No office rate
64857 covers major peripheral nerve repair in the arm or leg, excluding the sciatic nerve, without transposition. Choose based on the applicable code description and documented operation.
On this page
CMS RVU26D · Effective 2026-10-01
64840 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$873.28
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 64840: Major peripheral nerve repair in the leg
Repair of a major peripheral nerve in the leg, reported for operative treatment of nerve injury rather than repair of a smaller distal nerve.
This service covers operative repair of a major peripheral nerve in the leg, such as repair after a traumatic laceration or transection. It is typically performed by a surgeon with peripheral nerve, orthopedic, plastic, or neurosurgical expertise in an operating room. The operative report should identify the injured nerve and leg location, describe the injury and repair performed, and distinguish the service from treatment of a smaller nerve in the hand or foot or repair of the sciatic nerve.
Report the code supported by the nerve treated and the operative service; document the findings and repair technique. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 64840
- 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 may be paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU13.67 · 52%
- Practice expense (office) RVU9.91 · 37%
- Malpractice RVU2.91 · 11%
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.
64840 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
64858 is specific to repair of the sciatic nerve; this code applies to a major peripheral nerve repair in the leg other than that nerve.
No office rate
64834 describes repair of a nerve in the hand or foot, except a digital nerve. This code concerns a major peripheral nerve in the leg.
The same code, a different location
How does Delaware compare?
64840 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 · 64840
Office
Unavailable
Facility
$801.23
No comparable office rate is available.
Arkansas
Arkansas · 64840
Office
Unavailable
Facility
$790.98
No comparable office rate is available.
Arizona
Arizona · 64840
Office
Unavailable
Facility
$860.53
No comparable office rate is available.
Bakersfield
California · 64840
Office
Unavailable
Facility
$887.24
No comparable office rate is available.
Chico
California · 64840
Office
Unavailable
Facility
$879.23
No comparable office rate is available.
El Centro
California · 64840
Office
Unavailable
Facility
$879.71
No comparable office rate is available.
Fresno
California · 64840
Office
Unavailable
Facility
$879.23
No comparable office rate is available.
Hanford-Corcoran
California · 64840
Office
Unavailable
Facility
$879.23
No comparable office rate is available.
Madera
California · 64840
Office
Unavailable
Facility
$879.23
No comparable office rate is available.
Merced
California · 64840
Office
Unavailable
Facility
$879.23
No comparable office rate is available.
Modesto
California · 64840
Office
Unavailable
Facility
$879.23
No comparable office rate is available.
Napa
California · 64840
Office
Unavailable
Facility
$970.99
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 64840
Office
Unavailable
Facility
$921.17
No comparable office rate is available.
Redding
California · 64840
Office
Unavailable
Facility
$879.23
No comparable office rate is available.
Rest Of California
California · 64840
Office
Unavailable
Facility
$879.23
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 64840
Office
Unavailable
Facility
$910.50
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 64840
Office
Unavailable
Facility
$910.08
No comparable office rate is available.
Salinas
California · 64840
Office
Unavailable
Facility
$906.47
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 64840
Office
Unavailable
Facility
$918.85
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 64840
Office
Unavailable
Facility
$1011.29
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 64840
Office
Unavailable
Facility
$1007.99
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 64840
Office
Unavailable
Facility
$1036.22
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 64840
Office
Unavailable
Facility
$1022.71
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 64840
Office
Unavailable
Facility
$893.46
No comparable office rate is available.
Santa Cruz-Watsonville
California · 64840
Office
Unavailable
Facility
$920.44
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 64840
Office
Unavailable
Facility
$907.42
No comparable office rate is available.
Santa Rosa-Petaluma
California · 64840
Office
Unavailable
Facility
$928.86
No comparable office rate is available.
Stockton
California · 64840
Office
Unavailable
Facility
$879.23
No comparable office rate is available.
Vallejo
California · 64840
Office
Unavailable
Facility
$966.23
No comparable office rate is available.
Visalia
California · 64840
Office
Unavailable
Facility
$879.23
No comparable office rate is available.
Yuba City
California · 64840
Office
Unavailable
Facility
$879.23
No comparable office rate is available.
Colorado
Colorado · 64840
Office
Unavailable
Facility
$890.17
No comparable office rate is available.
Connecticut
Connecticut · 64840
Office
Unavailable
Facility
$939.82
No comparable office rate is available.
Fort Lauderdale
Florida · 64840
Office
Unavailable
Facility
$967.63
No comparable office rate is available.
Rest Of Florida
Florida · 64840
Office
Unavailable
Facility
$919.12
No comparable office rate is available.
Atlanta
Georgia · 64840
Office
Unavailable
Facility
$910.99
No comparable office rate is available.
Rest Of Georgia
Georgia · 64840
Office
Unavailable
Facility
$867.70
No comparable office rate is available.
Hawaii, Guam
Hawaii · 64840
Office
Unavailable
Facility
$889.22
No comparable office rate is available.
Iowa
Iowa · 64840
Office
Unavailable
Facility
$798.05
No comparable office rate is available.
Idaho
Idaho · 64840
Office
Unavailable
Facility
$807.09
No comparable office rate is available.
East St. Louis
Illinois · 64840
Office
Unavailable
Facility
$956.87
No comparable office rate is available.
Rest Of Illinois
Illinois · 64840
Office
Unavailable
Facility
$910.71
No comparable office rate is available.
Suburban Chicago
Illinois · 64840
Office
Unavailable
Facility
$971.96
No comparable office rate is available.
Indiana
Indiana · 64840
Office
Unavailable
Facility
$810.67
No comparable office rate is available.
Kansas
Kansas · 64840
Office
Unavailable
Facility
$804.80
No comparable office rate is available.
Kentucky
Kentucky · 64840
Office
Unavailable
Facility
$839.79
No comparable office rate is available.
New Orleans
Louisiana · 64840
Office
Unavailable
Facility
$878.48
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 64840
Office
Unavailable
Facility
$842.64
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 64840
Office
Unavailable
Facility
$957.03
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 64840
Office
Unavailable
Facility
$889.91
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 64840
Office
Unavailable
Facility
$939.29
No comparable office rate is available.
Rest Of Maryland
Maryland · 64840
Office
Unavailable
Facility
$885.36
No comparable office rate is available.
Rest Of Maine
Maine · 64840
Office
Unavailable
Facility
$821.57
No comparable office rate is available.
Southern Maine
Maine · 64840
Office
Unavailable
Facility
$845.95
No comparable office rate is available.
Detroit
Michigan · 64840
Office
Unavailable
Facility
$939.88
No comparable office rate is available.
Rest Of Michigan
Michigan · 64840
Office
Unavailable
Facility
$868.53
No comparable office rate is available.
Minnesota
Minnesota · 64840
Office
Unavailable
Facility
$825.96
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 64840
Office
Unavailable
Facility
$862.36
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 64840
Office
Unavailable
Facility
$869.10
No comparable office rate is available.
Rest Of Missouri
Missouri · 64840
Office
Unavailable
Facility
$836.58
No comparable office rate is available.
Mississippi
Mississippi · 64840
Office
Unavailable
Facility
$813.41
No comparable office rate is available.
Montana**
Montana · 64840
Office
Unavailable
Facility
$884.60
No comparable office rate is available.
North Carolina
North Carolina · 64840
Office
Unavailable
Facility
$827.52
No comparable office rate is available.
North Dakota**
North Dakota · 64840
Office
Unavailable
Facility
$827.06
No comparable office rate is available.
Nebraska
Nebraska · 64840
Office
Unavailable
Facility
$798.85
No comparable office rate is available.
New Hampshire
New Hampshire · 64840
Office
Unavailable
Facility
$886.21
No comparable office rate is available.
Northern Nj
New Jersey · 64840
Office
Unavailable
Facility
$973.12
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 64840
Office
Unavailable
Facility
$942.93
No comparable office rate is available.
New Mexico
New Mexico · 64840
Office
Unavailable
Facility
$876.85
No comparable office rate is available.
Nevada**
Nevada · 64840
Office
Unavailable
Facility
$868.89
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 64840
Office
Unavailable
Facility
$1059.87
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 64840
Office
Unavailable
Facility
$957.19
No comparable office rate is available.
Queens
New York · 64840
Office
Unavailable
Facility
$1017.22
No comparable office rate is available.
Rest Of New York
New York · 64840
Office
Unavailable
Facility
$839.37
No comparable office rate is available.
Ohio
Ohio · 64840
Office
Unavailable
Facility
$856.77
No comparable office rate is available.
Oklahoma
Oklahoma · 64840
Office
Unavailable
Facility
$827.70
No comparable office rate is available.
Portland
Oregon · 64840
Office
Unavailable
Facility
$903.95
No comparable office rate is available.
Rest Of Oregon
Oregon · 64840
Office
Unavailable
Facility
$854.60
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 64840
Office
Unavailable
Facility
$925.34
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 64840
Office
Unavailable
Facility
$852.30
No comparable office rate is available.
Puerto Rico
Puerto Rico · 64840
Office
Unavailable
Facility
$886.97
No comparable office rate is available.
Rhode Island
Rhode Island · 64840
Office
Unavailable
Facility
$893.89
No comparable office rate is available.
South Carolina
South Carolina · 64840
Office
Unavailable
Facility
$845.05
No comparable office rate is available.
South Dakota**
South Dakota · 64840
Office
Unavailable
Facility
$820.25
No comparable office rate is available.
Tennessee
Tennessee · 64840
Office
Unavailable
Facility
$809.67
No comparable office rate is available.
Austin
Texas · 64840
Office
Unavailable
Facility
$893.82
No comparable office rate is available.
Beaumont
Texas · 64840
Office
Unavailable
Facility
$848.10
No comparable office rate is available.
Brazoria
Texas · 64840
Office
Unavailable
Facility
$864.08
No comparable office rate is available.
Dallas
Texas · 64840
Office
Unavailable
Facility
$873.77
No comparable office rate is available.
Fort Worth
Texas · 64840
Office
Unavailable
Facility
$871.73
No comparable office rate is available.
Galveston
Texas · 64840
Office
Unavailable
Facility
$869.41
No comparable office rate is available.
Houston
Texas · 64840
Office
Unavailable
Facility
$922.67
No comparable office rate is available.
Rest Of Texas
Texas · 64840
Office
Unavailable
Facility
$858.48
No comparable office rate is available.
Utah
Utah · 64840
Office
Unavailable
Facility
$855.02
No comparable office rate is available.
Virginia
Virginia · 64840
Office
Unavailable
Facility
$850.59
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 64840
Office
Unavailable
Facility
$886.97
No comparable office rate is available.
Vermont
Vermont · 64840
Office
Unavailable
Facility
$833.46
No comparable office rate is available.
Rest Of Washington
Washington · 64840
Office
Unavailable
Facility
$885.04
No comparable office rate is available.
Seattle (King Cnty)
Washington · 64840
Office
Unavailable
Facility
$964.97
No comparable office rate is available.
Wisconsin
Wisconsin · 64840
Office
Unavailable
Facility
$803.63
No comparable office rate is available.
West Virginia
West Virginia · 64840
Office
Unavailable
Facility
$883.32
No comparable office rate is available.
Wyoming**
Wyoming · 64840
Office
Unavailable
Facility
$859.52
No comparable office rate is available.
See how rates vary across the country
64840 · 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 64840 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$960.61
$873.28 × 110% = $960.61
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 64840 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
7,255
- Code
- 64840
- Physician work
- 13.67
- Practice expense
- 9.91
- Malpractice
- 2.91
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.67 | × 1.005 | 13.7383 |
| Practice expense | 9.91 | × 0.988 | 9.7911 |
| Malpractice | 2.91 | × 0.899 | 2.6161 |
| Total RVUs | 26.1455 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$873.28
Open 64840 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.67 | 1.005 |
| Practice expense | 9.91 | 0.988 |
| Malpractice | 2.91 | 0.899 |
(13.67 × 1.005 + 9.91 × 0.988 + 2.91 × 0.899) × $33.4009 = $873.28
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
64840 · 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 | $873.28 | RVU26D |
| 2026-07-01 | Not available in this setting | $873.28 | RVU26C |
| 2026-04-01 | Not available in this setting | $873.28 | RVU26B |
| 2026-01-01 | Not available in this setting | $873.28 | RVU26A |
| 2025-10-01 | Not available in this setting | $943.89 | RVU25D |
| 2025-07-01 | Not available in this setting | $943.89 | RVU25C |
| 2025-04-01 | Not available in this setting | $943.89 | RVU25B |
| 2025-01-01 | Not available in this setting | $943.89 | RVU25A |
64840 billing questions
How is this different from repair of a hand or foot nerve?
This code is for a major peripheral nerve in the leg. Codes such as 64834 address a nerve in the hand or foot, except a digital nerve.
When would the sciatic nerve repair code be considered instead?
Use the sciatic nerve repair code, 64858, when the operative repair is of the sciatic nerve. Code selection depends on the nerve actually repaired.
What documentation supports reporting this service?
Document the nerve and leg location, the nature of the injury, operative findings, and the repair performed. The record should support repair of a major peripheral nerve rather than a smaller distal nerve.
How does the 90-day global period affect related care?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period for this major surgery.
How are bilateral and same-session procedures handled?
Bilateral reporting with modifier 50 is paid at 150%. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons and team surgery are not permitted under the CMS rules 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.
7,25264835,,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
7,25864858,,Repair sciatic nerve,A,,17.37,10.78,NA,10.78,,3.70,31.85,31.85,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,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