Billing code 64766: Nerve neurotomyMedicare rate & RVUs in Florida
Reports operative incision or division of a peripheral nerve in the hip or thigh to interrupt nerve transmission for a targeted clinical purpose.
CMS doesn’t publish an office rate for 64766 in Florida.
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 64766 covers
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.
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.
Where 64766 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | Unavailable | $688.47 |
| Miami | Unavailable | $754.56 |
| Rest Of Florida | Unavailable | $650.24 |
How the 64766 rate is calculated
Each of 64766’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 · 64766
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 9.23Practice expense 6.81Malpractice 2.48
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 64766
64766 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 64766
Nerve neurotomy
| 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) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| 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 · 64766
Nerve neurotomy
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 50 · payment effect
With and without the modifier
64766 without 50 · national facility
$618.58
Nerve neurotomy
64766-50 · Bilateral: 150%
$927.87
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
64766 compared with similar codes
Compare codes
64766 vs 64763 vs 64772 vs 64786: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 64763Nerve neurotomy
- 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.
- 64772Spinal nerve surgery
- This code concerns incision of a spinal nerve. Choose 64766 for a nerve treated in the hip or thigh, not a spinal nerve.
- 64786Neuroma excision
- 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.
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 billing code 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 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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