No office rate
64831 reports the primary digital nerve repair; 64832 reports each additional digital nerve repaired and is an add-on code.
On this page
CMS RVU26D · Effective 2026-10-01
64831 Digital nerve repair Medicare reimbursement rates in Alabama
Reports surgical suture repair of a digital nerve in a hand or foot, commonly after traumatic transection or laceration. Compare 64831 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for 64831 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$582.92
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Peripheral nerve surgery
About 64831: Digital nerve suture repair
Reports surgical suture repair of a digital nerve in a hand or foot, commonly after traumatic transection or laceration.
A surgeon repairs a cut or transected digital nerve in a finger, thumb, or toe by bringing the nerve ends together and suturing them. This procedure is commonly performed by a hand or orthopedic surgeon, plastic surgeon, or another surgeon experienced in peripheral nerve repair, often in an operating room after a sharp laceration or other injury. The operative record should identify the injured digital nerve and document the repair performed.
Report 64831 for a digital nerve repair in the hand or foot; distinguish it from repair of a non-digital nerve in the hand or foot. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For bilateral procedures, modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 64831
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.93 · 46%
- Practice expense (office) RVU8.64 · 45%
- Malpractice RVU1.70 · 9%
821
Medicare services in 2024 · #3121 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.
64831 compared with similar codes
Office rates for Alabama, from the same CMS release.
No office rate
Use 64831 for a digital nerve. Use 64834 when the repaired nerve in the hand or foot is not digital.
No office rate
64835 is for an additional non-digital hand or foot nerve; it is not the add-on for another digital nerve.
Compare 64831 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
Unavailable
Facility
$582.92
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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 64831 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
7,249
- Code
- 64831
- Physician work
- 8.93
- Practice expense
- 8.64
- Malpractice
- 1.70
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.93 | × 1.000 | 8.9300 |
| Practice expense | 8.64 | × 0.875 | 7.5600 |
| Malpractice | 1.70 | × 0.566 | 0.9622 |
| Total RVUs | 17.4522 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alabama$582.92
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.93 | 1 |
| Practice expense | 8.64 | 0.875 |
| Malpractice | 1.7 | 0.566 |
(8.93 × 1 + 8.64 × 0.875 + 1.7 × 0.566) × $33.4009 = $582.92
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.
64831 billing questions
When should 64831 be selected instead of 64834?
Use 64831 for repair of a digital nerve in the hand or foot. Code 64834 is for a hand or foot nerve other than a digital nerve.
How is another digital nerve repaired in the same session reported?
CPT 64832 is the add-on code for each additional digital nerve. The operative documentation should identify the additional nerve repaired.
What documentation supports 64831?
Document the hand or foot, the specific injured digital nerve, the injury or defect, and the suture repair performed.
How does Medicare pay for bilateral digital nerve repairs?
The CMS bilateral rule specifies modifier 50, with payment at 150% for a bilateral procedure.
Can an assistant surgeon or co-surgeon be paid for this procedure?
CMS does not pay an assistant at surgery for 64831. Co-surgeons and team surgery are not permitted under the listed CMS rules.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
7,24664821,,Sympathectomy radial artery,A,,9.10,8.73,NA,8.73,,1.94,19.77,19.77,0,090,0.11,0.76,0.13,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,24764822,,Sympathectomy ulnar artery,A,,9.10,8.73,NA,8.73,,1.94,19.77,19.77,0,090,0.11,0.76,0.13,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,24864823,,Sympathectomy supfc palmar,A,,10.67,9.22,NA,9.22,,2.27,22.16,22.16,0,090,0.11,0.76,0.13,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,24964831,,Repair of digit nerve,A,,8.93,8.64,NA,8.64,,1.70,19.27,19.27,0,090,0.11,0.76,0.13,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,25064832,,Repair nerve add-on,A,,5.51,1.85,NA,1.85,,1.07,8.43,8.43,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,25164834,,Repair of hand or foot nerve,A,,10.54,7.45,NA,7.45,,1.79,19.78,19.78,0,090,0.11,0.76,0.13,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,25264835,,Repair of hand or foot nerve,A,,11.44,8.73,NA,8.73,,2.44,22.61,22.61,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515