No office rate
64831 applies to repair of a digital nerve. Use 64834 for one hand or foot nerve outside that digital-nerve code.
On this page
CMS RVU26D · Effective 2026-10-01
64834 Nerve repair Medicare reimbursement rates in Arkansas
Reports direct repair of one non-digital nerve in the hand or foot, typically after traumatic injury requiring operative nerve coaptation. Compare 64834 office and facility rates across CMS payment localities in Arkansas.
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 64834 in Arkansas?
Arkansas 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
$596.59
1 of 1 localities have a supported rate.
Payment area: Arkansas
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 64834: Hand or foot nerve repair
Reports direct repair of one non-digital nerve in the hand or foot, typically after traumatic injury requiring operative nerve coaptation.
This code describes operative repair of one nerve in the hand or foot, such as direct coaptation of a transected nerve after a laceration or other injury. It is generally performed by a hand, plastic, orthopedic, or peripheral nerve surgeon in an operating room. The code is for a hand or foot nerve repair rather than repair of a digital nerve, which has a separate code family.
Report one unit for the nerve repaired. The operative note should identify the nerve, its location and injury, and the repair performed; use the graft-requiring code when a nerve graft is needed. Code 64835 is used for each additional nerve repaired without a graft. This major surgery has 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 others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 64834
- 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU10.54 · 53%
- Practice expense (office) RVU7.45 · 38%
- Malpractice RVU1.79 · 9%
103
Medicare services in 2024 · #4861 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.
64834 compared with similar codes
Office rates for Arkansas, from the same CMS release.
No office rate
64835 reports each additional hand or foot nerve repaired without a graft; 64834 reports the first nerve.
No office rate
64836 is for a hand or foot nerve repair requiring a graft. Code 64834 describes repair of one nerve without that graft requirement.
No office rate
64840 describes nerve repair in the leg. Choose 64834 when the repaired nerve is in the hand or foot.
Compare 64834 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
Arkansas →
Office / nonfacility
Unavailable
Facility
$596.59
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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 64834 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
7,251
- Code
- 64834
- Physician work
- 10.54
- Practice expense
- 7.45
- Malpractice
- 1.79
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.54 | × 1.000 | 10.5400 |
| Practice expense | 7.45 | × 0.859 | 6.3995 |
| Malpractice | 1.79 | × 0.515 | 0.9219 |
| Total RVUs | 17.8614 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arkansas$596.59
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.54 | 1 |
| Practice expense | 7.45 | 0.859 |
| Malpractice | 1.79 | 0.515 |
(10.54 × 1 + 7.45 × 0.859 + 1.79 × 0.515) × $33.4009 = $596.59
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.
64834 billing questions
When should 64834 be used instead of 64831?
Use 64834 for one hand or foot nerve that is not coded as a digital nerve. Code 64831 is for repair of a digital nerve.
How is repair of an additional nerve reported?
Report 64835 for each additional hand or foot nerve repaired without a graft, alongside the primary repair when supported by the operative note.
When is 64836 used instead?
Use 64836 when the hand or foot nerve repair requires a nerve graft. The record should describe the graft-based repair.
What documentation supports 64834?
Document the injured nerve and its hand or foot location, the nature of the injury, and the repair performed. Identify separately any additional nerve repaired.
How does the global period affect postoperative care?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can 64834 be reported for bilateral repairs?
For bilateral procedures, modifier 50 is paid at 150%. If multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others 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.
7,24864823,,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
7,25364836,,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
7,25464837,,Repair nerve add-on,A,,6.09,1.94,NA,1.94,,1.30,9.33,9.33,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541