64722 describes nerve decompression. Choose 64732 when the surgeon intentionally transects or avulses a supraorbital or supratrochlear nerve.
On this page
CMS RVU26D · Effective 2026-10-01
64732 in Merced
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$491.61
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 64732: Supraorbital nerve transection
Reports surgical interruption of a supraorbital or supratrochlear nerve at the brow, typically for selected patients with focal neuralgia or migraine trigger pain.
This operation intentionally interrupts a brow sensory nerve, generally the supraorbital or supratrochlear nerve, by transection or avulsion. It may be performed for selected patients with persistent focal neuralgia or as part of surgery for migraine trigger pain. Plastic surgeons, facial plastic surgeons, and peripheral nerve or neurosurgical specialists may perform it in a hospital or ambulatory surgical setting. The operative report should identify the nerve and side and describe the interruption performed.
Report 64732 when the documented service is nerve transection or avulsion at the brow, rather than exposure or decompression alone. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For bilateral surgery, modifier 50 is paid at 150%. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures at 50%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 64732
- 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 RVU4.77 · 32%
- Practice expense (office) RVU8.02 · 54%
- Malpractice RVU2.01 · 14%
14
Medicare services in 2024 · #6117 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.
64732 compared with similar codes
Office rates for Merced, from the same CMS release.
64734 concerns nerve interruption at the cheek, while 64732 is for a brow nerve.
64744 concerns nerve interruption at the back of the head; 64732 is specific to the brow region.
The same code, a different location
How does Merced compare?
64732 across payment areas
Same release and payment basis · bars start at $0
Merced · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
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
Madera
California · 64732
Office
Unavailable
Facility
$491.61
No comparable office rate is available.
Modesto
California · 64732
Office
Unavailable
Facility
$491.61
No comparable office rate is available.
Napa
California · 64732
Office
Unavailable
Facility
$556.52
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 64732
Office
Unavailable
Facility
$522.24
No comparable office rate is available.
Redding
California · 64732
Office
Unavailable
Facility
$491.61
No comparable office rate is available.
Rest Of California
California · 64732
Office
Unavailable
Facility
$491.61
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 64732
Office
Unavailable
Facility
$513.05
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 64732
Office
Unavailable
Facility
$512.58
No comparable office rate is available.
Salinas
California · 64732
Office
Unavailable
Facility
$510.71
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 64732
Office
Unavailable
Facility
$520.87
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 64732
Office
Unavailable
Facility
$582.98
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 64732
Office
Unavailable
Facility
$580.69
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 64732
Office
Unavailable
Facility
$599.11
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 64732
Office
Unavailable
Facility
$589.78
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 64732
Office
Unavailable
Facility
$503.13
No comparable office rate is available.
Santa Cruz-Watsonville
California · 64732
Office
Unavailable
Facility
$524.12
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 64732
Office
Unavailable
Facility
$512.11
No comparable office rate is available.
Santa Rosa-Petaluma
California · 64732
Office
Unavailable
Facility
$529.04
No comparable office rate is available.
Stockton
California · 64732
Office
Unavailable
Facility
$491.61
No comparable office rate is available.
Vallejo
California · 64732
Office
Unavailable
Facility
$553.23
No comparable office rate is available.
Visalia
California · 64732
Office
Unavailable
Facility
$491.61
No comparable office rate is available.
Yuba City
California · 64732
Office
Unavailable
Facility
$491.61
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 64732
Office
Unavailable
Facility
$558.20
No comparable office rate is available.
Miami
Florida · 64732
Office
Unavailable
Facility
$607.97
No comparable office rate is available.
Chicago
Illinois · 64732
Office
Unavailable
Facility
$583.73
No comparable office rate is available.
Manhattan
New York · 64732
Office
Unavailable
Facility
$587.27
No comparable office rate is available.
Alaska*
Alaska · 64732
Office
Unavailable
Facility
$561.26
No comparable office rate is available.
Alabama
Alabama · 64732
Office
Unavailable
Facility
$431.71
No comparable office rate is available.
Arkansas
Arkansas · 64732
Office
Unavailable
Facility
$424.00
No comparable office rate is available.
Arizona
Arizona · 64732
Office
Unavailable
Facility
$476.36
No comparable office rate is available.
Colorado
Colorado · 64732
Office
Unavailable
Facility
$498.69
No comparable office rate is available.
Connecticut
Connecticut · 64732
Office
Unavailable
Facility
$532.24
No comparable office rate is available.
Delaware
Delaware · 64732
Office
Unavailable
Facility
$485.13
No comparable office rate is available.
Fort Lauderdale
Florida · 64732
Office
Unavailable
Facility
$552.06
No comparable office rate is available.
Rest Of Florida
Florida · 64732
Office
Unavailable
Facility
$516.32
No comparable office rate is available.
Atlanta
Georgia · 64732
Office
Unavailable
Facility
$512.59
No comparable office rate is available.
Rest Of Georgia
Georgia · 64732
Office
Unavailable
Facility
$478.29
No comparable office rate is available.
Hawaii, Guam
Hawaii · 64732
Office
Unavailable
Facility
$502.77
No comparable office rate is available.
Iowa
Iowa · 64732
Office
Unavailable
Facility
$431.08
No comparable office rate is available.
Idaho
Idaho · 64732
Office
Unavailable
Facility
$437.52
No comparable office rate is available.
East St. Louis
Illinois · 64732
Office
Unavailable
Facility
$540.98
No comparable office rate is available.
Rest Of Illinois
Illinois · 64732
Office
Unavailable
Facility
$508.83
No comparable office rate is available.
Suburban Chicago
Illinois · 64732
Office
Unavailable
Facility
$554.51
No comparable office rate is available.
Indiana
Indiana · 64732
Office
Unavailable
Facility
$440.27
No comparable office rate is available.
Kansas
Kansas · 64732
Office
Unavailable
Facility
$435.32
No comparable office rate is available.
Kentucky
Kentucky · 64732
Office
Unavailable
Facility
$458.89
No comparable office rate is available.
New Orleans
Louisiana · 64732
Office
Unavailable
Facility
$487.66
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 64732
Office
Unavailable
Facility
$460.71
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 64732
Office
Unavailable
Facility
$545.45
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 64732
Office
Unavailable
Facility
$497.45
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 64732
Office
Unavailable
Facility
$532.35
No comparable office rate is available.
Rest Of Maryland
Maryland · 64732
Office
Unavailable
Facility
$493.64
No comparable office rate is available.
Rest Of Maine
Maine · 64732
Office
Unavailable
Facility
$447.53
No comparable office rate is available.
Southern Maine
Maine · 64732
Office
Unavailable
Facility
$467.15
No comparable office rate is available.
Detroit
Michigan · 64732
Office
Unavailable
Facility
$531.01
No comparable office rate is available.
Rest Of Michigan
Michigan · 64732
Office
Unavailable
Facility
$479.69
No comparable office rate is available.
Minnesota
Minnesota · 64732
Office
Unavailable
Facility
$454.84
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 64732
Office
Unavailable
Facility
$476.45
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 64732
Office
Unavailable
Facility
$481.61
No comparable office rate is available.
Rest Of Missouri
Missouri · 64732
Office
Unavailable
Facility
$455.62
No comparable office rate is available.
Mississippi
Mississippi · 64732
Office
Unavailable
Facility
$439.58
No comparable office rate is available.
Montana**
Montana · 64732
Office
Unavailable
Facility
$494.20
No comparable office rate is available.
North Carolina
North Carolina · 64732
Office
Unavailable
Facility
$452.15
No comparable office rate is available.
North Dakota**
North Dakota · 64732
Office
Unavailable
Facility
$454.45
No comparable office rate is available.
Nebraska
Nebraska · 64732
Office
Unavailable
Facility
$431.95
No comparable office rate is available.
New Hampshire
New Hampshire · 64732
Office
Unavailable
Facility
$496.92
No comparable office rate is available.
Northern Nj
New Jersey · 64732
Office
Unavailable
Facility
$551.80
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 64732
Office
Unavailable
Facility
$531.86
No comparable office rate is available.
New Mexico
New Mexico · 64732
Office
Unavailable
Facility
$485.59
No comparable office rate is available.
Nevada**
Nevada · 64732
Office
Unavailable
Facility
$483.39
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 64732
Office
Unavailable
Facility
$612.69
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 64732
Office
Unavailable
Facility
$541.05
No comparable office rate is available.
Queens
New York · 64732
Office
Unavailable
Facility
$582.96
No comparable office rate is available.
Rest Of New York
New York · 64732
Office
Unavailable
Facility
$461.00
No comparable office rate is available.
Ohio
Ohio · 64732
Office
Unavailable
Facility
$471.57
No comparable office rate is available.
Oklahoma
Oklahoma · 64732
Office
Unavailable
Facility
$450.70
No comparable office rate is available.
Portland
Oregon · 64732
Office
Unavailable
Facility
$509.43
No comparable office rate is available.
Rest Of Oregon
Oregon · 64732
Office
Unavailable
Facility
$473.32
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 64732
Office
Unavailable
Facility
$521.14
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 64732
Office
Unavailable
Facility
$468.68
No comparable office rate is available.
Puerto Rico
Puerto Rico · 64732
Office
Unavailable
Facility
$496.27
No comparable office rate is available.
Rhode Island
Rhode Island · 64732
Office
Unavailable
Facility
$498.95
No comparable office rate is available.
South Carolina
South Carolina · 64732
Office
Unavailable
Facility
$463.90
No comparable office rate is available.
South Dakota**
South Dakota · 64732
Office
Unavailable
Facility
$449.76
No comparable office rate is available.
Tennessee
Tennessee · 64732
Office
Unavailable
Facility
$438.87
No comparable office rate is available.
Austin
Texas · 64732
Office
Unavailable
Facility
$502.54
No comparable office rate is available.
Beaumont
Texas · 64732
Office
Unavailable
Facility
$465.46
No comparable office rate is available.
Brazoria
Texas · 64732
Office
Unavailable
Facility
$478.43
No comparable office rate is available.
Dallas
Texas · 64732
Office
Unavailable
Facility
$485.16
No comparable office rate is available.
Fort Worth
Texas · 64732
Office
Unavailable
Facility
$483.36
No comparable office rate is available.
Galveston
Texas · 64732
Office
Unavailable
Facility
$482.19
No comparable office rate is available.
Houston
Texas · 64732
Office
Unavailable
Facility
$518.98
No comparable office rate is available.
Rest Of Texas
Texas · 64732
Office
Unavailable
Facility
$474.16
No comparable office rate is available.
Utah
Utah · 64732
Office
Unavailable
Facility
$471.41
No comparable office rate is available.
Virginia
Virginia · 64732
Office
Unavailable
Facility
$470.04
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 64732
Office
Unavailable
Facility
$496.27
No comparable office rate is available.
Vermont
Vermont · 64732
Office
Unavailable
Facility
$458.49
No comparable office rate is available.
Rest Of Washington
Washington · 64732
Office
Unavailable
Facility
$494.56
No comparable office rate is available.
Seattle (King Cnty)
Washington · 64732
Office
Unavailable
Facility
$550.82
No comparable office rate is available.
Wisconsin
Wisconsin · 64732
Office
Unavailable
Facility
$436.62
No comparable office rate is available.
West Virginia
West Virginia · 64732
Office
Unavailable
Facility
$488.18
No comparable office rate is available.
Wyoming**
Wyoming · 64732
Office
Unavailable
Facility
$476.88
No comparable office rate is available.
See how rates vary across the country
64732 · 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?
Merced is a Medicare payment area. Our Census mapping connects it to 24 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 64732 in Merced. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$540.77
$491.61 × 110% = $540.77
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 64732 in Merced.
PPRRVU2026_Oct_nonQPP.csv
7,215
- Code
- 64732
- Physician work
- 4.77
- Practice expense
- 8.02
- Malpractice
- 2.01
GPCI2026.csv
15
- Locality
- Merced
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.77 | × 1.017 | 4.8511 |
| Practice expense | 8.02 | × 1.096 | 8.7899 |
| Malpractice | 2.01 | × 0.536 | 1.0774 |
| Total RVUs | 14.7184 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Merced$491.61
Open 64732 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.77 | 1.017 |
| Practice expense | 8.02 | 1.096 |
| Malpractice | 2.01 | 0.536 |
(4.77 × 1.017 + 8.02 × 1.096 + 2.01 × 0.536) × $33.4009 = $491.61
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
64732 · 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 | $491.61 | RVU26D |
| 2026-07-01 | Not available in this setting | $491.61 | RVU26C |
| 2026-04-01 | Not available in this setting | $491.61 | RVU26B |
| 2026-01-01 | Not available in this setting | $491.61 | RVU26A |
| 2025-10-01 | Not available in this setting | $451.89 | RVU25D |
| 2025-07-01 | Not available in this setting | $451.89 | RVU25C |
| 2025-04-01 | Not available in this setting | $451.89 | RVU25B |
| 2025-01-01 | Not available in this setting | $451.89 | RVU25A |
64732 billing questions
When is 64732 appropriate instead of a nerve decompression code?
Use 64732 for documented transection or avulsion of a brow nerve. Decompression describes relieving pressure on a nerve, not intentionally interrupting it.
What details should the operative report include?
Document the specific brow nerve, side, indication, and whether it was transected or avulsed. The record should make clear that nerve interruption—not decompression alone—was performed.
How is bilateral brow nerve surgery reported?
For a bilateral procedure, report modifier 50; CMS pays it at 150%.
Does the 90-day global period include postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. CMS does not permit co-surgeons or team surgery for this code.
How does CMS handle multiple procedures in the same session?
The highest-valued procedure is paid in full, and other procedures are paid at 50%.
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.
