Billing code 64907: Nerve transferMedicare rate & RVUs in Florida
Reports the second stage of a planned nerve pedicle transfer to redirect nerve supply and support reinnervation after nerve injury or loss.
CMS doesn’t publish an office rate for 64907 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 64907 covers
billing code 64907 identifies the second stage of a staged nerve pedicle transfer. The surgeon redirects nerve supply to support reinnervation of a target affected by nerve injury or loss. Peripheral nerve, hand, plastic, or neurosurgeons may perform the procedure in an operating room. The operative record should establish that this is the planned second stage, rather than a separate nerve repair or graft procedure.
Select the code from the documented stage of the nerve-pedicle procedure, not simply from the diagnosis or the number of nerves treated. Record the operative work and its relationship to the planned first stage. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When other procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; 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.
Where 64907 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 | $1,286.82 |
| Miami | Unavailable | $1,397.82 |
| Rest Of Florida | Unavailable | $1,222.80 |
How the 64907 rate is calculated
Each of 64907’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 · 64907
RVUs × geographic indexes × conversion factor
Work19.53
19.53 RVUs× 1.000 GPCI
Practice expense11.31
11.31 RVUs× 1.000 GPCI
Malpractice4.17
4.17 RVUs× 1.000 GPCI
Adjusted RVUs
35.0100
Conversion factor
$33.4009
Medicare rate
$1,169.37
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 64907
64907 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 64907
Nerve transfer
| 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 · 64907
Nerve transfer
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
64907 without 51 · national facility
$1,169.37
Nerve transfer
64907-51 · Second procedure: 50%
$584.69
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%).
64907 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 64905Nerve transfer
- Use 64905 for the first stage of a staged nerve pedicle transfer and 64907 for its second stage. The operative record should establish which stage was performed.
- 64911Nerve repair
- 64911 describes nerve repair using a vein autograft. It is not the second-stage nerve pedicle transfer code.
- 64912Nerve repair
- 64912 describes nerve repair using a nerve allograft; 64907 identifies the second stage of a nerve pedicle transfer.
64907 billing questions
How is 64907 distinguished from 64905?
64907 is for the second stage of a staged nerve pedicle transfer; 64905 is the first-stage code. The operative documentation should identify the stage performed.
What documentation supports reporting 64907?
Document the second-stage operative work, the donor and recipient nerve structures involved, and how the procedure fits the planned staged transfer.
Can 64907 be reported with another procedure in the same session?
Other separately performed procedures may be reported when supported by the operative record. Medicare applies its standard multiple-procedure reduction when procedures are performed in the same session.
Should modifier 50 be used for bilateral work?
No. The descriptor or anatomy makes modifier 50 inappropriate for this code.
How are assistant and co-surgeon services handled?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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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