No office rate
This code is for the shorter head or neck graft-length category; 64886 is the neighboring code for the longer category.
On this page
CMS RVU26D · Effective 2026-10-01
64885 in Modesto
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$926.01
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 64885: Short head or neck nerve graft
Reports graft reconstruction of a nerve in the head or neck when the graft length falls in the under-4-cm category.
This code represents microsurgical placement of a nerve graft to bridge a gap in a head or neck nerve when the nerve ends cannot be joined directly without tension. It may be used in reconstruction after nerve injury, trauma, or removal of a head or neck tumor; facial nerve reconstruction is one familiar clinical setting. Neurosurgeons, otolaryngologists, and plastic or reconstructive surgeons may perform the procedure, commonly in a hospital operating room. The relevant distinction is the graft’s length category and the head or neck location.
The operative report should identify the nerve and site, explain the need for graft reconstruction, and document graft length and the work performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 64885
- 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 RVU17.16 · 62%
- Practice expense (office) RVU8.15 · 29%
- Malpractice RVU2.50 · 9%
74
Medicare services in 2024 · #5113 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.
64885 compared with similar codes
Office rates for Modesto, from the same CMS release.
No office rate
Both involve nerve grafting in a short-length category, but 64890 is for a single-strand graft in the hand or foot rather than the head or neck.
No office rate
64864 describes facial nerve repair, while 64885 is selected for graft reconstruction in the head or neck when the documented graft length fits its category.
The same code, a different location
How does Modesto compare?
64885 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 · 64885
Office
Unavailable
Facility
$926.01
No comparable office rate is available.
Merced
California · 64885
Office
Unavailable
Facility
$926.01
No comparable office rate is available.
Napa
California · 64885
Office
Unavailable
Facility
$1010.47
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 64885
Office
Unavailable
Facility
$962.99
No comparable office rate is available.
Redding
California · 64885
Office
Unavailable
Facility
$926.01
No comparable office rate is available.
Rest Of California
California · 64885
Office
Unavailable
Facility
$926.01
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 64885
Office
Unavailable
Facility
$953.05
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 64885
Office
Unavailable
Facility
$955.14
No comparable office rate is available.
Salinas
California · 64885
Office
Unavailable
Facility
$951.18
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 64885
Office
Unavailable
Facility
$961.18
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 64885
Office
Unavailable
Facility
$1049.76
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 64885
Office
Unavailable
Facility
$1046.92
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 64885
Office
Unavailable
Facility
$1073.50
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 64885
Office
Unavailable
Facility
$1061.89
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 64885
Office
Unavailable
Facility
$937.72
No comparable office rate is available.
Santa Cruz-Watsonville
California · 64885
Office
Unavailable
Facility
$960.70
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 64885
Office
Unavailable
Facility
$951.37
No comparable office rate is available.
Santa Rosa-Petaluma
California · 64885
Office
Unavailable
Facility
$969.39
No comparable office rate is available.
Stockton
California · 64885
Office
Unavailable
Facility
$926.01
No comparable office rate is available.
Vallejo
California · 64885
Office
Unavailable
Facility
$1006.38
No comparable office rate is available.
Visalia
California · 64885
Office
Unavailable
Facility
$926.01
No comparable office rate is available.
Yuba City
California · 64885
Office
Unavailable
Facility
$926.01
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 64885
Office
Unavailable
Facility
$1017.72
No comparable office rate is available.
Miami
Florida · 64885
Office
Unavailable
Facility
$1067.71
No comparable office rate is available.
Chicago
Illinois · 64885
Office
Unavailable
Facility
$1042.39
No comparable office rate is available.
Manhattan
New York · 64885
Office
Unavailable
Facility
$1058.59
No comparable office rate is available.
Alaska*
Alaska · 64885
Office
Unavailable
Facility
$1195.66
No comparable office rate is available.
Alabama
Alabama · 64885
Office
Unavailable
Facility
$858.61
No comparable office rate is available.
Arkansas
Arkansas · 64885
Office
Unavailable
Facility
$850.00
No comparable office rate is available.
Arizona
Arizona · 64885
Office
Unavailable
Facility
$908.42
No comparable office rate is available.
Colorado
Colorado · 64885
Office
Unavailable
Facility
$934.89
No comparable office rate is available.
Connecticut
Connecticut · 64885
Office
Unavailable
Facility
$978.84
No comparable office rate is available.
Delaware
Delaware · 64885
Office
Unavailable
Facility
$920.04
No comparable office rate is available.
Fort Lauderdale
Florida · 64885
Office
Unavailable
Facility
$999.89
No comparable office rate is available.
Rest Of Florida
Florida · 64885
Office
Unavailable
Facility
$958.90
No comparable office rate is available.
Atlanta
Georgia · 64885
Office
Unavailable
Facility
$951.74
No comparable office rate is available.
Rest Of Georgia
Georgia · 64885
Office
Unavailable
Facility
$915.51
No comparable office rate is available.
Hawaii, Guam
Hawaii · 64885
Office
Unavailable
Facility
$931.02
No comparable office rate is available.
Iowa
Iowa · 64885
Office
Unavailable
Facility
$855.39
No comparable office rate is available.
Idaho
Idaho · 64885
Office
Unavailable
Facility
$863.10
No comparable office rate is available.
East St. Louis
Illinois · 64885
Office
Unavailable
Facility
$991.77
No comparable office rate is available.
Rest Of Illinois
Illinois · 64885
Office
Unavailable
Facility
$952.21
No comparable office rate is available.
Suburban Chicago
Illinois · 64885
Office
Unavailable
Facility
$1004.70
No comparable office rate is available.
Indiana
Indiana · 64885
Office
Unavailable
Facility
$866.09
No comparable office rate is available.
Kansas
Kansas · 64885
Office
Unavailable
Facility
$861.33
No comparable office rate is available.
Kentucky
Kentucky · 64885
Office
Unavailable
Facility
$891.57
No comparable office rate is available.
New Orleans
Louisiana · 64885
Office
Unavailable
Facility
$924.17
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 64885
Office
Unavailable
Facility
$894.07
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 64885
Office
Unavailable
Facility
$996.00
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 64885
Office
Unavailable
Facility
$935.53
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 64885
Office
Unavailable
Facility
$977.71
No comparable office rate is available.
Rest Of Maryland
Maryland · 64885
Office
Unavailable
Facility
$931.03
No comparable office rate is available.
Rest Of Maine
Maine · 64885
Office
Unavailable
Facility
$875.54
No comparable office rate is available.
Southern Maine
Maine · 64885
Office
Unavailable
Facility
$895.62
No comparable office rate is available.
Detroit
Michigan · 64885
Office
Unavailable
Facility
$976.63
No comparable office rate is available.
Rest Of Michigan
Michigan · 64885
Office
Unavailable
Facility
$915.97
No comparable office rate is available.
Minnesota
Minnesota · 64885
Office
Unavailable
Facility
$877.99
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 64885
Office
Unavailable
Facility
$910.35
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 64885
Office
Unavailable
Facility
$915.98
No comparable office rate is available.
Rest Of Missouri
Missouri · 64885
Office
Unavailable
Facility
$889.14
No comparable office rate is available.
Mississippi
Mississippi · 64885
Office
Unavailable
Facility
$869.25
No comparable office rate is available.
Montana**
Montana · 64885
Office
Unavailable
Facility
$928.71
No comparable office rate is available.
North Carolina
North Carolina · 64885
Office
Unavailable
Facility
$880.50
No comparable office rate is available.
North Dakota**
North Dakota · 64885
Office
Unavailable
Facility
$879.28
No comparable office rate is available.
Nebraska
Nebraska · 64885
Office
Unavailable
Facility
$855.98
No comparable office rate is available.
New Hampshire
New Hampshire · 64885
Office
Unavailable
Facility
$929.60
No comparable office rate is available.
Northern Nj
New Jersey · 64885
Office
Unavailable
Facility
$1014.22
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 64885
Office
Unavailable
Facility
$984.95
No comparable office rate is available.
New Mexico
New Mexico · 64885
Office
Unavailable
Facility
$923.07
No comparable office rate is available.
Nevada**
Nevada · 64885
Office
Unavailable
Facility
$915.21
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 64885
Office
Unavailable
Facility
$1088.57
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 64885
Office
Unavailable
Facility
$998.07
No comparable office rate is available.
Queens
New York · 64885
Office
Unavailable
Facility
$1052.01
No comparable office rate is available.
Rest Of New York
New York · 64885
Office
Unavailable
Facility
$890.47
No comparable office rate is available.
Ohio
Ohio · 64885
Office
Unavailable
Facility
$905.86
No comparable office rate is available.
Oklahoma
Oklahoma · 64885
Office
Unavailable
Facility
$881.13
No comparable office rate is available.
Portland
Oregon · 64885
Office
Unavailable
Facility
$946.89
No comparable office rate is available.
Rest Of Oregon
Oregon · 64885
Office
Unavailable
Facility
$902.99
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 64885
Office
Unavailable
Facility
$966.47
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 64885
Office
Unavailable
Facility
$901.96
No comparable office rate is available.
Puerto Rico
Puerto Rico · 64885
Office
Unavailable
Facility
$930.62
No comparable office rate is available.
Rhode Island
Rhode Island · 64885
Office
Unavailable
Facility
$939.73
No comparable office rate is available.
South Carolina
South Carolina · 64885
Office
Unavailable
Facility
$895.67
No comparable office rate is available.
South Dakota**
South Dakota · 64885
Office
Unavailable
Facility
$873.43
No comparable office rate is available.
Tennessee
Tennessee · 64885
Office
Unavailable
Facility
$865.45
No comparable office rate is available.
Austin
Texas · 64885
Office
Unavailable
Facility
$936.29
No comparable office rate is available.
Beaumont
Texas · 64885
Office
Unavailable
Facility
$898.45
No comparable office rate is available.
Brazoria
Texas · 64885
Office
Unavailable
Facility
$912.64
No comparable office rate is available.
Dallas
Texas · 64885
Office
Unavailable
Facility
$921.09
No comparable office rate is available.
Fort Worth
Texas · 64885
Office
Unavailable
Facility
$919.45
No comparable office rate is available.
Galveston
Texas · 64885
Office
Unavailable
Facility
$917.20
No comparable office rate is available.
Houston
Texas · 64885
Office
Unavailable
Facility
$962.96
No comparable office rate is available.
Rest Of Texas
Texas · 64885
Office
Unavailable
Facility
$906.90
No comparable office rate is available.
Utah
Utah · 64885
Office
Unavailable
Facility
$904.03
No comparable office rate is available.
Virginia
Virginia · 64885
Office
Unavailable
Facility
$899.70
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 64885
Office
Unavailable
Facility
$930.62
No comparable office rate is available.
Vermont
Vermont · 64885
Office
Unavailable
Facility
$884.91
No comparable office rate is available.
Rest Of Washington
Washington · 64885
Office
Unavailable
Facility
$930.80
No comparable office rate is available.
Seattle (King Cnty)
Washington · 64885
Office
Unavailable
Facility
$1004.05
No comparable office rate is available.
Wisconsin
Wisconsin · 64885
Office
Unavailable
Facility
$859.66
No comparable office rate is available.
West Virginia
West Virginia · 64885
Office
Unavailable
Facility
$929.21
No comparable office rate is available.
Wyoming**
Wyoming · 64885
Office
Unavailable
Facility
$907.17
No comparable office rate is available.
See how rates vary across the country
64885 · 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 64885 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1018.61
$926.01 × 110% = $1018.61
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 64885 in Modesto.
PPRRVU2026_Oct_nonQPP.csv
7,269
- Code
- 64885
- Physician work
- 17.16
- Practice expense
- 8.15
- Malpractice
- 2.50
GPCI2026.csv
16
- Locality
- Modesto
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 17.16 | × 1.017 | 17.4517 |
| Practice expense | 8.15 | × 1.096 | 8.9324 |
| Malpractice | 2.50 | × 0.536 | 1.3400 |
| Total RVUs | 27.7241 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Modesto$926.01
Open 64885 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 17.16 | 1.017 |
| Practice expense | 8.15 | 1.096 |
| Malpractice | 2.5 | 0.536 |
(17.16 × 1.017 + 8.15 × 1.096 + 2.5 × 0.536) × $33.4009 = $926.01
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
64885 · 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 | $926.01 | RVU26D |
| 2026-07-01 | Not available in this setting | $926.01 | RVU26C |
| 2026-04-01 | Not available in this setting | $926.01 | RVU26B |
| 2026-01-01 | Not available in this setting | $926.01 | RVU26A |
| 2025-10-01 | Not available in this setting | $1054.43 | RVU25D |
| 2025-07-01 | Not available in this setting | $1054.43 | RVU25C |
| 2025-04-01 | Not available in this setting | $1054.43 | RVU25B |
| 2025-01-01 | Not available in this setting | $1054.43 | RVU25A |
64885 billing questions
How is this code distinguished from 64886?
Both describe nerve grafting in the head or neck. Choose between them using the documented graft-length category; 64886 is the longer-graft neighbor.
Can modifier 50 be used for bilateral grafting?
No. CMS identifies bilateral adjustment as inappropriate for this code. Report the service based on the documented procedure and applicable coding instructions.
What documentation supports the graft-length category?
The operative report should identify the nerve and head or neck site, describe why a graft was needed, and record the graft length.
How does the 90-day global period affect postoperative visits?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How are other procedures in the same session paid?
Under CMS’s standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
May an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeons are paid only with 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.
7,26664872,,Subsequent repair of nerve,A,,1.94,0.62,NA,0.62,,0.42,2.98,2.98,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,26764874,,Repair & revise nerve add-on,A,,2.91,0.93,NA,0.93,,0.61,4.45,4.45,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,26864876,,Repair nerve/shorten bone,A,,3.29,1.05,NA,1.05,,0.69,5.03,5.03,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,26964885,,Nerve graft head/neck <4 cm,A,,17.16,8.15,NA,8.15,,2.50,27.81,27.81,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,27064886,,Nerve graft head/neck >4 cm,A,,20.30,9.95,NA,9.95,,3.22,33.47,33.47,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,27164890,,Nrv grf 1strnd hnd/foot <4cm,A,,15.83,10.13,NA,10.13,,3.37,29.33,29.33,0,090,0.11,0.76,0.13,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,27264891,,Nrv grf 1strnd hnd/foot >4cm,A,,16.92,10.63,NA,10.63,,3.61,31.16,31.16,0,090,0.11,0.76,0.13,2,0,2,0,0,9,,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