No office rate
Use 64716 for intracranial transection or avulsion of the facial nerve. This code is for another cranial nerve not covered by a specifically named code.
On this page
CMS RVU26D · Effective 2026-10-01
64771 Cranial nerve transection Medicare reimbursement rates in Connecticut
Reports intentional division or avulsion of an intracranial cranial nerve not represented by a more specifically named transection code. Compare 64771 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 64771 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
$593.22
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.
Nerve surgery
About 64771: Intracranial transection of another cranial nerve
Reports intentional division or avulsion of an intracranial cranial nerve not represented by a more specifically named transection code.
A surgeon reports this service when an intracranial cranial nerve is intentionally divided or avulsed. It represents destructive nerve surgery, rather than nerve decompression, repair, or removal of a nerve lesion. Neurosurgeons and other surgeons qualified to perform intracranial nerve procedures typically perform it in an operating room. The operative report should identify the nerve, its intracranial location, and the transection or avulsion performed.
Select this code when the treated nerve and operative approach fit the “other cranial nerve” category, rather than a separately named cranial nerve procedure. Documentation should establish the surgical intent and distinguish the work from procedures that preserve or decompress the nerve. Medicare 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 the same session, the highest-valued procedure is paid in full and others are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeons and team surgery are not permitted.
CMS billing rules for 64771
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.95 · 48%
- Practice expense (office) RVU7.31 · 44%
- Malpractice RVU1.47 · 9%
114
Medicare services in 2024 · #4781 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.
64771 compared with similar codes
Office rates for Connecticut, from the same CMS release.
No office rate
Use 64742 for facial nerve transection or avulsion at an extracranial location. This code concerns another cranial nerve within the intracranial category.
No office rate
Use 64772 for transection or avulsion of a spinal nerve. This code concerns an intracranial cranial nerve.
Compare 64771 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
$593.22
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 64771 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
7,227
- Code
- 64771
- Physician work
- 7.95
- Practice expense
- 7.31
- Malpractice
- 1.47
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.95 | × 1.020 | 8.1090 |
| Practice expense | 7.31 | × 1.077 | 7.8729 |
| Malpractice | 1.47 | × 1.210 | 1.7787 |
| Total RVUs | 17.7606 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$593.22
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.95 | 1.02 |
| Practice expense | 7.31 | 1.077 |
| Malpractice | 1.47 | 1.21 |
(7.95 × 1.02 + 7.31 × 1.077 + 1.47 × 1.21) × $33.4009 = $593.22
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.
64771 billing questions
How does this differ from a named cranial nerve transection code?
Use this code for an intracranial cranial nerve not represented by a more specifically named transection code. For example, facial nerve transection has separate codes based on its intracranial or extracranial location.
Does this code describe nerve decompression or repair?
No. It represents intentional division or avulsion of the nerve, not decompression, repair, or removal of a nerve lesion.
What should the operative report document?
Document the specific nerve, its intracranial location, and the intentional transection or avulsion. The report should make clear that the service was not a nerve-preserving procedure.
Can modifier 50 be used for bilateral work?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used.
Can an assistant-at-surgery be reported?
CMS allows assistant-at-surgery payment for this procedure. Co-surgeons and team surgery are not permitted.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
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.
7,22464760,,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
7,23064776,,Remove digit nerve lesion,A,,5.46,4.84,NA,4.84,,0.91,11.21,11.21,0,090,0.11,0.76,0.13,2,0,0,0,0,9,,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