No office rate
64727 is an add-on for qualifying internal neurolysis performed with a neuroplasty; it is not the primary cranial nerve release or repositioning service.
On this page
CMS RVU26D · Effective 2026-10-01
64716 in Wyoming**
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$459.96
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 64716: Cranial nerve neuroplasty or transposition
Report cranial nerve neuroplasty or transposition when a surgeon directly frees or repositions a cranial nerve during operative treatment.
This operation involves surgically freeing a cranial nerve from restrictive scar or surrounding tissue, and/or mobilizing it into a different position to address tethering or compression. Neurosurgeons and head-and-neck surgeons may perform this work in an operating room when a cranial nerve is directly exposed and treated; incidental nerve exposure during a nearby operation is not enough to support the service.
The operative report should identify the cranial nerve and describe the release or repositioning performed, rather than only exploration or intentional nerve transection. 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 one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is not appropriate for this cranial-nerve service. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 64716
- 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 RVU6.82 · 48%
- Practice expense (office) RVU6.10 · 43%
- Malpractice RVU1.15 · 8%
1.5K
Medicare services in 2024 · #2698 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.
64716 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
No office rate
Use 64742 for intentional facial nerve transection. Use 64716 when the cranial nerve is freed or repositioned rather than cut.
No office rate
64708 addresses revision of an arm or leg nerve. Select 64716 when the nerve treated is cranial.
No office rate
64732 represents transection of the supraorbital nerve; 64716 describes cranial nerve release or repositioning.
The same code, a different location
How does Wyoming** compare?
64716 across payment areas
Same release and payment basis · bars start at $0
Wyoming** · This locality
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.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Wyoming 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
Alabama
Alabama · 64716
Office
Unavailable
Facility
$427.81
No comparable office rate is available.
Arkansas
Arkansas · 64716
Office
Unavailable
Facility
$422.59
No comparable office rate is available.
Arizona
Arizona · 64716
Office
Unavailable
Facility
$458.10
No comparable office rate is available.
Bakersfield
California · 64716
Office
Unavailable
Facility
$478.82
No comparable office rate is available.
Chico
California · 64716
Office
Unavailable
Facility
$475.56
No comparable office rate is available.
El Centro
California · 64716
Office
Unavailable
Facility
$475.75
No comparable office rate is available.
Fresno
California · 64716
Office
Unavailable
Facility
$475.56
No comparable office rate is available.
Hanford-Corcoran
California · 64716
Office
Unavailable
Facility
$475.56
No comparable office rate is available.
Madera
California · 64716
Office
Unavailable
Facility
$475.56
No comparable office rate is available.
Merced
California · 64716
Office
Unavailable
Facility
$475.56
No comparable office rate is available.
Modesto
California · 64716
Office
Unavailable
Facility
$475.56
No comparable office rate is available.
Napa
California · 64716
Office
Unavailable
Facility
$530.19
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 64716
Office
Unavailable
Facility
$498.93
No comparable office rate is available.
Redding
California · 64716
Office
Unavailable
Facility
$475.56
No comparable office rate is available.
Rest Of California
California · 64716
Office
Unavailable
Facility
$475.56
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 64716
Office
Unavailable
Facility
$487.96
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 64716
Office
Unavailable
Facility
$493.54
No comparable office rate is available.
Salinas
California · 64716
Office
Unavailable
Facility
$491.59
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 64716
Office
Unavailable
Facility
$499.13
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 64716
Office
Unavailable
Facility
$554.35
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 64716
Office
Unavailable
Facility
$553.04
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 64716
Office
Unavailable
Facility
$567.24
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 64716
Office
Unavailable
Facility
$561.90
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 64716
Office
Unavailable
Facility
$484.32
No comparable office rate is available.
Santa Cruz-Watsonville
California · 64716
Office
Unavailable
Facility
$500.72
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 64716
Office
Unavailable
Facility
$492.33
No comparable office rate is available.
Santa Rosa-Petaluma
California · 64716
Office
Unavailable
Facility
$505.42
No comparable office rate is available.
Stockton
California · 64716
Office
Unavailable
Facility
$475.56
No comparable office rate is available.
Vallejo
California · 64716
Office
Unavailable
Facility
$528.31
No comparable office rate is available.
Visalia
California · 64716
Office
Unavailable
Facility
$475.56
No comparable office rate is available.
Yuba City
California · 64716
Office
Unavailable
Facility
$475.56
No comparable office rate is available.
Colorado
Colorado · 64716
Office
Unavailable
Facility
$477.31
No comparable office rate is available.
Connecticut
Connecticut · 64716
Office
Unavailable
Facility
$498.26
No comparable office rate is available.
Delaware
Delaware · 64716
Office
Unavailable
Facility
$464.77
No comparable office rate is available.
Fort Lauderdale
Florida · 64716
Office
Unavailable
Facility
$503.64
No comparable office rate is available.
Rest Of Florida
Florida · 64716
Office
Unavailable
Facility
$480.31
No comparable office rate is available.
Atlanta
Georgia · 64716
Office
Unavailable
Facility
$481.61
No comparable office rate is available.
Rest Of Georgia
Georgia · 64716
Office
Unavailable
Facility
$455.32
No comparable office rate is available.
Hawaii, Guam
Hawaii · 64716
Office
Unavailable
Facility
$481.69
No comparable office rate is available.
Iowa
Iowa · 64716
Office
Unavailable
Facility
$429.47
No comparable office rate is available.
Idaho
Idaho · 64716
Office
Unavailable
Facility
$433.41
No comparable office rate is available.
East St. Louis
Illinois · 64716
Office
Unavailable
Facility
$492.60
No comparable office rate is available.
Rest Of Illinois
Illinois · 64716
Office
Unavailable
Facility
$473.85
No comparable office rate is available.
Suburban Chicago
Illinois · 64716
Office
Unavailable
Facility
$506.70
No comparable office rate is available.
Indiana
Indiana · 64716
Office
Unavailable
Facility
$435.33
No comparable office rate is available.
Kansas
Kansas · 64716
Office
Unavailable
Facility
$431.34
No comparable office rate is available.
Kentucky
Kentucky · 64716
Office
Unavailable
Facility
$444.07
No comparable office rate is available.
New Orleans
Louisiana · 64716
Office
Unavailable
Facility
$463.15
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 64716
Office
Unavailable
Facility
$444.91
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 64716
Office
Unavailable
Facility
$514.59
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 64716
Office
Unavailable
Facility
$476.60
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 64716
Office
Unavailable
Facility
$497.57
No comparable office rate is available.
Rest Of Maryland
Maryland · 64716
Office
Unavailable
Facility
$471.52
No comparable office rate is available.
Rest Of Maine
Maine · 64716
Office
Unavailable
Facility
$439.13
No comparable office rate is available.
Southern Maine
Maine · 64716
Office
Unavailable
Facility
$453.94
No comparable office rate is available.
Detroit
Michigan · 64716
Office
Unavailable
Facility
$489.17
No comparable office rate is available.
Rest Of Michigan
Michigan · 64716
Office
Unavailable
Facility
$457.18
No comparable office rate is available.
Minnesota
Minnesota · 64716
Office
Unavailable
Facility
$448.82
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 64716
Office
Unavailable
Facility
$456.64
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 64716
Office
Unavailable
Facility
$460.25
No comparable office rate is available.
Rest Of Missouri
Missouri · 64716
Office
Unavailable
Facility
$440.84
No comparable office rate is available.
Mississippi
Mississippi · 64716
Office
Unavailable
Facility
$431.60
No comparable office rate is available.
Montana**
Montana · 64716
Office
Unavailable
Facility
$469.87
No comparable office rate is available.
North Carolina
North Carolina · 64716
Office
Unavailable
Facility
$442.43
No comparable office rate is available.
North Dakota**
North Dakota · 64716
Office
Unavailable
Facility
$447.13
No comparable office rate is available.
Nebraska
Nebraska · 64716
Office
Unavailable
Facility
$430.37
No comparable office rate is available.
New Hampshire
New Hampshire · 64716
Office
Unavailable
Facility
$473.50
No comparable office rate is available.
Northern Nj
New Jersey · 64716
Office
Unavailable
Facility
$519.51
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 64716
Office
Unavailable
Facility
$501.53
No comparable office rate is available.
New Mexico
New Mexico · 64716
Office
Unavailable
Facility
$460.76
No comparable office rate is available.
Nevada**
Nevada · 64716
Office
Unavailable
Facility
$463.74
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 64716
Office
Unavailable
Facility
$555.96
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 64716
Office
Unavailable
Facility
$507.62
No comparable office rate is available.
Queens
New York · 64716
Office
Unavailable
Facility
$538.59
No comparable office rate is available.
Rest Of New York
New York · 64716
Office
Unavailable
Facility
$448.36
No comparable office rate is available.
Ohio
Ohio · 64716
Office
Unavailable
Facility
$452.53
No comparable office rate is available.
Oklahoma
Oklahoma · 64716
Office
Unavailable
Facility
$439.58
No comparable office rate is available.
Portland
Oregon · 64716
Office
Unavailable
Facility
$486.38
No comparable office rate is available.
Rest Of Oregon
Oregon · 64716
Office
Unavailable
Facility
$457.73
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 64716
Office
Unavailable
Facility
$489.82
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 64716
Office
Unavailable
Facility
$451.13
No comparable office rate is available.
Puerto Rico
Puerto Rico · 64716
Office
Unavailable
Facility
$471.62
No comparable office rate is available.
Rhode Island
Rhode Island · 64716
Office
Unavailable
Facility
$476.85
No comparable office rate is available.
South Carolina
South Carolina · 64716
Office
Unavailable
Facility
$448.70
No comparable office rate is available.
South Dakota**
South Dakota · 64716
Office
Unavailable
Facility
$444.45
No comparable office rate is available.
Tennessee
Tennessee · 64716
Office
Unavailable
Facility
$433.63
No comparable office rate is available.
Austin
Texas · 64716
Office
Unavailable
Facility
$477.84
No comparable office rate is available.
Beaumont
Texas · 64716
Office
Unavailable
Facility
$448.89
No comparable office rate is available.
Brazoria
Texas · 64716
Office
Unavailable
Facility
$461.49
No comparable office rate is available.
Dallas
Texas · 64716
Office
Unavailable
Facility
$465.73
No comparable office rate is available.
Fort Worth
Texas · 64716
Office
Unavailable
Facility
$464.19
No comparable office rate is available.
Galveston
Texas · 64716
Office
Unavailable
Facility
$463.74
No comparable office rate is available.
Houston
Texas · 64716
Office
Unavailable
Facility
$484.79
No comparable office rate is available.
Rest Of Texas
Texas · 64716
Office
Unavailable
Facility
$455.83
No comparable office rate is available.
Utah
Utah · 64716
Office
Unavailable
Facility
$453.81
No comparable office rate is available.
Virginia
Virginia · 64716
Office
Unavailable
Facility
$455.19
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 64716
Office
Unavailable
Facility
$471.62
No comparable office rate is available.
Vermont
Vermont · 64716
Office
Unavailable
Facility
$448.94
No comparable office rate is available.
Rest Of Washington
Washington · 64716
Office
Unavailable
Facility
$474.53
No comparable office rate is available.
Seattle (King Cnty)
Washington · 64716
Office
Unavailable
Facility
$520.56
No comparable office rate is available.
Wisconsin
Wisconsin · 64716
Office
Unavailable
Facility
$434.81
No comparable office rate is available.
West Virginia
West Virginia · 64716
Office
Unavailable
Facility
$459.82
No comparable office rate is available.
See how rates vary across the country
64716 · 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?
Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 64716 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$505.96
$459.96 × 110% = $505.96
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 64716 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
7,207
- Code
- 64716
- Physician work
- 6.82
- Practice expense
- 6.10
- Malpractice
- 1.15
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.82 | × 1.000 | 6.8200 |
| Practice expense | 6.10 | × 1.000 | 6.1000 |
| Malpractice | 1.15 | × 0.740 | 0.8510 |
| Total RVUs | 13.7710 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$459.96
Open 64716 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.82 | 1 |
| Practice expense | 6.1 | 1 |
| Malpractice | 1.15 | 0.74 |
(6.82 × 1 + 6.1 × 1 + 1.15 × 0.74) × $33.4009 = $459.96
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
64716 · 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 | $459.96 | RVU26D |
| 2026-07-01 | Not available in this setting | $459.96 | RVU26C |
| 2026-04-01 | Not available in this setting | $459.96 | RVU26B |
| 2026-01-01 | Not available in this setting | $459.96 | RVU26A |
| 2025-10-01 | Not available in this setting | $492.63 | RVU25D |
| 2025-07-01 | Not available in this setting | $492.63 | RVU25C |
| 2025-04-01 | Not available in this setting | $492.63 | RVU25B |
| 2025-01-01 | Not available in this setting | $492.63 | RVU25A |
64716 billing questions
How is this different from transecting a cranial nerve?
This code describes freeing or repositioning a cranial nerve. A procedure that intentionally cuts a nerve is a different service, such as the facial nerve procedure represented by 64742.
Can internal neurolysis be reported with this service?
CPT 64727 is an add-on for qualifying internal neurolysis performed with a neuroplasty. The operative documentation should support that distinct work.
What should the operative report document?
Identify the cranial nerve and explain the actual release or repositioning performed. A note describing only exposure, inspection, or transection does not establish this service.
Should modifier 50 be used for work on both sides?
No. Modifier 50 is not appropriate for this cranial-nerve service.
How does the 90-day global affect postoperative claims?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How are multiple procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures in the session are subject to the standard 50% multiple-procedure reduction.
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.
7,20464712,,Revision of sciatic nerve,A,,7.87,7.14,NA,7.14,,1.68,16.69,16.69,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,20564713,,Revision of arm nerve(s),A,,11.12,8.61,NA,8.61,,2.58,22.31,22.31,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,20664714,,Revise low back nerve(s),A,,10.29,8.73,NA,8.73,,2.41,21.43,21.43,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,20764716,,Revision of cranial nerve,A,,6.82,6.10,NA,6.10,,1.15,14.07,14.07,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,20864718,,Revise ulnar nerve at elbow,A,,7.08,8.71,NA,8.71,,1.43,17.22,17.22,0,090,0.11,0.76,0.13,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,20964719,,Revise ulnar nerve at wrist,A,,4.85,5.80,NA,5.80,,0.96,11.61,11.61,0,090,0.11,0.76,0.13,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,21064721,,Carpal tunnel surgery,A,,4.85,8.61,,6.83,,0.99,14.45,12.67,0,090,0.11,0.76,0.13,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,