not available in this setting | $301.16 | RVU26A |
| 2025-10-01 | Not available in this setting | $345.21 | RVU25D |
| 2025-07-01 | Not available in this setting | $345.21 | RVU25C |
| 2025-04-01 | Not available in this setting | $345.21 | RVU25B |
| 2025-01-01 | Not available in this setting | $345.21 | RVU25A |
64837 billing questions
Which primary code must accompany 64837?
Report 64837 with 64836, which represents repair with transposition of the first qualifying hand or foot nerve. The additional nerve must also be repaired with transposition.
Can 64837 be used for an additional digital nerve?
No. Code 64837 applies to additional non-digital nerves of the hand or foot; 64832 is the add-on for an additional digital nerve.
How does 64837 differ from 64835?
Both concern additional non-digital hand or foot nerves, but 64837 is for repair with transposition. Code 64835 describes an additional nerve repair without that transposition distinction.
What should the operative report document?
Identify the additional nerve and describe its repair and transposition. The record should also support the primary 64836 service for the first nerve.
Is 64837 billed as a stand-alone service?
No. CMS identifies it as an add-on code, so it is billed only with a primary procedure; payment is within that procedure's 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.
7,25164834,,Repair of hand or foot nerve,A,,10.54,7.45,NA,7.45,,1.79,19.78,19.78,0,090,0.11,0.76,0.13,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,25264835,,Repair of hand or foot nerve,A,,11.44,8.73,NA,8.73,,2.44,22.61,22.61,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,25364836,,Repair of hand or foot nerve,A,,11.44,8.73,NA,8.73,,2.44,22.61,22.61,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,25464837,,Repair nerve add-on,A,,6.09,1.94,NA,1.94,,1.30,9.33,9.33,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,25564840,,Repair of leg nerve,A,,13.67,9.91,NA,9.91,,2.91,26.49,26.49,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,25664856,,Repair/transpose nerve,A,,14.69,9.37,NA,9.37,,3.47,27.53,27.53,0,090,0.11,0.76,0.13,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,25764857,,Repair arm/leg nerve,A,,15.42,9.62,NA,9.62,,3.25,28.29,28.29,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,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