Both cover multiple-strand grafting in an arm or leg. The length distinction is the key: 64897 is for under 4 cm, while 64898 is for over 4 cm.
On this page
CMS RVU26D · Effective 2026-10-01
64898 in Merced
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1220.07
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 64898: Multiple-strand extremity nerve graft over 4 cm
Reports reconstruction of an arm or leg nerve defect using multiple strands of nerve graft when the graft length exceeds 4 cm.
This procedure bridges a peripheral nerve defect in an arm or leg with multiple strands of graft arranged as cables. It may be used after traumatic nerve injury or when a segment must be removed and direct repair would not close the gap without tension. Peripheral nerve, hand, plastic, orthopedic, or neurosurgeons may perform it in an operating room. The operative report should identify the recipient nerve and extremity, explain the need for graft reconstruction, and document the number of strands and graft length.
Select this code when the graft uses multiple strands and its length is over 4 cm; the site must be an arm or leg rather than the hand, foot, head, or neck. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. If other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this descriptor. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 64898
- 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 RVU20.45 · 55%
- Practice expense (office) RVU12.23 · 33%
- Malpractice RVU4.34 · 12%
22
Medicare services in 2024 · #5879 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.
64898 compared with similar codes
Office rates for Merced, from the same CMS release.
This code is for a single-strand graft over 4 cm in an arm or leg. Report 64898 when multiple strands are used.
This is the multiple-strand, over-4-cm counterpart for a hand or foot nerve; 64898 is for an arm or leg nerve.
Both describe multiple-strand grafts over 4 cm, but 64886 is for the head or neck rather than an arm or leg.
The same code, a different location
How does Merced compare?
64898 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 · 64898
Office
Unavailable
Facility
$1220.07
No comparable office rate is available.
Modesto
California · 64898
Office
Unavailable
Facility
$1220.07
No comparable office rate is available.
Napa
California · 64898
Office
Unavailable
Facility
$1338.11
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 64898
Office
Unavailable
Facility
$1275.32
No comparable office rate is available.
Redding
California · 64898
Office
Unavailable
Facility
$1220.07
No comparable office rate is available.
Rest Of California
California · 64898
Office
Unavailable
Facility
$1220.07
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 64898
Office
Unavailable
Facility
$1266.70
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 64898
Office
Unavailable
Facility
$1260.41
No comparable office rate is available.
Salinas
California · 64898
Office
Unavailable
Facility
$1255.36
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 64898
Office
Unavailable
Facility
$1270.67
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 64898
Office
Unavailable
Facility
$1390.45
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 64898
Office
Unavailable
Facility
$1385.52
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 64898
Office
Unavailable
Facility
$1424.93
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 64898
Office
Unavailable
Facility
$1404.78
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 64898
Office
Unavailable
Facility
$1237.63
No comparable office rate is available.
Santa Cruz-Watsonville
California · 64898
Office
Unavailable
Facility
$1271.41
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 64898
Office
Unavailable
Facility
$1256.18
No comparable office rate is available.
Santa Rosa-Petaluma
California · 64898
Office
Unavailable
Facility
$1282.87
No comparable office rate is available.
Stockton
California · 64898
Office
Unavailable
Facility
$1220.07
No comparable office rate is available.
Vallejo
California · 64898
Office
Unavailable
Facility
$1331.01
No comparable office rate is available.
Visalia
California · 64898
Office
Unavailable
Facility
$1220.07
No comparable office rate is available.
Yuba City
California · 64898
Office
Unavailable
Facility
$1220.07
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 64898
Office
Unavailable
Facility
$1362.48
No comparable office rate is available.
Miami
Florida · 64898
Office
Unavailable
Facility
$1474.89
No comparable office rate is available.
Chicago
Illinois · 64898
Office
Unavailable
Facility
$1431.05
No comparable office rate is available.
Manhattan
New York · 64898
Office
Unavailable
Facility
$1431.34
No comparable office rate is available.
Alaska*
Alaska · 64898
Office
Unavailable
Facility
$1539.49
No comparable office rate is available.
Alabama
Alabama · 64898
Office
Unavailable
Facility
$1122.53
No comparable office rate is available.
Arkansas
Arkansas · 64898
Office
Unavailable
Facility
$1108.60
No comparable office rate is available.
Arizona
Arizona · 64898
Office
Unavailable
Facility
$1202.96
No comparable office rate is available.
Colorado
Colorado · 64898
Office
Unavailable
Facility
$1239.10
No comparable office rate is available.
Connecticut
Connecticut · 64898
Office
Unavailable
Facility
$1312.06
No comparable office rate is available.
Delaware
Delaware · 64898
Office
Unavailable
Facility
$1220.37
No comparable office rate is available.
Fort Lauderdale
Florida · 64898
Office
Unavailable
Facility
$1358.94
No comparable office rate is available.
Rest Of Florida
Florida · 64898
Office
Unavailable
Facility
$1291.44
No comparable office rate is available.
Atlanta
Georgia · 64898
Office
Unavailable
Facility
$1274.22
No comparable office rate is available.
Rest Of Georgia
Georgia · 64898
Office
Unavailable
Facility
$1220.22
No comparable office rate is available.
Hawaii, Guam
Hawaii · 64898
Office
Unavailable
Facility
$1231.44
No comparable office rate is available.
Iowa
Iowa · 64898
Office
Unavailable
Facility
$1114.37
No comparable office rate is available.
Idaho
Idaho · 64898
Office
Unavailable
Facility
$1127.43
No comparable office rate is available.
East St. Louis
Illinois · 64898
Office
Unavailable
Facility
$1350.81
No comparable office rate is available.
Rest Of Illinois
Illinois · 64898
Office
Unavailable
Facility
$1282.57
No comparable office rate is available.
Suburban Chicago
Illinois · 64898
Office
Unavailable
Facility
$1364.22
No comparable office rate is available.
Indiana
Indiana · 64898
Office
Unavailable
Facility
$1132.17
No comparable office rate is available.
Kansas
Kansas · 64898
Office
Unavailable
Facility
$1125.39
No comparable office rate is available.
Kentucky
Kentucky · 64898
Office
Unavailable
Facility
$1178.84
No comparable office rate is available.
New Orleans
Louisiana · 64898
Office
Unavailable
Facility
$1232.11
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 64898
Office
Unavailable
Facility
$1183.44
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 64898
Office
Unavailable
Facility
$1327.81
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 64898
Office
Unavailable
Facility
$1239.65
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 64898
Office
Unavailable
Facility
$1311.61
No comparable office rate is available.
Rest Of Maryland
Maryland · 64898
Office
Unavailable
Facility
$1236.35
No comparable office rate is available.
Rest Of Maine
Maine · 64898
Office
Unavailable
Facility
$1149.03
No comparable office rate is available.
Southern Maine
Maine · 64898
Office
Unavailable
Facility
$1179.33
No comparable office rate is available.
Detroit
Michigan · 64898
Office
Unavailable
Facility
$1321.65
No comparable office rate is available.
Rest Of Michigan
Michigan · 64898
Office
Unavailable
Facility
$1219.66
No comparable office rate is available.
Minnesota
Minnesota · 64898
Office
Unavailable
Facility
$1146.30
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 64898
Office
Unavailable
Facility
$1208.25
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 64898
Office
Unavailable
Facility
$1217.18
No comparable office rate is available.
Rest Of Missouri
Missouri · 64898
Office
Unavailable
Facility
$1176.36
No comparable office rate is available.
Mississippi
Mississippi · 64898
Office
Unavailable
Facility
$1141.89
No comparable office rate is available.
Montana**
Montana · 64898
Office
Unavailable
Facility
$1236.21
No comparable office rate is available.
North Carolina
North Carolina · 64898
Office
Unavailable
Facility
$1156.80
No comparable office rate is available.
North Dakota**
North Dakota · 64898
Office
Unavailable
Facility
$1150.40
No comparable office rate is available.
Nebraska
Nebraska · 64898
Office
Unavailable
Facility
$1114.88
No comparable office rate is available.
New Hampshire
New Hampshire · 64898
Office
Unavailable
Facility
$1235.13
No comparable office rate is available.
Northern Nj
New Jersey · 64898
Office
Unavailable
Facility
$1354.75
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 64898
Office
Unavailable
Facility
$1315.47
No comparable office rate is available.
New Mexico
New Mexico · 64898
Office
Unavailable
Facility
$1231.73
No comparable office rate is available.
Nevada**
Nevada · 64898
Office
Unavailable
Facility
$1212.70
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 64898
Office
Unavailable
Facility
$1481.65
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 64898
Office
Unavailable
Facility
$1336.49
No comparable office rate is available.
Queens
New York · 64898
Office
Unavailable
Facility
$1418.63
No comparable office rate is available.
Rest Of New York
New York · 64898
Office
Unavailable
Facility
$1173.02
No comparable office rate is available.
Ohio
Ohio · 64898
Office
Unavailable
Facility
$1202.12
No comparable office rate is available.
Oklahoma
Oklahoma · 64898
Office
Unavailable
Facility
$1160.47
No comparable office rate is available.
Portland
Oregon · 64898
Office
Unavailable
Facility
$1255.66
No comparable office rate is available.
Rest Of Oregon
Oregon · 64898
Office
Unavailable
Facility
$1191.81
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 64898
Office
Unavailable
Facility
$1293.52
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 64898
Office
Unavailable
Facility
$1195.03
No comparable office rate is available.
Puerto Rico
Puerto Rico · 64898
Office
Unavailable
Facility
$1238.82
No comparable office rate is available.
Rhode Island
Rhode Island · 64898
Office
Unavailable
Facility
$1247.30
No comparable office rate is available.
South Carolina
South Carolina · 64898
Office
Unavailable
Facility
$1183.71
No comparable office rate is available.
South Dakota**
South Dakota · 64898
Office
Unavailable
Facility
$1140.25
No comparable office rate is available.
Tennessee
Tennessee · 64898
Office
Unavailable
Facility
$1132.21
No comparable office rate is available.
Austin
Texas · 64898
Office
Unavailable
Facility
$1245.03
No comparable office rate is available.
Beaumont
Texas · 64898
Office
Unavailable
Facility
$1189.44
No comparable office rate is available.
Brazoria
Texas · 64898
Office
Unavailable
Facility
$1206.40
No comparable office rate is available.
Dallas
Texas · 64898
Office
Unavailable
Facility
$1220.43
No comparable office rate is available.
Fort Worth
Texas · 64898
Office
Unavailable
Facility
$1218.23
No comparable office rate is available.
Galveston
Texas · 64898
Office
Unavailable
Facility
$1214.17
No comparable office rate is available.
Houston
Texas · 64898
Office
Unavailable
Facility
$1293.61
No comparable office rate is available.
Rest Of Texas
Texas · 64898
Office
Unavailable
Facility
$1201.61
No comparable office rate is available.
Utah
Utah · 64898
Office
Unavailable
Facility
$1197.21
No comparable office rate is available.
Virginia
Virginia · 64898
Office
Unavailable
Facility
$1186.94
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 64898
Office
Unavailable
Facility
$1238.82
No comparable office rate is available.
Vermont
Vermont · 64898
Office
Unavailable
Facility
$1160.81
No comparable office rate is available.
Rest Of Washington
Washington · 64898
Office
Unavailable
Facility
$1232.39
No comparable office rate is available.
Seattle (King Cnty)
Washington · 64898
Office
Unavailable
Facility
$1336.85
No comparable office rate is available.
Wisconsin
Wisconsin · 64898
Office
Unavailable
Facility
$1119.03
No comparable office rate is available.
West Virginia
West Virginia · 64898
Office
Unavailable
Facility
$1245.47
No comparable office rate is available.
Wyoming**
Wyoming · 64898
Office
Unavailable
Facility
$1198.81
No comparable office rate is available.
See how rates vary across the country
64898 · 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 64898 in Merced. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1342.08
$1220.07 × 110% = $1342.08
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 64898 in Merced.
PPRRVU2026_Oct_nonQPP.csv
7,278
- Code
- 64898
- Physician work
- 20.45
- Practice expense
- 12.23
- Malpractice
- 4.34
GPCI2026.csv
15
- Locality
- Merced
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 20.45 | × 1.017 | 20.7976 |
| Practice expense | 12.23 | × 1.096 | 13.4041 |
| Malpractice | 4.34 | × 0.536 | 2.3262 |
| Total RVUs | 36.5280 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Merced$1220.07
Open 64898 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 20.45 | 1.017 |
| Practice expense | 12.23 | 1.096 |
| Malpractice | 4.34 | 0.536 |
(20.45 × 1.017 + 12.23 × 1.096 + 4.34 × 0.536) × $33.4009 = $1220.07
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
64898 · 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 | $1220.07 | RVU26D |
| 2026-07-01 | Not available in this setting | $1220.07 | RVU26C |
| 2026-04-01 | Not available in this setting | $1220.07 | RVU26B |
| 2026-01-01 | Not available in this setting | $1220.07 | RVU26A |
| 2025-10-01 | Not available in this setting | $1339.15 | RVU25D |
| 2025-07-01 | Not available in this setting | $1339.15 | RVU25C |
| 2025-04-01 | Not available in this setting | $1339.15 | RVU25B |
| 2025-01-01 | Not available in this setting | $1339.15 | RVU25A |
64898 billing questions
How is this code distinguished from 64897?
Both describe multiple-strand grafting for an arm or leg nerve. Choose 64898 when the graft length is over 4 cm; 64897 is for a graft under 4 cm.
Does the code describe multiple nerves or multiple graft strands?
It distinguishes the multiple-strand graft configuration, not simply the number of nerves treated. Document the graft strands and the reconstruction performed.
When is 64893 a closer fit?
64893 describes a single-strand graft for an arm or leg nerve over 4 cm. Use 64898 when the reconstruction uses multiple strands.
Can modifier 50 be used when both limbs are treated?
No. The descriptor or anatomy makes a bilateral adjustment inappropriate. The CMS rule for this code states that modifier 50 does not apply.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
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.
