No office rate
Its CMS short descriptor also identifies incision of a hip or thigh nerve. Confirm the full code descriptor and operative details rather than choosing from the short descriptor alone.
On this page
CMS RVU26D · Effective 2026-10-01
64766 in Wyoming**
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$597.05
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.
Peripheral nerve surgery
About 64766: Hip or thigh nerve neurotomy
Reports operative incision or division of a peripheral nerve in the hip or thigh to interrupt nerve transmission for a targeted clinical purpose.
This code describes an operation that incises or divides a peripheral nerve located in the hip or thigh, interrupting its nerve transmission. A surgeon performs the procedure when the treatment plan calls for intentional interruption of that nerve; the operative report should identify the nerve and explain the clinical reason for treating it. The code is specific to the nerve’s hip or thigh location, not simply the site of an incision or the patient’s symptoms.
Select this code when the documented procedure is nerve incision or division, rather than removal of a nerve lesion. The operative note should support the nerve treated, its location, the work performed, and the reason for the intervention. 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 one session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeons and team surgery are not permitted.
CMS billing rules for 64766
- 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 procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.23 · 50%
- Practice expense (office) RVU6.81 · 37%
- Malpractice RVU2.48 · 13%
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.
64766 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
No office rate
This code concerns incision of a spinal nerve. Choose 64766 for a nerve treated in the hip or thigh, not a spinal nerve.
No office rate
This code addresses removal of a sciatic nerve lesion. Use 64766 when the operation intentionally incises or divides a nerve rather than excising a lesion.
The same code, a different location
How does Wyoming** compare?
64766 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 · 64766
Office
Unavailable
Facility
$554.20
No comparable office rate is available.
Arkansas
Arkansas · 64766
Office
Unavailable
Facility
$546.34
No comparable office rate is available.
Arizona
Arizona · 64766
Office
Unavailable
Facility
$599.61
No comparable office rate is available.
Bakersfield
California · 64766
Office
Unavailable
Facility
$613.89
No comparable office rate is available.
Chico
California · 64766
Office
Unavailable
Facility
$607.23
No comparable office rate is available.
El Centro
California · 64766
Office
Unavailable
Facility
$607.64
No comparable office rate is available.
Fresno
California · 64766
Office
Unavailable
Facility
$607.23
No comparable office rate is available.
Hanford-Corcoran
California · 64766
Office
Unavailable
Facility
$607.23
No comparable office rate is available.
Madera
California · 64766
Office
Unavailable
Facility
$607.23
No comparable office rate is available.
Merced
California · 64766
Office
Unavailable
Facility
$607.23
No comparable office rate is available.
Modesto
California · 64766
Office
Unavailable
Facility
$607.23
No comparable office rate is available.
Napa
California · 64766
Office
Unavailable
Facility
$669.58
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 64766
Office
Unavailable
Facility
$637.39
No comparable office rate is available.
Redding
California · 64766
Office
Unavailable
Facility
$607.23
No comparable office rate is available.
Rest Of California
California · 64766
Office
Unavailable
Facility
$607.23
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 64766
Office
Unavailable
Facility
$633.79
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 64766
Office
Unavailable
Facility
$628.32
No comparable office rate is available.
Salinas
California · 64766
Office
Unavailable
Facility
$625.87
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 64766
Office
Unavailable
Facility
$634.48
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 64766
Office
Unavailable
Facility
$696.32
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 64766
Office
Unavailable
Facility
$693.50
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 64766
Office
Unavailable
Facility
$714.60
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 64766
Office
Unavailable
Facility
$703.08
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 64766
Office
Unavailable
Facility
$617.01
No comparable office rate is available.
Santa Cruz-Watsonville
California · 64766
Office
Unavailable
Facility
$635.53
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 64766
Office
Unavailable
Facility
$626.54
No comparable office rate is available.
Santa Rosa-Petaluma
California · 64766
Office
Unavailable
Facility
$641.26
No comparable office rate is available.
Stockton
California · 64766
Office
Unavailable
Facility
$607.23
No comparable office rate is available.
Vallejo
California · 64766
Office
Unavailable
Facility
$665.53
No comparable office rate is available.
Visalia
California · 64766
Office
Unavailable
Facility
$607.23
No comparable office rate is available.
Yuba City
California · 64766
Office
Unavailable
Facility
$607.23
No comparable office rate is available.
Colorado
Colorado · 64766
Office
Unavailable
Facility
$618.70
No comparable office rate is available.
Connecticut
Connecticut · 64766
Office
Unavailable
Facility
$659.66
No comparable office rate is available.
Delaware
Delaware · 64766
Office
Unavailable
Facility
$609.03
No comparable office rate is available.
Fort Lauderdale
Florida · 64766
Office
Unavailable
Facility
$688.47
No comparable office rate is available.
Rest Of Florida
Florida · 64766
Office
Unavailable
Facility
$650.24
No comparable office rate is available.
Atlanta
Georgia · 64766
Office
Unavailable
Facility
$639.80
No comparable office rate is available.
Rest Of Georgia
Georgia · 64766
Office
Unavailable
Facility
$609.92
No comparable office rate is available.
Hawaii, Guam
Hawaii · 64766
Office
Unavailable
Facility
$614.87
No comparable office rate is available.
Iowa
Iowa · 64766
Office
Unavailable
Facility
$549.30
No comparable office rate is available.
Idaho
Idaho · 64766
Office
Unavailable
Facility
$556.73
No comparable office rate is available.
East St. Louis
Illinois · 64766
Office
Unavailable
Facility
$684.38
No comparable office rate is available.
Rest Of Illinois
Illinois · 64766
Office
Unavailable
Facility
$645.43
No comparable office rate is available.
Suburban Chicago
Illinois · 64766
Office
Unavailable
Facility
$690.83
No comparable office rate is available.
Indiana
Indiana · 64766
Office
Unavailable
Facility
$559.40
No comparable office rate is available.
Kansas
Kansas · 64766
Office
Unavailable
Facility
$555.66
No comparable office rate is available.
Kentucky
Kentucky · 64766
Office
Unavailable
Facility
$586.30
No comparable office rate is available.
New Orleans
Louisiana · 64766
Office
Unavailable
Facility
$616.43
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 64766
Office
Unavailable
Facility
$588.95
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 64766
Office
Unavailable
Facility
$666.24
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 64766
Office
Unavailable
Facility
$618.76
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 64766
Office
Unavailable
Facility
$659.75
No comparable office rate is available.
Rest Of Maryland
Maryland · 64766
Office
Unavailable
Facility
$617.60
No comparable office rate is available.
Rest Of Maine
Maine · 64766
Office
Unavailable
Facility
$569.08
No comparable office rate is available.
Southern Maine
Maine · 64766
Office
Unavailable
Facility
$585.97
No comparable office rate is available.
Detroit
Michigan · 64766
Office
Unavailable
Facility
$667.45
No comparable office rate is available.
Rest Of Michigan
Michigan · 64766
Office
Unavailable
Facility
$609.48
No comparable office rate is available.
Minnesota
Minnesota · 64766
Office
Unavailable
Facility
$566.87
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 64766
Office
Unavailable
Facility
$602.80
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 64766
Office
Unavailable
Facility
$607.83
No comparable office rate is available.
Rest Of Missouri
Missouri · 64766
Office
Unavailable
Facility
$585.04
No comparable office rate is available.
Mississippi
Mississippi · 64766
Office
Unavailable
Facility
$565.35
No comparable office rate is available.
Montana**
Montana · 64766
Office
Unavailable
Facility
$618.42
No comparable office rate is available.
North Carolina
North Carolina · 64766
Office
Unavailable
Facility
$573.44
No comparable office rate is available.
North Dakota**
North Dakota · 64766
Office
Unavailable
Facility
$569.38
No comparable office rate is available.
Nebraska
Nebraska · 64766
Office
Unavailable
Facility
$549.55
No comparable office rate is available.
New Hampshire
New Hampshire · 64766
Office
Unavailable
Facility
$617.56
No comparable office rate is available.
Northern Nj
New Jersey · 64766
Office
Unavailable
Facility
$680.03
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 64766
Office
Unavailable
Facility
$659.88
No comparable office rate is available.
New Mexico
New Mexico · 64766
Office
Unavailable
Facility
$616.36
No comparable office rate is available.
Nevada**
Nevada · 64766
Office
Unavailable
Facility
$604.98
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 64766
Office
Unavailable
Facility
$752.29
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 64766
Office
Unavailable
Facility
$671.46
No comparable office rate is available.
Queens
New York · 64766
Office
Unavailable
Facility
$716.33
No comparable office rate is available.
Rest Of New York
New York · 64766
Office
Unavailable
Facility
$582.61
No comparable office rate is available.
Ohio
Ohio · 64766
Office
Unavailable
Facility
$599.46
No comparable office rate is available.
Oklahoma
Oklahoma · 64766
Office
Unavailable
Facility
$575.77
No comparable office rate is available.
Portland
Oregon · 64766
Office
Unavailable
Facility
$627.56
No comparable office rate is available.
Rest Of Oregon
Oregon · 64766
Office
Unavailable
Facility
$593.07
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 64766
Office
Unavailable
Facility
$649.45
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 64766
Office
Unavailable
Facility
$595.38
No comparable office rate is available.
Puerto Rico
Puerto Rico · 64766
Office
Unavailable
Facility
$619.84
No comparable office rate is available.
Rhode Island
Rhode Island · 64766
Office
Unavailable
Facility
$623.00
No comparable office rate is available.
South Carolina
South Carolina · 64766
Office
Unavailable
Facility
$588.87
No comparable office rate is available.
South Dakota**
South Dakota · 64766
Office
Unavailable
Facility
$563.58
No comparable office rate is available.
Tennessee
Tennessee · 64766
Office
Unavailable
Facility
$559.53
No comparable office rate is available.
Austin
Texas · 64766
Office
Unavailable
Facility
$622.95
No comparable office rate is available.
Beaumont
Texas · 64766
Office
Unavailable
Facility
$592.23
No comparable office rate is available.
Brazoria
Texas · 64766
Office
Unavailable
Facility
$600.78
No comparable office rate is available.
Dallas
Texas · 64766
Office
Unavailable
Facility
$608.69
No comparable office rate is available.
Fort Worth
Texas · 64766
Office
Unavailable
Facility
$607.49
No comparable office rate is available.
Galveston
Texas · 64766
Office
Unavailable
Facility
$605.21
No comparable office rate is available.
Houston
Texas · 64766
Office
Unavailable
Facility
$650.60
No comparable office rate is available.
Rest Of Texas
Texas · 64766
Office
Unavailable
Facility
$598.95
No comparable office rate is available.
Utah
Utah · 64766
Office
Unavailable
Facility
$596.49
No comparable office rate is available.
Virginia
Virginia · 64766
Office
Unavailable
Facility
$590.36
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 64766
Office
Unavailable
Facility
$619.84
No comparable office rate is available.
Vermont
Vermont · 64766
Office
Unavailable
Facility
$575.39
No comparable office rate is available.
Rest Of Washington
Washington · 64766
Office
Unavailable
Facility
$614.85
No comparable office rate is available.
Seattle (King Cnty)
Washington · 64766
Office
Unavailable
Facility
$670.47
No comparable office rate is available.
Wisconsin
Wisconsin · 64766
Office
Unavailable
Facility
$551.71
No comparable office rate is available.
West Virginia
West Virginia · 64766
Office
Unavailable
Facility
$624.49
No comparable office rate is available.
See how rates vary across the country
64766 · 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 64766 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$656.75
$597.05 × 110% = $656.75
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 64766 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
7,226
- Code
- 64766
- Physician work
- 9.23
- Practice expense
- 6.81
- Malpractice
- 2.48
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.23 | × 1.000 | 9.2300 |
| Practice expense | 6.81 | × 1.000 | 6.8100 |
| Malpractice | 2.48 | × 0.740 | 1.8352 |
| Total RVUs | 17.8752 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$597.05
Open 64766 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.23 | 1 |
| Practice expense | 6.81 | 1 |
| Malpractice | 2.48 | 0.74 |
(9.23 × 1 + 6.81 × 1 + 2.48 × 0.74) × $33.4009 = $597.05
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
64766 · 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 | $597.05 | RVU26D |
| 2026-07-01 | Not available in this setting | $597.05 | RVU26C |
| 2026-04-01 | Not available in this setting | $597.05 | RVU26B |
| 2026-01-01 | Not available in this setting | $597.05 | RVU26A |
| 2025-10-01 | Not available in this setting | $605.97 | RVU25D |
| 2025-07-01 | Not available in this setting | $605.97 | RVU25C |
| 2025-04-01 | Not available in this setting | $605.97 | RVU25B |
| 2025-01-01 | Not available in this setting | $605.97 | RVU25A |
64766 billing questions
How is this code distinguished from 64763?
Both CMS short descriptors identify incision of a hip or thigh nerve. Use the code whose full CPT descriptor and documented nerve procedure match the operation; the short descriptor alone does not distinguish the services.
Can nerve lesion removal be reported instead?
Not when the documented work is nerve incision or division. For a procedure that excises a sciatic nerve lesion, evaluate 64786 instead and ensure the operative report supports lesion removal.
What should the operative report document?
Identify the nerve and its hip or thigh location, describe the incision or division performed, and state the clinical purpose. Documentation should make clear that the work was nerve interruption rather than lesion excision.
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. Report a separate service only when applicable coding rules support it.
How is bilateral surgery reported?
For bilateral procedures, report modifier 50; CMS pays the bilateral procedure at 150%. The record should support treatment of the nerve on both sides.
May an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made for this procedure. Co-surgeons and team surgery are not permitted under the CMS rules provided.
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.
7,22364755,,Incision of stomach nerves,A,,14.67,7.46,NA,7.46,,3.92,26.05,26.05,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,22464760,,Incision of vagus nerve,A,,7.40,5.91,NA,5.91,,1.98,15.29,15.29,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,22564763,,Incise hip/thigh nerve,A,,7.37,5.76,NA,5.76,,1.97,15.10,15.10,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,22664766,,Incise hip/thigh nerve,A,,9.23,6.81,NA,6.81,,2.48,18.52,18.52,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,22764771,,Sever cranial nerve,A,,7.95,7.31,NA,7.31,,1.47,16.73,16.73,0,090,0.11,0.76,0.13,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,22864772,,Incision of spinal nerve,A,,7.64,6.39,NA,6.39,,1.43,15.46,15.46,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,22964774,,Remove skin nerve lesion,A,,5.66,5.48,NA,5.48,,1.19,12.33,12.33,0,090,0.11,0.76,0.13,2,0,1,0,0,9,,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.,,,,,,