Billing code 64874: Nerve repairMedicare rate & RVUs in Georgia
Reports repair or revision of an additional nerve when the work requires extensive mobilization or transposition during a qualifying primary nerve procedure.
CMS doesn’t publish an office rate for 64874 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 64874 covers
This add-on represents repair or revision of another nerve when the surgeon must extensively free it from surrounding tissue or move it to a different position. It may arise during operative treatment of peripheral nerve injuries or reconstructive nerve surgery. Peripheral nerve, hand, orthopedic, or plastic surgeons typically perform this work in an operating room; the operative note should identify the additional nerve and describe the mobilization or transposition performed.
Report 64874 only with a qualifying primary procedure, not as a stand-alone service. The record should distinguish the additional nerve and its work from the nerve repair represented by the primary code. CMS treats this as an add-on paid within the primary procedure’s global period, so it is not separately paid outside that global period. Select the primary code for the main nerve procedure, then report this code only when the additional nerve work meets its scope.
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 64874 pays more and less in Georgia
| Payment locality | Office | Facility |
|---|---|---|
| Atlanta | Unavailable | $153.52 |
| Rest Of Georgia | Unavailable | $149.19 |
How the 64874 rate is calculated
Each of 64874’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 · 64874
RVUs × geographic indexes × conversion factor
Work2.91
2.91 RVUs× 1.000 GPCI
Practice expense0.93
0.93 RVUs× 1.000 GPCI
Malpractice0.61
0.61 RVUs× 1.000 GPCI
Adjusted RVUs
4.4500
Conversion factor
$33.4009
Medicare rate
$148.63
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 64874
The CMS indicators that decide how 64874 is paid alongside other services.
CMS payment indicators · 64874
Nerve repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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. |
What modifiers do to the payment
Modifier 80 · payment effect
With and without the modifier
64874 without 80 · national facility
$148.63
Nerve repair
64874-80 · Assistant: 16%
$23.78
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
64874 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 64837Nerve repair
- 64837 is another nerve-repair add-on, but it applies in a different coding context. Match the add-on to the primary procedure and documented work rather than choosing between them by nerve count alone.
- 64856Brachial plexus repair
- 64856 represents a primary major peripheral nerve repair in an arm or leg. 64874 represents qualifying additional nerve work and cannot replace the primary procedure code.
- 64857Nerve repair
- 64857 is a primary nerve-repair service, whereas 64874 is an add-on for additional nerve repair or revision involving extensive mobilization or transposition.
64874 billing questions
Can 64874 be reported by itself?
No. It is an add-on and must be billed with a qualifying primary procedure.
What documentation supports 64874?
Identify the additional nerve and describe the repair or revision, including the extensive mobilization or transposition that required the additional work.
How is 64874 different from 64837?
Both are nerve-repair add-on codes, but they belong to different coding contexts. Choose based on the applicable primary procedure and the specific additional nerve work, not simply the number of nerves treated.
Is 64874 paid separately from the primary procedure’s global period?
No. CMS classifies it as an add-on paid within the primary procedure’s global period.
Should the additional nerve be listed separately in the operative note?
Yes. The note should make clear which nerve received the additional repair or revision and what extensive mobilization or transposition was performed.
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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