Billing code 64774: Neuroma excisionMedicare rate & RVUs in Alaska
Reports surgical excision of a symptomatic neuroma arising from a cutaneous nerve, such as a painful nerve lesion in a prior incision scar.
CMS doesn’t publish an office rate for 64774 in Alaska.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 64774 covers
This service removes a symptomatic neuroma arising from a cutaneous sensory nerve. A typical situation is a painful nerve-end lesion in a surgical scar or after nerve injury. The surgeon identifies and excises the neuroma; the code is specific to a cutaneous nerve, rather than a digital or major peripheral nerve. Surgeons in specialties such as plastic, orthopedic, or general surgery may perform it in an operating room or another appropriate surgical setting.
Select the code when documentation supports excision of a cutaneous nerve neuroma and identifies the treated nerve and site. Distinguish a neuroma from a cutaneous nerve neurofibroma or neurilemmoma, and from a lesion of a digital or major peripheral nerve. This major surgery code has a 90-day global period, including the day-before preoperative visit and 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 inappropriate; assistant-at-surgery payment is statutorily restricted, and co-surgeons and team surgery are not permitted.
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.
64774 in Alaska*
| Payment locality | Office | Facility |
|---|---|---|
| Alaska* | Unavailable | $500.41 |
How the 64774 rate is calculated
Each of 64774’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 64774
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 5.66Practice expense 5.48Malpractice 1.19
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 64774
64774 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 64774
Neuroma excision
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.11/0.76/0.13 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 64774
Neuroma excision
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
64774 without 51 · national facility
$411.83
Neuroma excision
64774-51 · Second procedure: 50%
$205.92
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
64774 compared with similar codes
Compare codes
64774 vs 64776 vs 64788 vs 64784 vs 64795: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 64776Neuroma excision
- 64774 is for a cutaneous nerve neuroma; 64776 is for a digital nerve neuroma.
- 64788Nerve tumor excision
- Choose 64774 for a cutaneous nerve neuroma and 64788 for a cutaneous nerve neurofibroma or neurilemmoma.
- 64784Neuroma excision
- 64784 concerns a major peripheral nerve neuroma without transposition. 64774 is for a cutaneous nerve neuroma.
- 64795Nerve biopsy
- 64795 reports nerve biopsy for diagnostic sampling; 64774 reports excision of a cutaneous nerve neuroma.
64774 billing questions
When is 64774 appropriate instead of 64776?
Use 64774 for excision of a cutaneous nerve neuroma. Code 64776 is for a neuroma of a digital nerve.
How does 64774 differ from 64788?
64774 describes excision of a cutaneous nerve neuroma. 64788 is for a cutaneous nerve neurofibroma or neurilemmoma.
What documentation supports reporting 64774?
Document the neuroma diagnosis, the cutaneous nerve and site involved, and the surgical excision performed. The record should distinguish the lesion from a digital or major peripheral nerve lesion.
Should modifier 50 be appended for bilateral lesions?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
How does the global period affect postoperative visits?
The 90-day global period includes the day-before preoperative visit and related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard reduction.
Can an assistant or co-surgeon be paid for this procedure?
Assistant-at-surgery payment is statutorily restricted. Co-surgeons and team surgery are 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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