No office rate
Choose 64702 for a digital nerve in a finger or toe. Code 64704 applies to a nerve in the hand or foot that is not classified as a finger or toe nerve.
On this page
CMS RVU26D · Effective 2026-10-01
64704 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$305.52
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 64704: Hand or foot nerve neuroplasty
Report this procedure when a surgeon frees a nerve in the hand or foot from surrounding scar or adhesions to improve its mobility.
The surgeon exposes a nerve in the hand or foot and releases it from restrictive scar tissue or adhesions. This external neurolysis, also called neuroplasty, may be performed by a hand surgeon, orthopedic surgeon, plastic surgeon, or peripheral nerve surgeon when a nerve is tethered or compressed in the operative area. The code is for a hand or foot nerve, rather than a digital nerve of a finger or toe or a nerve at a separately specified site such as the carpal tunnel.
Choose the code from the nerve’s location and the work documented, not simply from a diagnosis of neuropathy. The operative report should identify the nerve, the hand or foot site, the tethering or scarring, and the release performed. This major surgery code has 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 is paid in full and other procedures are subject to the standard reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 64704
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.57 · 50%
- Practice expense (office) RVU4.10 · 44%
- Malpractice RVU0.56 · 6%
2.5K
Medicare services in 2024 · #2290 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.
64704 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
Code 64708 covers a nerve in the arm or leg. Code 64704 is limited by site to a nerve in the hand or foot.
$476.66
Code 64721 is specific to carpal tunnel surgery involving the median nerve. Use 64704 for a different hand or foot nerve neuroplasty.
No office rate
Code 64727 describes internal neurolysis as an add-on service, not the primary hand or foot nerve neuroplasty represented by 64704.
The same code, a different location
How does Delaware compare?
64704 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
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 Delaware 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
Alabama
Alabama · 64704
Office
Unavailable
Facility
$283.05
No comparable office rate is available.
Arkansas
Arkansas · 64704
Office
Unavailable
Facility
$279.91
No comparable office rate is available.
Arizona
Arizona · 64704
Office
Unavailable
Facility
$301.35
No comparable office rate is available.
Bakersfield
California · 64704
Office
Unavailable
Facility
$317.02
No comparable office rate is available.
Chico
California · 64704
Office
Unavailable
Facility
$315.35
No comparable office rate is available.
El Centro
California · 64704
Office
Unavailable
Facility
$315.45
No comparable office rate is available.
Fresno
California · 64704
Office
Unavailable
Facility
$315.35
No comparable office rate is available.
Hanford-Corcoran
California · 64704
Office
Unavailable
Facility
$315.35
No comparable office rate is available.
Madera
California · 64704
Office
Unavailable
Facility
$315.35
No comparable office rate is available.
Merced
California · 64704
Office
Unavailable
Facility
$315.35
No comparable office rate is available.
Modesto
California · 64704
Office
Unavailable
Facility
$315.35
No comparable office rate is available.
Napa
California · 64704
Office
Unavailable
Facility
$352.25
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 64704
Office
Unavailable
Facility
$330.44
No comparable office rate is available.
Redding
California · 64704
Office
Unavailable
Facility
$315.35
No comparable office rate is available.
Rest Of California
California · 64704
Office
Unavailable
Facility
$315.35
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 64704
Office
Unavailable
Facility
$321.43
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 64704
Office
Unavailable
Facility
$327.43
No comparable office rate is available.
Salinas
California · 64704
Office
Unavailable
Facility
$326.12
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 64704
Office
Unavailable
Facility
$331.14
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 64704
Office
Unavailable
Facility
$368.82
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 64704
Office
Unavailable
Facility
$368.18
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 64704
Office
Unavailable
Facility
$376.93
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 64704
Office
Unavailable
Facility
$374.33
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 64704
Office
Unavailable
Facility
$321.24
No comparable office rate is available.
Santa Cruz-Watsonville
California · 64704
Office
Unavailable
Facility
$332.26
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 64704
Office
Unavailable
Facility
$326.62
No comparable office rate is available.
Santa Rosa-Petaluma
California · 64704
Office
Unavailable
Facility
$335.41
No comparable office rate is available.
Stockton
California · 64704
Office
Unavailable
Facility
$315.35
No comparable office rate is available.
Vallejo
California · 64704
Office
Unavailable
Facility
$351.34
No comparable office rate is available.
Visalia
California · 64704
Office
Unavailable
Facility
$315.35
No comparable office rate is available.
Yuba City
California · 64704
Office
Unavailable
Facility
$315.35
No comparable office rate is available.
Colorado
Colorado · 64704
Office
Unavailable
Facility
$314.79
No comparable office rate is available.
Connecticut
Connecticut · 64704
Office
Unavailable
Facility
$325.82
No comparable office rate is available.
Fort Lauderdale
Florida · 64704
Office
Unavailable
Facility
$325.18
No comparable office rate is available.
Rest Of Florida
Florida · 64704
Office
Unavailable
Facility
$311.67
No comparable office rate is available.
Atlanta
Georgia · 64704
Office
Unavailable
Facility
$314.70
No comparable office rate is available.
Rest Of Georgia
Georgia · 64704
Office
Unavailable
Facility
$297.09
No comparable office rate is available.
Hawaii, Guam
Hawaii · 64704
Office
Unavailable
Facility
$319.18
No comparable office rate is available.
Iowa
Iowa · 64704
Office
Unavailable
Facility
$285.37
No comparable office rate is available.
Idaho
Idaho · 64704
Office
Unavailable
Facility
$287.48
No comparable office rate is available.
East St. Louis
Illinois · 64704
Office
Unavailable
Facility
$316.30
No comparable office rate is available.
Rest Of Illinois
Illinois · 64704
Office
Unavailable
Facility
$306.91
No comparable office rate is available.
Suburban Chicago
Illinois · 64704
Office
Unavailable
Facility
$327.50
No comparable office rate is available.
Indiana
Indiana · 64704
Office
Unavailable
Facility
$288.68
No comparable office rate is available.
Kansas
Kansas · 64704
Office
Unavailable
Facility
$285.87
No comparable office rate is available.
Kentucky
Kentucky · 64704
Office
Unavailable
Facility
$291.50
No comparable office rate is available.
New Orleans
Louisiana · 64704
Office
Unavailable
Facility
$302.75
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 64704
Office
Unavailable
Facility
$291.76
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 64704
Office
Unavailable
Facility
$339.06
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 64704
Office
Unavailable
Facility
$314.19
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 64704
Office
Unavailable
Facility
$325.16
No comparable office rate is available.
Rest Of Maryland
Maryland · 64704
Office
Unavailable
Facility
$309.93
No comparable office rate is available.
Rest Of Maine
Maine · 64704
Office
Unavailable
Facility
$290.26
No comparable office rate is available.
Southern Maine
Maine · 64704
Office
Unavailable
Facility
$300.16
No comparable office rate is available.
Detroit
Michigan · 64704
Office
Unavailable
Facility
$316.33
No comparable office rate is available.
Rest Of Michigan
Michigan · 64704
Office
Unavailable
Facility
$298.79
No comparable office rate is available.
Minnesota
Minnesota · 64704
Office
Unavailable
Facility
$299.09
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 64704
Office
Unavailable
Facility
$299.51
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 64704
Office
Unavailable
Facility
$301.75
No comparable office rate is available.
Rest Of Missouri
Missouri · 64704
Office
Unavailable
Facility
$288.91
No comparable office rate is available.
Mississippi
Mississippi · 64704
Office
Unavailable
Facility
$284.37
No comparable office rate is available.
Montana**
Montana · 64704
Office
Unavailable
Facility
$308.25
No comparable office rate is available.
North Carolina
North Carolina · 64704
Office
Unavailable
Facility
$292.36
No comparable office rate is available.
North Dakota**
North Dakota · 64704
Office
Unavailable
Facility
$297.18
No comparable office rate is available.
Nebraska
Nebraska · 64704
Office
Unavailable
Facility
$286.11
No comparable office rate is available.
New Hampshire
New Hampshire · 64704
Office
Unavailable
Facility
$311.57
No comparable office rate is available.
Northern Nj
New Jersey · 64704
Office
Unavailable
Facility
$341.09
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 64704
Office
Unavailable
Facility
$328.81
No comparable office rate is available.
New Mexico
New Mexico · 64704
Office
Unavailable
Facility
$300.68
No comparable office rate is available.
Nevada**
Nevada · 64704
Office
Unavailable
Facility
$305.30
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 64704
Office
Unavailable
Facility
$359.97
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 64704
Office
Unavailable
Facility
$332.10
No comparable office rate is available.
Queens
New York · 64704
Office
Unavailable
Facility
$351.25
No comparable office rate is available.
Rest Of New York
New York · 64704
Office
Unavailable
Facility
$295.89
No comparable office rate is available.
Ohio
Ohio · 64704
Office
Unavailable
Facility
$296.53
No comparable office rate is available.
Oklahoma
Oklahoma · 64704
Office
Unavailable
Facility
$289.47
No comparable office rate is available.
Portland
Oregon · 64704
Office
Unavailable
Facility
$321.14
No comparable office rate is available.
Rest Of Oregon
Oregon · 64704
Office
Unavailable
Facility
$302.19
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 64704
Office
Unavailable
Facility
$320.26
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 64704
Office
Unavailable
Facility
$296.03
No comparable office rate is available.
Puerto Rico
Puerto Rico · 64704
Office
Unavailable
Facility
$309.52
No comparable office rate is available.
Rhode Island
Rhode Island · 64704
Office
Unavailable
Facility
$313.69
No comparable office rate is available.
South Carolina
South Carolina · 64704
Office
Unavailable
Facility
$295.08
No comparable office rate is available.
South Dakota**
South Dakota · 64704
Office
Unavailable
Facility
$295.87
No comparable office rate is available.
Tennessee
Tennessee · 64704
Office
Unavailable
Facility
$287.17
No comparable office rate is available.
Austin
Texas · 64704
Office
Unavailable
Facility
$314.41
No comparable office rate is available.
Beaumont
Texas · 64704
Office
Unavailable
Facility
$294.64
No comparable office rate is available.
Brazoria
Texas · 64704
Office
Unavailable
Facility
$304.16
No comparable office rate is available.
Dallas
Texas · 64704
Office
Unavailable
Facility
$306.46
No comparable office rate is available.
Fort Worth
Texas · 64704
Office
Unavailable
Facility
$305.33
No comparable office rate is available.
Galveston
Texas · 64704
Office
Unavailable
Facility
$305.34
No comparable office rate is available.
Houston
Texas · 64704
Office
Unavailable
Facility
$315.59
No comparable office rate is available.
Rest Of Texas
Texas · 64704
Office
Unavailable
Facility
$299.49
No comparable office rate is available.
Utah
Utah · 64704
Office
Unavailable
Facility
$298.17
No comparable office rate is available.
Virginia
Virginia · 64704
Office
Unavailable
Facility
$300.46
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 64704
Office
Unavailable
Facility
$309.52
No comparable office rate is available.
Vermont
Vermont · 64704
Office
Unavailable
Facility
$297.68
No comparable office rate is available.
Rest Of Washington
Washington · 64704
Office
Unavailable
Facility
$313.06
No comparable office rate is available.
Seattle (King Cnty)
Washington · 64704
Office
Unavailable
Facility
$343.59
No comparable office rate is available.
Wisconsin
Wisconsin · 64704
Office
Unavailable
Facility
$289.60
No comparable office rate is available.
West Virginia
West Virginia · 64704
Office
Unavailable
Facility
$298.41
No comparable office rate is available.
Wyoming**
Wyoming · 64704
Office
Unavailable
Facility
$303.43
No comparable office rate is available.
See how rates vary across the country
64704 · 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?
Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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 64704 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$336.07
$305.52 × 110% = $336.07
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 64704 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
7,202
- Code
- 64704
- Physician work
- 4.57
- Practice expense
- 4.10
- Malpractice
- 0.56
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.57 | × 1.005 | 4.5928 |
| Practice expense | 4.10 | × 0.988 | 4.0508 |
| Malpractice | 0.56 | × 0.899 | 0.5034 |
| Total RVUs | 9.1471 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$305.52
Open 64704 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.57 | 1.005 |
| Practice expense | 4.1 | 0.988 |
| Malpractice | 0.56 | 0.899 |
(4.57 × 1.005 + 4.1 × 0.988 + 0.56 × 0.899) × $33.4009 = $305.52
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
64704 · 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 | $305.52 | RVU26D |
| 2026-07-01 | Not available in this setting | $305.52 | RVU26C |
| 2026-04-01 | Not available in this setting | $305.52 | RVU26B |
| 2026-01-01 | Not available in this setting | $305.52 | RVU26A |
| 2025-10-01 | Not available in this setting | $320.75 | RVU25D |
| 2025-07-01 | Not available in this setting | $320.75 | RVU25C |
| 2025-04-01 | Not available in this setting | $320.75 | RVU25B |
| 2025-01-01 | Not available in this setting | $320.75 | RVU25A |
64704 billing questions
How does this differ from code 64702?
Code 64702 is for neuroplasty of a digital nerve in a finger or toe. Use 64704 for a nerve in the hand or foot that is not represented by that digital-nerve code.
Is this the code for carpal tunnel release?
No. Carpal tunnel surgery has a specific code, 64721. Use 64704 when the documented neuroplasty is for a hand or foot nerve outside that separately specified procedure.
What documentation supports reporting this procedure?
Document the nerve and its hand or foot location, the scar or adhesions restricting it, and the operative release performed. A diagnosis of nerve symptoms alone does not establish that neuroplasty was performed.
Can modifier 50 be used for treatment on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code. Document the treated side or sides, but do not use modifier 50 for 64704.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. Unrelated services during that period are not described by this global-care rule.
How are other procedures in the same session paid?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.
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.
7,19964680,,Injection treatment of nerve,A,,2.60,7.52,,1.53,,0.26,10.38,4.39,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,20064681,,Injection treatment of nerve,A,,3.69,9.85,,1.79,,0.30,13.84,5.78,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,20164702,,Revise finger/toe nerve,A,,6.10,7.44,NA,7.44,,1.09,14.63,14.63,0,090,0.11,0.76,0.13,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,20264704,,Revise hand/foot nerve,A,,4.57,4.10,NA,4.10,,0.56,9.23,9.23,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,20364708,,Revise arm/leg nerve,A,,6.20,6.85,NA,6.85,,0.85,13.90,13.90,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,20464712,,Revision of sciatic nerve,A,,7.87,7.14,NA,7.14,,1.68,16.69,16.69,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,20564713,,Revision of arm nerve(s),A,,11.12,8.61,NA,8.61,,2.58,22.31,22.31,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503