No office rate
Use 64891 for a single-strand hand or foot nerve graft over 4 cm; this code is for a graft under 4 cm.
On this page
CMS RVU26D · Effective 2026-10-01
64890 Nerve graft Medicare reimbursement rates in Florida
Reports reconstruction of a hand or foot nerve gap with a single-strand graft measuring less than 4 cm, including harvesting the graft. Compare 64890 office and facility rates across CMS payment localities in Florida.
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 64890 in Florida?
Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1021.38–$1165.63
3 of 3 localities have a supported rate.
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.
Where 64890 pays more and less in Florida
Peripheral nerve surgery
About 64890: Short single-strand hand or foot nerve graft
Reports reconstruction of a hand or foot nerve gap with a single-strand graft measuring less than 4 cm, including harvesting the graft.
This service bridges a short defect in a nerve in the hand or foot using one graft strand. It may be performed when an injury or surgical removal leaves a gap that prevents direct nerve repair without tension. A surgeon places the graft between the nerve ends to support continuity and later nerve regeneration. The operative work includes harvesting the graft. Peripheral nerve, hand, plastic, and orthopedic surgeons may perform the procedure, generally in an operating room setting.
Report this code when the operative documentation supports the hand or foot location, a single graft strand, and a graft length under 4 cm. The note should identify the nerve treated, the defect and graft length, the number of strands, and the graft placement; graft harvesting is part of the service. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When other procedures are performed in the same session, the highest-valued procedure is paid in full and additional procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate for this code. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 64890
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU15.83 · 54%
- Practice expense (office) RVU10.13 · 35%
- Malpractice RVU3.37 · 11%
73
Medicare services in 2024 · #5125 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.
64890 compared with similar codes
Office rates for Florida, from the same CMS release.
No office rate
64895 is for a multiple-strand graft under 4 cm in the hand or foot. This code describes one strand.
No office rate
64892 covers a single-strand graft under 4 cm for an arm or leg nerve. This code is specific to the hand or foot.
Compare 64890 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.
3 of 3 payment localities
Fort Lauderdale →
Office / nonfacility
Unavailable
Facility
$1075.00
Miami →
Office / nonfacility
Unavailable
Facility
$1165.63
Rest Of Florida →
Office / nonfacility
Unavailable
Facility
$1021.38
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64890 billing questions
How is this code distinguished from 64891?
Both describe a single-strand graft for a hand or foot nerve. Use 64890 for a graft under 4 cm and 64891 for a graft over 4 cm.
When is 64895 a better fit?
64895 describes a multiple-strand graft for a hand or foot nerve under 4 cm. This code is for one strand.
Can the graft harvest be billed separately?
Graft harvesting is included in this service. Document the harvest and graft placement in the operative report.
What documentation supports the code?
Record the hand or foot nerve treated, the nerve defect, graft length, and use of a single strand. The operative note should describe placement of the graft between the nerve ends.
Can modifier 50 be used for grafts on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.
How does the 90-day global period affect postoperative care?
The day-before preoperative visit and related postoperative care for 90 days are included in the global period.
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.
7,26864876,,Repair nerve/shorten bone,A,,3.29,1.05,NA,1.05,,0.69,5.03,5.03,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,26964885,,Nerve graft head/neck <4 cm,A,,17.16,8.15,NA,8.15,,2.50,27.81,27.81,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,27064886,,Nerve graft head/neck >4 cm,A,,20.30,9.95,NA,9.95,,3.22,33.47,33.47,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,27164890,,Nrv grf 1strnd hnd/foot <4cm,A,,15.83,10.13,NA,10.13,,3.37,29.33,29.33,0,090,0.11,0.76,0.13,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,27264891,,Nrv grf 1strnd hnd/foot >4cm,A,,16.92,10.63,NA,10.63,,3.61,31.16,31.16,0,090,0.11,0.76,0.13,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,27364892,,Nrv grf 1strnd arm/leg <4cm,A,,15.35,9.98,NA,9.98,,3.26,28.59,28.59,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,27464893,,Nrv grf 1strnd arm/leg >4 cm,A,,16.45,10.48,NA,10.48,,3.50,30.43,30.43,0,090,0.11,0.76,0.13,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00