No office rate
64702 is for one or both digital nerves in the same finger or toe. Consider 64704 for neuroplasty of a nerve of the hand or foot outside that digital-nerve service.
On this page
CMS RVU26D · Effective 2026-10-01
64702 Nerve neuroplasty Medicare reimbursement rates in California
Surgical neuroplasty frees one or both digital nerves within the same finger or toe when scar tethering or focal compression requires operative release. Compare 64702 office and facility rates across CMS payment localities in California.
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 64702 in California?
California has 29 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 29 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$499.08–$604.01
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $104.93 per service.
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.
Where 64702 pays more and less in California
Peripheral nerve surgery
About 64702: Digital nerve neuroplasty
Surgical neuroplasty frees one or both digital nerves within the same finger or toe when scar tethering or focal compression requires operative release.
This code describes operative freeing of one or both digital nerves in a single finger or toe. The surgeon exposes the affected nerve and releases tissue tethering or constricting it; the service is directed to a digital nerve, not a larger nerve in the hand, foot, arm, or leg. Hand, orthopedic, plastic, and foot surgeons may perform it when examination and operative findings support focal digital nerve involvement.
Select the code when the treated nerve or nerves are in the same digit, and document the digit, side, nerve involvement, and release performed. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for this service; co-surgeon and team-surgery designations are not permitted.
CMS billing rules for 64702
- 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
- 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 RVU6.10 · 42%
- Practice expense (office) RVU7.44 · 51%
- Malpractice RVU1.09 · 7%
1.4K
Medicare services in 2024 · #2717 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.
64702 compared with similar codes
Office rates for California, from the same CMS release.
No office rate
64708 addresses neuroplasty of a major peripheral nerve in the arm or leg. It is not the code for freeing a digital nerve within one finger or toe.
No office rate
64726 specifically describes decompression of a plantar digital nerve. Distinguish that foot-specific decompression service from neuroplasty of a digital nerve reported with 64702.
No office rate
64776 reports excision of a digital nerve neuroma. Choose it when the operative service removes the neuroma rather than freeing the nerve from constricting or tethering tissue.
Compare 64702 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.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield | Office Unavailable | Facility $502.15 |
| Chico | Office Unavailable | Facility $499.08 |
| El Centro | Office Unavailable | Facility $499.26 |
| Fresno | Office Unavailable | Facility $499.08 |
| Hanford-Corcoran | Office Unavailable | Facility $499.08 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $530.25 |
| Madera | Office Unavailable | Facility $499.08 |
| Merced | Office Unavailable | Facility $499.08 |
| Modesto | Office Unavailable | Facility $499.08 |
| Napa | Office Unavailable | Facility $562.60 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $525.86 |
| Redding | Office Unavailable | Facility $499.08 |
| Rest Of California | Office Unavailable | Facility $499.08 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $510.83 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $519.60 |
| Salinas | Office Unavailable | Facility $517.59 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $526.80 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $590.20 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $588.96 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $604.01 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $598.95 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $509.77 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $529.47 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $518.72 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $534.53 |
| Stockton | Office Unavailable | Facility $499.08 |
| Vallejo | Office Unavailable | Facility $560.82 |
| Visalia | Office Unavailable | Facility $499.08 |
| Yuba City | Office Unavailable | Facility $499.08 |
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64702 billing questions
Can this code cover both digital nerves in one finger or toe?
Yes. It covers one or both digital nerves when they are in the same digit. Document the digit and which nerve or nerves were treated.
When should 64704 be considered instead?
Use 64702 for digital nerve work in a single finger or toe. Code 64704 describes neuroplasty of a nerve of the hand or foot outside that digital-nerve circumstance.
Can modifier 50 be used when both sides are treated?
No. CMS identifies bilateral adjustment as inappropriate for this code. The code's unit is based on the digital nerve or nerves treated within the same digit.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service. Co-surgeon and team-surgery designations 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 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.
7,19864659,,Rmvl bat modulj sys pg only,A,,8.23,2.90,NA,2.90,,2.09,13.22,13.22,0,090,0.11,0.76,0.13,2,1,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
7,19964680,,Injection treatment of nerve,A,,2.60,7.52,,1.53,,0.26,10.38,4.39,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,20064681,,Injection treatment of nerve,A,,3.69,9.85,,1.79,,0.30,13.84,5.78,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,20164702,,Revise finger/toe nerve,A,,6.10,7.44,NA,7.44,,1.09,14.63,14.63,0,090,0.11,0.76,0.13,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,20264704,,Revise hand/foot nerve,A,,4.57,4.10,NA,4.10,,0.56,9.23,9.23,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,20364708,,Revise arm/leg nerve,A,,6.20,6.85,NA,6.85,,0.85,13.90,13.90,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,20464712,,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