Billing code 64763: Nerve neurotomyMedicare rate & RVUs in Guam
Reports surgical neurotomy of a major peripheral nerve in the hip or thigh when the operative service matches this anatomic and nerve classification.
CMS doesn’t publish an office rate for 64763 in Guam.
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 64763 covers
This code represents surgical interruption of a major peripheral nerve in the hip or thigh. The surgeon identifies and exposes the targeted nerve, then performs the neurotomy as part of an operative treatment plan. The procedure is generally performed in a hospital or other surgical setting by a surgeon managing a nerve-related condition. The operative report should identify the nerve and its location so the service can be distinguished from neurotomy of another nerve or a procedure that removes a nerve lesion.
Select the code based on the documented nerve, its hip or thigh location, and the service performed; the billing code distinction between this code and its sibling concerns the nerve classification. Keep the operative report and diagnosis documentation available to support that choice and any reported laterality. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; 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.
64763 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | Unavailable | $503.01 |
How the 64763 rate is calculated
Each of 64763’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 · 64763
RVUs × geographic indexes × conversion factor
Work7.37
7.37 RVUs× 1.000 GPCI
Practice expense5.76
5.76 RVUs× 1.000 GPCI
Malpractice1.97
1.97 RVUs× 1.000 GPCI
Adjusted RVUs
15.1000
Conversion factor
$33.4009
Medicare rate
$504.35
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 64763
64763 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 64763
Nerve neurotomy
| 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) | 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 · 64763
Nerve neurotomy
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
64763 without 50 · national facility
$504.35
Nerve neurotomy
64763-50 · Bilateral: 150%
$756.53
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).
64763 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 64766Nerve neurotomy
- This is the related hip or thigh nerve neurotomy code for a different billing code nerve classification. Use the documented target nerve and applicable billing code distinction to choose.
- 64712Nerve revision
- 64712 is directed specifically to the sciatic nerve. This code is selected for a major peripheral nerve in the hip or thigh when that classification fits.
- 64786Neuroma excision
- 64786 addresses removal of a sciatic nerve lesion. This code reports neurotomy, not excision of a nerve lesion.
64763 billing questions
How do I distinguish this code from 64766?
Both concern a hip or thigh nerve neurotomy. Choose between them using the billing code nerve classification and the operative documentation; do not select based on location alone.
What documentation supports reporting this service?
Document the targeted nerve, its hip or thigh location, the indication, and the neurotomy performed. The record should support why the nerve falls within this code's classification rather than its sibling.
Does the 90-day global period include postoperative visits?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral reporting handled?
For a bilateral procedure, modifier 50 is paid at 150% under the CMS facts for this code.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
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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