Billing code 64911: Nerve repairMedicare rate & RVUs in Delaware
Reports repair of a peripheral nerve using the patient’s own vein as a graft, typically to reconstruct a nerve defect during surgery.
CMS doesn’t publish an office rate for 64911 in Delaware.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 64911 covers
The surgeon repairs a damaged peripheral nerve by using a segment of the patient’s vein as graft material. This technique may be used when injured nerve ends cannot be directly reconnected without tension. Peripheral nerve, hand, plastic, orthopedic, or neurosurgeons may perform the reconstruction, generally in an operating room. The operative report should identify the nerve repaired and describe the vein graft and its placement.
Report the service for each nerve repaired with a vein autograft. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are reduced to 50%. Modifier 50 is inappropriate under the CMS bilateral rule. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
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.
64911 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | Unavailable | $937.95 |
How the 64911 rate is calculated
Each of 64911’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 64911
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 13.65Practice expense 11.89Malpractice 2.91
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 64911
64911 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 64911
Nerve repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.11/0.76/0.13 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 64911
Nerve repair
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
64911 without 51 · national facility
$950.26
Nerve repair
64911-51 · Second procedure: 50%
$475.13
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
64911 compared with similar codes
Compare codes
64911 vs 64910 vs 64912 vs 64905: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 64910Nerve repair
- Choose 64911 when the repair uses the patient’s vein as graft material; 64910 describes repair using an allograft.
- 64912Nerve repair
- 64912 describes repair with nerve allograft strands. Use 64911 when the graft used for the nerve repair is the patient’s vein.
- 64905Nerve transfer
- 64905 describes nerve pedicle transfer, which moves a nerve or nerve segment; 64911 describes repair using a vein graft.
64911 billing questions
How does this differ from nerve repair with an allograft?
This code describes repair using the patient’s own vein. Codes 64910 or 64912 describe nerve repair using allograft material.
What documentation supports reporting this code?
Document the nerve repaired and the use and placement of a vein autograft. The operative report should make clear that the graft was used in the nerve reconstruction.
Can modifier 50 be reported for bilateral repair?
No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.
How does the global period affect postoperative billing?
The 90-day global includes the day-before preoperative visit and related postoperative care. Multiple procedures in the same session follow the standard reduction, with the highest-valued procedure paid in full and others at 50%.
May an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, and 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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