FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

64896 Nerve graft Medicare reimbursement rates in Connecticut

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 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 64896 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

$1364.81

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.

Find 64896 in your payment locality →

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 Connecticut, from the same CMS release.

64895

Nerve graft

Multiple strands, hand or foot, under 4 cm

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.

64891

Nerve graft

Hand or foot, over 4 cm

No office rate

64891 describes a single-strand hand or foot graft over 4 cm. Use 64896 when the graft is multiple-strand.

64898

Nerve graft

Multiple strands, arm or leg, over 4 cm

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.

1 of 1 payment localities

Office and facility base rates · shared scale starting at $0

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.

Explore fee-sheet early access →

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 64896 in Connecticut.

PPRRVU2026_Oct_nonQPP.csv

7,276

Code
64896
Physician work
21.41
Practice expense
12.54
Malpractice
4.56

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Facility calculation for 64896 in Connecticut
ComponentRVULocality factorAdjusted
Physician work21.41× 1.02021.8382
Practice expense12.54× 1.07713.5056
Malpractice4.56× 1.2105.5176
Total RVUs40.8614
Conversion factor× 33.4009

Facility rate, Connecticut$1364.81

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work21.411.02
Practice expense12.541.077
Malpractice4.561.21

(21.41 × 1.02 + 12.54 × 1.077 + 4.56 × 1.21) × $33.4009 = $1364.81

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.

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.

RVUs for 64896PPRRVU2026_Oct_nonQPP.csv, line 7,276 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet