No office rate
Use 64834 for non-digital hand or foot nerve repair without graft-based reconstruction. Choose 64836 when the documented repair uses a nerve graft.
On this page
CMS RVU26D · Effective 2026-10-01
64836 Nerve repair Medicare reimbursement rates in Connecticut
Reports graft-based repair of a non-digital nerve in the hand or foot when injury leaves a gap that cannot be repaired directly. Compare 64836 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 64836 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
$802.40
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 64836: Hand or foot nerve repair with graft
Reports graft-based repair of a non-digital nerve in the hand or foot when injury leaves a gap that cannot be repaired directly.
This service restores continuity of a non-digital nerve in the hand or foot using a nerve graft when the injured ends cannot be brought together for direct repair. A hand surgeon or peripheral nerve surgeon typically performs it in an operating room after traumatic injury, such as a laceration with a nerve gap. The operative report should identify the repaired nerve and site, the gap or reason direct repair was not feasible, and the graft-based reconstruction performed.
Report the code for the graft-based repair, not for a digital nerve repair or a direct nerve repair. The day-before preoperative visit and 90 days of related postoperative care are included in its major-surgery global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral repairs, modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 64836
- 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 RVU11.44 · 51%
- Practice expense (office) RVU8.73 · 39%
- Malpractice RVU2.44 · 11%
39
Medicare services in 2024 · #5521 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.
64836 compared with similar codes
Office rates for Connecticut, from the same CMS release.
No office rate
64831 is for repair of a digital nerve in the hand or foot; 64836 concerns a non-digital nerve requiring graft-based repair.
No office rate
64840 applies to nerve repair in the leg. The anatomic site for 64836 is the hand or foot.
Compare 64836 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
$802.40
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 64836 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
7,253
- Code
- 64836
- Physician work
- 11.44
- Practice expense
- 8.73
- Malpractice
- 2.44
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.44 | × 1.020 | 11.6688 |
| Practice expense | 8.73 | × 1.077 | 9.4022 |
| Malpractice | 2.44 | × 1.210 | 2.9524 |
| Total RVUs | 24.0234 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$802.40
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.44 | 1.02 |
| Practice expense | 8.73 | 1.077 |
| Malpractice | 2.44 | 1.21 |
(11.44 × 1.02 + 8.73 × 1.077 + 2.44 × 1.21) × $33.4009 = $802.40
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.
64836 billing questions
How does this differ from 64834?
64836 is used for a hand or foot nerve repair involving a graft. 64834 describes repair of a non-digital nerve without that graft-based reconstruction.
Can this code be used for a digital nerve?
No. Digital nerve repairs are reported with the digital nerve repair codes, including 64831 and, when applicable, 64832.
What documentation supports graft-based repair?
Document the nerve and anatomic site, the injury and resulting gap, why direct repair was not feasible, and the graft reconstruction performed.
How is a bilateral repair reported?
For bilateral procedures, report modifier 50; CMS pays the bilateral procedure at 150%.
What postoperative care is included?
The major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
7,25064832,,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
7,25564840,,Repair of leg nerve,A,,13.67,9.91,NA,9.91,,2.91,26.49,26.49,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,25664856,,Repair/transpose nerve,A,,14.69,9.37,NA,9.37,,3.47,27.53,27.53,0,090,0.11,0.76,0.13,2,0,1,1,0,9,,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