No office rate
64831 reports repair of the first digital nerve; 64832 reports each additional digital nerve repaired in the same operative session.
On this page
CMS RVU26D · Effective 2026-10-01
64832 in Modesto
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$274.05
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.
Nerve surgery
About 64832: Additional digital nerve repair
Reports suture repair of each additional digital nerve in a hand or foot when another digital nerve is repaired during the same operative session.
Code 64832 represents suture repair of an additional digital nerve in the hand or foot during the same operative session as repair of a first digital nerve. It applies when separate digital nerves are injured, such as in a hand or foot laceration requiring repair of more than one digital nerve. Hand surgeons and other surgeons performing peripheral nerve repair typically report it in an operating-room setting.
Report 64832 with the primary procedure for the first digital nerve, not as a stand-alone service. Count each separately repaired additional digital nerve. The operative report should identify the hand or foot, the digital nerves repaired, the injury, and the repair performed, and support the primary procedure reported for the first nerve. CMS classifies this as an add-on code: it is billed only with a primary procedure and paid within that procedure's global period.
CMS billing rules for 64832
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU5.51 · 65%
- Practice expense (office) RVU1.85 · 22%
- Malpractice RVU1.07 · 13%
172
Medicare services in 2024 · #4465 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.
64832 compared with similar codes
Office rates for Modesto, from the same CMS release.
No office rate
64837 is for an additional hand or foot nerve that is not digital. Use 64832 when the additional repaired nerve is digital.
No office rate
64834 describes primary repair of a common sensory nerve in the hand or foot, rather than an additional digital nerve repair.
The same code, a different location
How does Modesto compare?
64832 across payment areas
Same release and payment basis · bars start at $0
Modesto · 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 · 64832
Office
Unavailable
Facility
$274.05
No comparable office rate is available.
Merced
California · 64832
Office
Unavailable
Facility
$274.05
No comparable office rate is available.
Napa
California · 64832
Office
Unavailable
Facility
$295.23
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 64832
Office
Unavailable
Facility
$284.50
No comparable office rate is available.
Redding
California · 64832
Office
Unavailable
Facility
$274.05
No comparable office rate is available.
Rest Of California
California · 64832
Office
Unavailable
Facility
$274.05
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 64832
Office
Unavailable
Facility
$285.56
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 64832
Office
Unavailable
Facility
$281.68
No comparable office rate is available.
Salinas
California · 64832
Office
Unavailable
Facility
$280.52
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 64832
Office
Unavailable
Facility
$282.83
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 64832
Office
Unavailable
Facility
$305.05
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 64832
Office
Unavailable
Facility
$303.84
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 64832
Office
Unavailable
Facility
$312.54
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 64832
Office
Unavailable
Facility
$307.58
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 64832
Office
Unavailable
Facility
$276.70
No comparable office rate is available.
Santa Cruz-Watsonville
California · 64832
Office
Unavailable
Facility
$282.14
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 64832
Office
Unavailable
Facility
$280.40
No comparable office rate is available.
Santa Rosa-Petaluma
California · 64832
Office
Unavailable
Facility
$284.60
No comparable office rate is available.
Stockton
California · 64832
Office
Unavailable
Facility
$274.05
No comparable office rate is available.
Vallejo
California · 64832
Office
Unavailable
Facility
$293.48
No comparable office rate is available.
Visalia
California · 64832
Office
Unavailable
Facility
$274.05
No comparable office rate is available.
Yuba City
California · 64832
Office
Unavailable
Facility
$274.05
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 64832
Office
Unavailable
Facility
$306.55
No comparable office rate is available.
Miami
Florida · 64832
Office
Unavailable
Facility
$338.75
No comparable office rate is available.
Chicago
Illinois · 64832
Office
Unavailable
Facility
$329.45
No comparable office rate is available.
Manhattan
New York · 64832
Office
Unavailable
Facility
$324.30
No comparable office rate is available.
Alaska*
Alaska · 64832
Office
Unavailable
Facility
$361.56
No comparable office rate is available.
Alabama
Alabama · 64832
Office
Unavailable
Facility
$258.33
No comparable office rate is available.
Arkansas
Arkansas · 64832
Office
Unavailable
Facility
$255.52
No comparable office rate is available.
Arizona
Arizona · 64832
Office
Unavailable
Facility
$274.51
No comparable office rate is available.
Colorado
Colorado · 64832
Office
Unavailable
Facility
$279.91
No comparable office rate is available.
Connecticut
Connecticut · 64832
Office
Unavailable
Facility
$297.51
No comparable office rate is available.
Delaware
Delaware · 64832
Office
Unavailable
Facility
$278.14
No comparable office rate is available.
Fort Lauderdale
Florida · 64832
Office
Unavailable
Facility
$311.25
No comparable office rate is available.
Rest Of Florida
Florida · 64832
Office
Unavailable
Facility
$296.83
No comparable office rate is available.
Atlanta
Georgia · 64832
Office
Unavailable
Facility
$290.29
No comparable office rate is available.
Rest Of Georgia
Georgia · 64832
Office
Unavailable
Facility
$281.76
No comparable office rate is available.
Hawaii, Guam
Hawaii · 64832
Office
Unavailable
Facility
$274.99
No comparable office rate is available.
Iowa
Iowa · 64832
Office
Unavailable
Facility
$254.77
No comparable office rate is available.
Idaho
Idaho · 64832
Office
Unavailable
Facility
$257.79
No comparable office rate is available.
East St. Louis
Illinois · 64832
Office
Unavailable
Facility
$312.87
No comparable office rate is available.
Rest Of Illinois
Illinois · 64832
Office
Unavailable
Facility
$296.31
No comparable office rate is available.
Suburban Chicago
Illinois · 64832
Office
Unavailable
Facility
$312.12
No comparable office rate is available.
Indiana
Indiana · 64832
Office
Unavailable
Facility
$258.69
No comparable office rate is available.
Kansas
Kansas · 64832
Office
Unavailable
Facility
$257.91
No comparable office rate is available.
Kentucky
Kentucky · 64832
Office
Unavailable
Facility
$271.67
No comparable office rate is available.
New Orleans
Louisiana · 64832
Office
Unavailable
Facility
$282.78
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 64832
Office
Unavailable
Facility
$272.96
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 64832
Office
Unavailable
Facility
$297.17
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 64832
Office
Unavailable
Facility
$280.53
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 64832
Office
Unavailable
Facility
$297.50
No comparable office rate is available.
Rest Of Maryland
Maryland · 64832
Office
Unavailable
Facility
$281.22
No comparable office rate is available.
Rest Of Maine
Maine · 64832
Office
Unavailable
Facility
$263.12
No comparable office rate is available.
Southern Maine
Maine · 64832
Office
Unavailable
Facility
$267.83
No comparable office rate is available.
Detroit
Michigan · 64832
Office
Unavailable
Facility
$303.92
No comparable office rate is available.
Rest Of Michigan
Michigan · 64832
Office
Unavailable
Facility
$280.80
No comparable office rate is available.
Minnesota
Minnesota · 64832
Office
Unavailable
Facility
$258.20
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 64832
Office
Unavailable
Facility
$276.98
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 64832
Office
Unavailable
Facility
$278.68
No comparable office rate is available.
Rest Of Missouri
Missouri · 64832
Office
Unavailable
Facility
$272.11
No comparable office rate is available.
Mississippi
Mississippi · 64832
Office
Unavailable
Facility
$263.65
No comparable office rate is available.
Montana**
Montana · 64832
Office
Unavailable
Facility
$281.50
No comparable office rate is available.
North Carolina
North Carolina · 64832
Office
Unavailable
Facility
$264.53
No comparable office rate is available.
North Dakota**
North Dakota · 64832
Office
Unavailable
Facility
$260.34
No comparable office rate is available.
Nebraska
Nebraska · 64832
Office
Unavailable
Facility
$254.58
No comparable office rate is available.
New Hampshire
New Hampshire · 64832
Office
Unavailable
Facility
$279.64
No comparable office rate is available.
Northern Nj
New Jersey · 64832
Office
Unavailable
Facility
$305.48
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 64832
Office
Unavailable
Facility
$298.08
No comparable office rate is available.
New Mexico
New Mexico · 64832
Office
Unavailable
Facility
$283.62
No comparable office rate is available.
Nevada**
Nevada · 64832
Office
Unavailable
Facility
$275.66
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 64832
Office
Unavailable
Facility
$335.65
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 64832
Office
Unavailable
Facility
$303.23
No comparable office rate is available.
Queens
New York · 64832
Office
Unavailable
Facility
$320.39
No comparable office rate is available.
Rest Of New York
New York · 64832
Office
Unavailable
Facility
$267.87
No comparable office rate is available.
Ohio
Ohio · 64832
Office
Unavailable
Facility
$276.48
No comparable office rate is available.
Oklahoma
Oklahoma · 64832
Office
Unavailable
Facility
$266.99
No comparable office rate is available.
Portland
Oregon · 64832
Office
Unavailable
Facility
$282.22
No comparable office rate is available.
Rest Of Oregon
Oregon · 64832
Office
Unavailable
Facility
$270.71
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 64832
Office
Unavailable
Facility
$294.31
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 64832
Office
Unavailable
Facility
$274.54
No comparable office rate is available.
Puerto Rico
Puerto Rico · 64832
Office
Unavailable
Facility
$281.71
No comparable office rate is available.
Rhode Island
Rhode Island · 64832
Office
Unavailable
Facility
$283.25
No comparable office rate is available.
South Carolina
South Carolina · 64832
Office
Unavailable
Facility
$271.51
No comparable office rate is available.
South Dakota**
South Dakota · 64832
Office
Unavailable
Facility
$257.84
No comparable office rate is available.
Tennessee
Tennessee · 64832
Office
Unavailable
Facility
$259.40
No comparable office rate is available.
Austin
Texas · 64832
Office
Unavailable
Facility
$281.45
No comparable office rate is available.
Beaumont
Texas · 64832
Office
Unavailable
Facility
$273.47
No comparable office rate is available.
Brazoria
Texas · 64832
Office
Unavailable
Facility
$274.62
No comparable office rate is available.
Dallas
Texas · 64832
Office
Unavailable
Facility
$277.90
No comparable office rate is available.
Fort Worth
Texas · 64832
Office
Unavailable
Facility
$277.75
No comparable office rate is available.
Galveston
Texas · 64832
Office
Unavailable
Facility
$276.46
No comparable office rate is available.
Houston
Texas · 64832
Office
Unavailable
Facility
$296.05
No comparable office rate is available.
Rest Of Texas
Texas · 64832
Office
Unavailable
Facility
$274.95
No comparable office rate is available.
Utah
Utah · 64832
Office
Unavailable
Facility
$274.22
No comparable office rate is available.
Virginia
Virginia · 64832
Office
Unavailable
Facility
$270.01
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 64832
Office
Unavailable
Facility
$281.71
No comparable office rate is available.
Vermont
Vermont · 64832
Office
Unavailable
Facility
$263.30
No comparable office rate is available.
Rest Of Washington
Washington · 64832
Office
Unavailable
Facility
$278.70
No comparable office rate is available.
Seattle (King Cnty)
Washington · 64832
Office
Unavailable
Facility
$298.26
No comparable office rate is available.
Wisconsin
Wisconsin · 64832
Office
Unavailable
Facility
$254.24
No comparable office rate is available.
West Virginia
West Virginia · 64832
Office
Unavailable
Facility
$288.88
No comparable office rate is available.
Wyoming**
Wyoming · 64832
Office
Unavailable
Facility
$272.28
No comparable office rate is available.
See how rates vary across the country
64832 · 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?
Modesto is a Medicare payment area. Our Census mapping connects it to 33 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 64832 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$301.46
$274.05 × 110% = $301.46
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 64832 in Modesto.
PPRRVU2026_Oct_nonQPP.csv
7,250
- Code
- 64832
- Physician work
- 5.51
- Practice expense
- 1.85
- Malpractice
- 1.07
GPCI2026.csv
16
- Locality
- Modesto
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.51 | × 1.017 | 5.6037 |
| Practice expense | 1.85 | × 1.096 | 2.0276 |
| Malpractice | 1.07 | × 0.536 | 0.5735 |
| Total RVUs | 8.2048 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Modesto$274.05
Open 64832 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.51 | 1.017 |
| Practice expense | 1.85 | 1.096 |
| Malpractice | 1.07 | 0.536 |
(5.51 × 1.017 + 1.85 × 1.096 + 1.07 × 0.536) × $33.4009 = $274.05
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
64832 · 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 | $274.05 | RVU26D |
| 2026-07-01 | Not available in this setting | $274.05 | RVU26C |
| 2026-04-01 | Not available in this setting | $274.05 | RVU26B |
| 2026-01-01 | Not available in this setting | $274.05 | RVU26A |
| 2025-10-01 | Not available in this setting | $317.64 | RVU25D |
| 2025-07-01 | Not available in this setting | $317.64 | RVU25C |
| 2025-04-01 | Not available in this setting | $317.64 | RVU25B |
| 2025-01-01 | Not available in this setting | $317.64 | RVU25A |
64832 billing questions
When should 64832 be reported instead of 64831?
Report 64831 for the first digital nerve repaired. Report 64832 for each additional digital nerve repaired during the same operative session.
Can 64832 be billed by itself?
No. It is an add-on code and must be billed with a primary procedure, typically 64831 for repair of the first digital nerve.
How should the additional nerve count be supported?
Document the hand or foot, identify each digital nerve repaired, and describe the injury and repair for each additional nerve.
Does 64832 have its own global period?
CMS treats it as an add-on code paid within the primary procedure's global period.
Is 64832 used for an additional non-digital nerve?
No. It is for an additional digital nerve. Code 64837 is the related add-on for an additional nerve in the hand or foot that is not digital.
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.
7,24764822,,Sympathectomy ulnar artery,A,,9.10,8.73,NA,8.73,,1.94,19.77,19.77,0,090,0.11,0.76,0.13,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,24864823,,Sympathectomy supfc palmar,A,,10.67,9.22,NA,9.22,,2.27,22.16,22.16,0,090,0.11,0.76,0.13,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,24964831,,Repair of digit nerve,A,,8.93,8.64,NA,8.64,,1.70,19.27,19.27,0,090,0.11,0.76,0.13,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,25064832,,Repair nerve add-on,A,,5.51,1.85,NA,1.85,,1.07,8.43,8.43,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,25164834,,Repair of hand or foot nerve,A,,10.54,7.45,NA,7.45,,1.79,19.78,19.78,0,090,0.11,0.76,0.13,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,25264835,,Repair of hand or foot nerve,A,,11.44,8.73,NA,8.73,,2.44,22.61,22.61,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,25364836,,Repair of hand or foot nerve,A,,11.44,8.73,NA,8.73,,2.44,22.61,22.61,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536