Billing code 64834: Nerve repairMedicare rate & RVUs in Georgia
Reports direct repair of one non-digital nerve in the hand or foot, typically after traumatic injury requiring operative nerve coaptation.
CMS doesn’t publish an office rate for 64834 in Georgia.
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 64834 covers
This code describes operative repair of one nerve in the hand or foot, such as direct coaptation of a transected nerve after a laceration or other injury. It is generally performed by a hand, plastic, orthopedic, or peripheral nerve surgeon in an operating room. The code is for a hand or foot nerve repair rather than repair of a digital nerve, which has a separate code family.
Report one unit for the nerve repaired. The operative note should identify the nerve, its location and injury, and the repair performed; use the graft-requiring code when a nerve graft is needed. Code 64835 is used for each additional nerve repaired without a graft. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; 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 64834 pays more and less in Georgia
| Payment locality | Office | Facility |
|---|---|---|
| Atlanta | Unavailable | $677.72 |
| Rest Of Georgia | Unavailable | $645.27 |
How the 64834 rate is calculated
Each of 64834’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 · 64834
RVUs × geographic indexes × conversion factor
Work10.54
10.54 RVUs× 1.000 GPCI
Practice expense7.45
7.45 RVUs× 1.000 GPCI
Malpractice1.79
1.79 RVUs× 1.000 GPCI
Adjusted RVUs
19.7800
Conversion factor
$33.4009
Medicare rate
$660.67
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 64834
64834 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 64834
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) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| 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 · 64834
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 50 · payment effect
With and without the modifier
64834 without 50 · national facility
$660.67
Nerve repair
64834-50 · Bilateral: 150%
$991.01
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).
64834 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 64831Digital nerve repair
- 64831 applies to repair of a digital nerve. Use 64834 for one hand or foot nerve outside that digital-nerve code.
- 64835Nerve repair
- 64835 reports each additional hand or foot nerve repaired without a graft; 64834 reports the first nerve.
- 64836Nerve repair
- 64836 is for a hand or foot nerve repair requiring a graft. Code 64834 describes repair of one nerve without that graft requirement.
- 64840Leg nerve repair
- 64840 describes nerve repair in the leg. Choose 64834 when the repaired nerve is in the hand or foot.
64834 billing questions
When should 64834 be used instead of 64831?
Use 64834 for one hand or foot nerve that is not coded as a digital nerve. Code 64831 is for repair of a digital nerve.
How is repair of an additional nerve reported?
Report 64835 for each additional hand or foot nerve repaired without a graft, alongside the primary repair when supported by the operative note.
When is 64836 used instead?
Use 64836 when the hand or foot nerve repair requires a nerve graft. The record should describe the graft-based repair.
What documentation supports 64834?
Document the injured nerve and its hand or foot location, the nature of the injury, and the repair performed. Identify separately any additional nerve repaired.
How does the global period affect postoperative care?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can 64834 be reported for bilateral repairs?
For bilateral procedures, modifier 50 is paid at 150%. If multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%.
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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