No office rate
Both codes repair the facial nerve, but 64865 is for the intracranial segment and 64864 is for the extracranial segment.
On this page
CMS RVU26D · Effective 2026-10-01
64865 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$954.50
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 64865: Intracranial facial nerve repair
Reports surgical suture repair of a facial nerve injury within the cranial cavity, such as an intracranial transection addressed during skull-base surgery.
This code is for surgical repair of an injured facial nerve segment located inside the cranial cavity. A neurosurgeon or skull-base surgeon may perform the repair during an operation in which an intracranial facial nerve injury is identified, including an injury associated with tumor surgery or trauma. The key distinction from extracranial facial nerve repair is the location of the nerve being repaired, not simply the fact that the procedure involves the face.
Select the code when the operative report supports repair of the intracranial facial nerve, and document the injury site and repair performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 64865
- 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 RVU15.69 · 55%
- Practice expense (office) RVU10.39 · 37%
- Malpractice RVU2.30 · 8%
17
Medicare services in 2024 · #6021 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.
64865 compared with similar codes
Office rates for Redding, from the same CMS release.
No office rate
64866 describes anastomosis of the facial nerve to the spinal accessory nerve, not suture repair of an injured intracranial facial nerve.
No office rate
64868 describes anastomosis of the facial nerve to the hypoglossal nerve, a nerve-transfer approach rather than intracranial facial nerve repair.
No office rate
64885 is a head or neck nerve graft procedure. Choose it for the graft service rather than direct intracranial facial nerve suture repair.
The same code, a different location
How does Redding compare?
64865 across payment areas
Same release and payment basis · bars start at $0
Redding · 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 · 64865
Office
Unavailable
Facility
$954.50
No comparable office rate is available.
Merced
California · 64865
Office
Unavailable
Facility
$954.50
No comparable office rate is available.
Modesto
California · 64865
Office
Unavailable
Facility
$954.50
No comparable office rate is available.
Napa
California · 64865
Office
Unavailable
Facility
$1053.49
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 64865
Office
Unavailable
Facility
$996.79
No comparable office rate is available.
Rest Of California
California · 64865
Office
Unavailable
Facility
$954.50
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 64865
Office
Unavailable
Facility
$979.37
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 64865
Office
Unavailable
Facility
$987.71
No comparable office rate is available.
Salinas
California · 64865
Office
Unavailable
Facility
$983.70
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 64865
Office
Unavailable
Facility
$996.47
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 64865
Office
Unavailable
Facility
$1098.43
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 64865
Office
Unavailable
Facility
$1095.82
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 64865
Office
Unavailable
Facility
$1123.31
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 64865
Office
Unavailable
Facility
$1112.63
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 64865
Office
Unavailable
Facility
$969.42
No comparable office rate is available.
Santa Cruz-Watsonville
California · 64865
Office
Unavailable
Facility
$997.89
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 64865
Office
Unavailable
Facility
$984.55
No comparable office rate is available.
Santa Rosa-Petaluma
California · 64865
Office
Unavailable
Facility
$1007.12
No comparable office rate is available.
Stockton
California · 64865
Office
Unavailable
Facility
$954.50
No comparable office rate is available.
Vallejo
California · 64865
Office
Unavailable
Facility
$1049.73
No comparable office rate is available.
Visalia
California · 64865
Office
Unavailable
Facility
$954.50
No comparable office rate is available.
Yuba City
California · 64865
Office
Unavailable
Facility
$954.50
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 64865
Office
Unavailable
Facility
$1046.67
No comparable office rate is available.
Miami
Florida · 64865
Office
Unavailable
Facility
$1079.61
No comparable office rate is available.
Chicago
Illinois · 64865
Office
Unavailable
Facility
$1052.81
No comparable office rate is available.
Manhattan
New York · 64865
Office
Unavailable
Facility
$1082.69
No comparable office rate is available.
Alaska*
Alaska · 64865
Office
Unavailable
Facility
$1198.01
No comparable office rate is available.
Alabama
Alabama · 64865
Office
Unavailable
Facility
$871.20
No comparable office rate is available.
Arkansas
Arkansas · 64865
Office
Unavailable
Facility
$861.73
No comparable office rate is available.
Arizona
Arizona · 64865
Office
Unavailable
Facility
$926.10
No comparable office rate is available.
Colorado
Colorado · 64865
Office
Unavailable
Facility
$959.59
No comparable office rate is available.
Connecticut
Connecticut · 64865
Office
Unavailable
Facility
$1001.25
No comparable office rate is available.
Delaware
Delaware · 64865
Office
Unavailable
Facility
$938.61
No comparable office rate is available.
Fort Lauderdale
Florida · 64865
Office
Unavailable
Facility
$1014.50
No comparable office rate is available.
Rest Of Florida
Florida · 64865
Office
Unavailable
Facility
$971.29
No comparable office rate is available.
Atlanta
Georgia · 64865
Office
Unavailable
Facility
$970.48
No comparable office rate is available.
Rest Of Georgia
Georgia · 64865
Office
Unavailable
Facility
$925.19
No comparable office rate is available.
Hawaii, Guam
Hawaii · 64865
Office
Unavailable
Facility
$963.12
No comparable office rate is available.
Iowa
Iowa · 64865
Office
Unavailable
Facility
$872.10
No comparable office rate is available.
Idaho
Idaho · 64865
Office
Unavailable
Facility
$879.67
No comparable office rate is available.
East St. Louis
Illinois · 64865
Office
Unavailable
Facility
$998.05
No comparable office rate is available.
Rest Of Illinois
Illinois · 64865
Office
Unavailable
Facility
$960.98
No comparable office rate is available.
Suburban Chicago
Illinois · 64865
Office
Unavailable
Facility
$1020.26
No comparable office rate is available.
Indiana
Indiana · 64865
Office
Unavailable
Facility
$883.10
No comparable office rate is available.
Kansas
Kansas · 64865
Office
Unavailable
Facility
$876.50
No comparable office rate is available.
Kentucky
Kentucky · 64865
Office
Unavailable
Facility
$902.87
No comparable office rate is available.
New Orleans
Louisiana · 64865
Office
Unavailable
Facility
$937.89
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 64865
Office
Unavailable
Facility
$904.78
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 64865
Office
Unavailable
Facility
$1028.28
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 64865
Office
Unavailable
Facility
$959.10
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 64865
Office
Unavailable
Facility
$999.84
No comparable office rate is available.
Rest Of Maryland
Maryland · 64865
Office
Unavailable
Facility
$951.02
No comparable office rate is available.
Rest Of Maine
Maine · 64865
Office
Unavailable
Facility
$891.12
No comparable office rate is available.
Southern Maine
Maine · 64865
Office
Unavailable
Facility
$916.45
No comparable office rate is available.
Detroit
Michigan · 64865
Office
Unavailable
Facility
$988.47
No comparable office rate is available.
Rest Of Michigan
Michigan · 64865
Office
Unavailable
Facility
$927.64
No comparable office rate is available.
Minnesota
Minnesota · 64865
Office
Unavailable
Facility
$903.90
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 64865
Office
Unavailable
Facility
$924.98
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 64865
Office
Unavailable
Facility
$931.41
No comparable office rate is available.
Rest Of Missouri
Missouri · 64865
Office
Unavailable
Facility
$898.03
No comparable office rate is available.
Mississippi
Mississippi · 64865
Office
Unavailable
Facility
$879.63
No comparable office rate is available.
Montana**
Montana · 64865
Office
Unavailable
Facility
$947.76
No comparable office rate is available.
North Carolina
North Carolina · 64865
Office
Unavailable
Facility
$896.93
No comparable office rate is available.
North Dakota**
North Dakota · 64865
Office
Unavailable
Facility
$902.29
No comparable office rate is available.
Nebraska
Nebraska · 64865
Office
Unavailable
Facility
$873.41
No comparable office rate is available.
New Hampshire
New Hampshire · 64865
Office
Unavailable
Facility
$952.54
No comparable office rate is available.
Northern Nj
New Jersey · 64865
Office
Unavailable
Facility
$1041.68
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 64865
Office
Unavailable
Facility
$1008.26
No comparable office rate is available.
New Mexico
New Mexico · 64865
Office
Unavailable
Facility
$934.55
No comparable office rate is available.
Nevada**
Nevada · 64865
Office
Unavailable
Facility
$935.44
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 64865
Office
Unavailable
Facility
$1112.88
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 64865
Office
Unavailable
Facility
$1020.60
No comparable office rate is available.
Queens
New York · 64865
Office
Unavailable
Facility
$1078.57
No comparable office rate is available.
Rest Of New York
New York · 64865
Office
Unavailable
Facility
$907.75
No comparable office rate is available.
Ohio
Ohio · 64865
Office
Unavailable
Facility
$918.34
No comparable office rate is available.
Oklahoma
Oklahoma · 64865
Office
Unavailable
Facility
$893.65
No comparable office rate is available.
Portland
Oregon · 64865
Office
Unavailable
Facility
$975.16
No comparable office rate is available.
Rest Of Oregon
Oregon · 64865
Office
Unavailable
Facility
$923.71
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 64865
Office
Unavailable
Facility
$986.41
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 64865
Office
Unavailable
Facility
$915.24
No comparable office rate is available.
Puerto Rico
Puerto Rico · 64865
Office
Unavailable
Facility
$950.58
No comparable office rate is available.
Rhode Island
Rhode Island · 64865
Office
Unavailable
Facility
$961.03
No comparable office rate is available.
South Carolina
South Carolina · 64865
Office
Unavailable
Facility
$910.02
No comparable office rate is available.
South Dakota**
South Dakota · 64865
Office
Unavailable
Facility
$896.91
No comparable office rate is available.
Tennessee
Tennessee · 64865
Office
Unavailable
Facility
$880.77
No comparable office rate is available.
Austin
Texas · 64865
Office
Unavailable
Facility
$960.34
No comparable office rate is available.
Beaumont
Texas · 64865
Office
Unavailable
Facility
$911.23
No comparable office rate is available.
Brazoria
Texas · 64865
Office
Unavailable
Facility
$932.09
No comparable office rate is available.
Dallas
Texas · 64865
Office
Unavailable
Facility
$940.34
No comparable office rate is available.
Fort Worth
Texas · 64865
Office
Unavailable
Facility
$937.87
No comparable office rate is available.
Galveston
Texas · 64865
Office
Unavailable
Facility
$936.47
No comparable office rate is available.
Houston
Texas · 64865
Office
Unavailable
Facility
$978.57
No comparable office rate is available.
Rest Of Texas
Texas · 64865
Office
Unavailable
Facility
$922.77
No comparable office rate is available.
Utah
Utah · 64865
Office
Unavailable
Facility
$919.26
No comparable office rate is available.
Virginia
Virginia · 64865
Office
Unavailable
Facility
$919.43
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 64865
Office
Unavailable
Facility
$950.58
No comparable office rate is available.
Vermont
Vermont · 64865
Office
Unavailable
Facility
$906.50
No comparable office rate is available.
Rest Of Washington
Washington · 64865
Office
Unavailable
Facility
$954.76
No comparable office rate is available.
Seattle (King Cnty)
Washington · 64865
Office
Unavailable
Facility
$1038.84
No comparable office rate is available.
Wisconsin
Wisconsin · 64865
Office
Unavailable
Facility
$880.18
No comparable office rate is available.
West Virginia
West Virginia · 64865
Office
Unavailable
Facility
$935.57
No comparable office rate is available.
Wyoming**
Wyoming · 64865
Office
Unavailable
Facility
$927.94
No comparable office rate is available.
See how rates vary across the country
64865 · 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?
Redding is a Medicare payment area. Our Census mapping connects it to 32 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 64865 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1049.95
$954.50 × 110% = $1049.95
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 64865 in Redding.
PPRRVU2026_Oct_nonQPP.csv
7,263
- Code
- 64865
- Physician work
- 15.69
- Practice expense
- 10.39
- Malpractice
- 2.30
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 15.69 | × 1.017 | 15.9567 |
| Practice expense | 10.39 | × 1.096 | 11.3874 |
| Malpractice | 2.30 | × 0.536 | 1.2328 |
| Total RVUs | 28.5770 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$954.50
Open 64865 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 15.69 | 1.017 |
| Practice expense | 10.39 | 1.096 |
| Malpractice | 2.3 | 0.536 |
(15.69 × 1.017 + 10.39 × 1.096 + 2.3 × 0.536) × $33.4009 = $954.50
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
64865 · 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 | $954.50 | RVU26D |
| 2026-07-01 | Not available in this setting | $954.50 | RVU26C |
| 2026-04-01 | Not available in this setting | $954.50 | RVU26B |
| 2026-01-01 | Not available in this setting | $954.50 | RVU26A |
| 2025-10-01 | Not available in this setting | $1068.09 | RVU25D |
| 2025-07-01 | Not available in this setting | $1068.09 | RVU25C |
| 2025-04-01 | Not available in this setting | $1068.09 | RVU25B |
| 2025-01-01 | Not available in this setting | $1068.09 | RVU25A |
64865 billing questions
How is this code distinguished from 64864?
Use 64865 for repair of the facial nerve within the cranial cavity. Code 64864 is for extracranial facial nerve repair.
Does modifier 50 apply when both sides are involved?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What documentation supports reporting 64865?
The operative report should establish that the injured facial nerve segment was intracranial and describe the repair performed.
How does the 90-day global period affect postoperative care?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, 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.
7,26064861,,Repair of arm nerves,A,,20.37,16.31,NA,16.31,,8.59,45.27,45.27,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,26164862,,Repair of low back nerves,A,,20.56,12.11,NA,12.11,,4.38,37.05,37.05,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,26264864,,Repair of facial nerve,A,,13.07,7.35,NA,7.35,,2.19,22.61,22.61,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,26364865,,Repair of facial nerve,A,,15.69,10.39,NA,10.39,,2.30,28.38,28.38,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,26464866,,Fusion of facial/other nerve,A,,16.41,14.29,NA,14.29,,3.04,33.74,33.74,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,26564868,,Fusion of facial/other nerve,A,,14.53,9.34,NA,9.34,,2.12,25.99,25.99,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,26664872,,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
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
2001112,CA,62,RIVERSIDE-SAN BERNARDINO-ONTARIO,1.018,1.096,0.853
2101112,CA,63,SACRAMENTO-ROSEVILLE-FOLSOM,1.036,1.163,0.536
2201112,CA,64,SALINAS,1.031,1.159,0.536