No office rate
Its CMS short descriptor also identifies incision of a hip or thigh nerve. Confirm the full code descriptor and operative details rather than choosing from the short descriptor alone.
On this page
CMS RVU26D · Effective 2026-10-01
64766 Nerve neurotomy Medicare reimbursement rates in Connecticut
Reports operative incision or division of a peripheral nerve in the hip or thigh to interrupt nerve transmission for a targeted clinical purpose. Compare 64766 office and facility rates across CMS payment localities in Connecticut.
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 64766 in Connecticut?
Connecticut 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
$659.66
1 of 1 localities have a supported rate.
Payment area: Connecticut
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 64766: Hip or thigh nerve neurotomy
Reports operative incision or division of a peripheral nerve in the hip or thigh to interrupt nerve transmission for a targeted clinical purpose.
This code describes an operation that incises or divides a peripheral nerve located in the hip or thigh, interrupting its nerve transmission. A surgeon performs the procedure when the treatment plan calls for intentional interruption of that nerve; the operative report should identify the nerve and explain the clinical reason for treating it. The code is specific to the nerve’s hip or thigh location, not simply the site of an incision or the patient’s symptoms.
Select this code when the documented procedure is nerve incision or division, rather than removal of a nerve lesion. The operative note should support the nerve treated, its location, the work performed, and the reason for the intervention. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeons and team surgery are not permitted.
CMS billing rules for 64766
- 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 may be paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.23 · 50%
- Practice expense (office) RVU6.81 · 37%
- Malpractice RVU2.48 · 13%
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.
64766 compared with similar codes
Office rates for Connecticut, from the same CMS release.
No office rate
This code concerns incision of a spinal nerve. Choose 64766 for a nerve treated in the hip or thigh, not a spinal nerve.
No office rate
This code addresses removal of a sciatic nerve lesion. Use 64766 when the operation intentionally incises or divides a nerve rather than excising a lesion.
Compare 64766 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
Connecticut →
Office / nonfacility
Unavailable
Facility
$659.66
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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 64766 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
7,226
- Code
- 64766
- Physician work
- 9.23
- Practice expense
- 6.81
- Malpractice
- 2.48
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.23 | × 1.020 | 9.4146 |
| Practice expense | 6.81 | × 1.077 | 7.3344 |
| Malpractice | 2.48 | × 1.210 | 3.0008 |
| Total RVUs | 19.7498 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$659.66
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.23 | 1.02 |
| Practice expense | 6.81 | 1.077 |
| Malpractice | 2.48 | 1.21 |
(9.23 × 1.02 + 6.81 × 1.077 + 2.48 × 1.21) × $33.4009 = $659.66
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.
64766 billing questions
How is this code distinguished from 64763?
Both CMS short descriptors identify incision of a hip or thigh nerve. Use the code whose full CPT descriptor and documented nerve procedure match the operation; the short descriptor alone does not distinguish the services.
Can nerve lesion removal be reported instead?
Not when the documented work is nerve incision or division. For a procedure that excises a sciatic nerve lesion, evaluate 64786 instead and ensure the operative report supports lesion removal.
What should the operative report document?
Identify the nerve and its hip or thigh location, describe the incision or division performed, and state the clinical purpose. Documentation should make clear that the work was nerve interruption rather than lesion excision.
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. Report a separate service only when applicable coding rules support it.
How is bilateral surgery reported?
For bilateral procedures, report modifier 50; CMS pays the bilateral procedure at 150%. The record should support treatment of the nerve on both sides.
May an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made for this procedure. Co-surgeons and team surgery are not permitted under the CMS rules provided.
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.
7,22364755,,Incision of stomach nerves,A,,14.67,7.46,NA,7.46,,3.92,26.05,26.05,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,22464760,,Incision of vagus nerve,A,,7.40,5.91,NA,5.91,,1.98,15.29,15.29,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,22564763,,Incise hip/thigh nerve,A,,7.37,5.76,NA,5.76,,1.97,15.10,15.10,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,22664766,,Incise hip/thigh nerve,A,,9.23,6.81,NA,6.81,,2.48,18.52,18.52,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,22764771,,Sever cranial nerve,A,,7.95,7.31,NA,7.31,,1.47,16.73,16.73,0,090,0.11,0.76,0.13,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,22864772,,Incision of spinal nerve,A,,7.64,6.39,NA,6.39,,1.43,15.46,15.46,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,22964774,,Remove skin nerve lesion,A,,5.66,5.48,NA,5.48,,1.19,12.33,12.33,0,090,0.11,0.76,0.13,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808