No office rate
Both codes describe multiple-strand grafting in the hand or foot; 64895 is for the shorter graft-length category, while 64896 is for a graft longer than 4 cm.
On this page
CMS RVU26D · Effective 2026-10-01
64896 Nerve graft Medicare reimbursement rates in California
Reports reconstruction of a hand or foot nerve gap with a multiple-strand graft when the graft length exceeds 4 cm. Compare 64896 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 64896 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
$1267.96–$1479.39
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $211.43 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 64896 pays more and less in California
Peripheral nerve surgery
About 64896: Multiple-strand hand or foot nerve graft
Reports reconstruction of a hand or foot nerve gap with a multiple-strand graft when the graft length exceeds 4 cm.
This code describes microsurgical reconstruction of a nerve in the hand or foot using a graft arranged in multiple strands to bridge a defect longer than 4 cm. It is typically performed by a hand, plastic, orthopedic, or peripheral nerve surgeon in an operating room. The operative report should identify the treated nerve and anatomical site, explain the graft reconstruction, and document the graft length and multiple-strand configuration.
Select this code based on the graft configuration, anatomical region, and documented length. The 90-day global period includes 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 other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this descriptor. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 64896
- 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
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU21.41 · 56%
- Practice expense (office) RVU12.54 · 33%
- Malpractice RVU4.56 · 12%
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.
64896 compared with similar codes
Office rates for California, from the same CMS release.
No office rate
64891 describes a single-strand hand or foot graft over 4 cm. Use 64896 when the graft is multiple-strand.
No office rate
64898 describes a multiple-strand graft over 4 cm in an arm or leg; 64896 is specific to the hand or foot.
Compare 64896 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 $1280.51 |
| Chico | Office Unavailable | Facility $1267.96 |
| El Centro | Office Unavailable | Facility $1268.73 |
| Fresno | Office Unavailable | Facility $1267.96 |
| Hanford-Corcoran | Office Unavailable | Facility $1267.96 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $1341.06 |
| Madera | Office Unavailable | Facility $1267.96 |
| Merced | Office Unavailable | Facility $1267.96 |
| Modesto | Office Unavailable | Facility $1267.96 |
| Napa | Office Unavailable | Facility $1389.58 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $1325.10 |
| Redding | Office Unavailable | Facility $1267.96 |
| Rest Of California | Office Unavailable | Facility $1267.96 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $1316.96 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $1309.61 |
| Salinas | Office Unavailable | Facility $1304.36 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $1320.06 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $1443.53 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $1438.35 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $1479.39 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $1458.22 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $1285.97 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $1320.67 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $1305.15 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $1332.55 |
| Stockton | Office Unavailable | Facility $1267.96 |
| Vallejo | Office Unavailable | Facility $1382.12 |
| Visalia | Office Unavailable | Facility $1267.96 |
| Yuba City | Office Unavailable | Facility $1267.96 |
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64896 billing questions
How is this code distinguished from 64895?
Both describe multiple-strand grafting in the hand or foot. Use 64896 when the documented graft length is more than 4 cm; 64895 is the shorter-length sibling.
When would a single-strand graft code be more appropriate?
Choose the single-strand hand or foot code when the reconstruction uses one strand rather than multiple strands. Length determines which code within that single-strand pair applies.
What documentation supports reporting 64896?
Document the hand or foot nerve treated, the graft reconstruction, its multiple-strand configuration, and a graft length greater than 4 cm.
Can modifier 50 be used for bilateral grafting?
No. CMS identifies bilateral adjustment as inappropriate for this code's descriptor or anatomy.
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.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is 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.
7,27364892,,Nrv grf 1strnd arm/leg <4cm,A,,15.35,9.98,NA,9.98,,3.26,28.59,28.59,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,27464893,,Nrv grf 1strnd arm/leg >4 cm,A,,16.45,10.48,NA,10.48,,3.50,30.43,30.43,0,090,0.11,0.76,0.13,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,27564895,,Nrv grf mltst hnd/foot <4 cm,A,,19.88,11.58,NA,11.58,,4.23,35.69,35.69,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,27664896,,Nrv grf mltst hnd/foot >4 cm,A,,21.41,12.54,NA,12.54,,4.56,38.51,38.51,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,27764897,,Nrv grf mltst arm/leg <4 cm,A,,18.90,11.26,NA,11.26,,4.02,34.18,34.18,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,27864898,,Nrv grf mltst arm/leg >4 cm,A,,20.45,12.23,NA,12.23,,4.34,37.02,37.02,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,27964901,,Nerve graft add-on,A,,9.95,3.17,NA,3.17,,2.12,15.24,15.24,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00