Billing code 64788: Nerve tumor excisionMedicare rate & RVUs in Florida
Reports surgical removal of a neurofibroma or schwannoma arising from a surgically accessible cutaneous nerve, rather than a neuroma or a major nerve lesion.
CMS doesn’t publish an office rate for 64788 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 64788 covers
A surgeon uses this code to remove a neurofibroma or schwannoma arising from a cutaneous nerve that can be surgically reached. The service may address a localized, painful or enlarging superficial nerve sheath lesion. The surgeon identifies the involved sensory nerve, excises the lesion, and commonly submits the specimen for pathologic examination. These procedures may be performed in an office procedure setting or a facility, depending on the lesion and planned care.
Choose this code for the lesion type and cutaneous nerve site, not simply because a nerve-associated lump is removed. The operative report should identify the nerve, lesion, and extent of excision; pathology may support the lesion diagnosis. 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 is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay for an assistant at surgery, and 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 64788 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 | $422.40 |
| Miami | Unavailable | $453.34 |
| Rest Of Florida | Unavailable | $400.97 |
How the 64788 rate is calculated
Each of 64788’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 · 64788
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 5.11Practice expense 5.53Malpractice 1.07
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 64788
64788 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 64788
Nerve tumor excision
| 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) | 1 | Not paid (statutory restriction). |
| 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 · 64788
Nerve tumor excision
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
64788 without 51 · national facility
$391.12
Nerve tumor excision
64788-51 · Second procedure: 50%
$195.56
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%).
64788 compared with similar codes
Compare codes
64788 vs 64774 vs 64776 vs 64782 vs 64795: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 64774Neuroma excision
- Choose 64774 for excision of a neuroma involving a cutaneous nerve. Code 64788 is for a neurofibroma or schwannoma of a cutaneous nerve.
- 64776Neuroma excision
- Code 64776 applies to a digital nerve neuroma in the hand or foot; 64788 addresses a neurofibroma or schwannoma of a cutaneous nerve.
- 64782Neuroma excision
- Code 64782 concerns neuroma excision on a major peripheral nerve. Use 64788 when the lesion is a neurofibroma or schwannoma of a cutaneous nerve.
- 64795Nerve biopsy
- Use 64795 for a nerve biopsy when the service is diagnostic sampling. Code 64788 represents excision of a cutaneous nerve neurofibroma or schwannoma.
64788 billing questions
How is this different from 64774?
64788 is for excision of a neurofibroma or schwannoma of a cutaneous nerve. Code 64774 describes excision of a cutaneous nerve neuroma.
When is 64776 a better choice?
Use 64776 for excision of a neuroma on a digital nerve of the hand or foot. Code 64788 concerns a neurofibroma or schwannoma of a cutaneous nerve.
Does the 90-day global period include follow-up care?
Yes. The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can modifier 50 be used for lesions on both sides?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.
What happens if another procedure is performed in the same session?
The highest-valued procedure is paid in full; other procedures in that session are subject to the standard multiple procedure reduction.
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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