No office rate
Choose 64740 for deliberate division of the tongue nerve; 64738 is for a jaw-region nerve.
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CMS RVU26D · Effective 2026-10-01
64740 Nerve neurotomy Medicare reimbursement rates in Idaho
Reports surgical division of the nerve supplying the tongue, typically to interrupt persistent nerve-mediated symptoms such as refractory neuropathic pain. Compare 64740 office and facility rates across CMS payment localities in Idaho.
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 64740 in Idaho?
Idaho has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$399.15
1 of 1 localities have a supported rate.
Payment area: Idaho
One mapped payment locality.
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.
Peripheral nerve surgery
About 64740: Lingual nerve neurotomy
Reports surgical division of the nerve supplying the tongue, typically to interrupt persistent nerve-mediated symptoms such as refractory neuropathic pain.
The surgeon exposes and deliberately divides the nerve supplying the tongue to interrupt its function. This is a targeted nerve procedure, not tongue-tissue removal or simple nerve decompression. It may be performed by an oral and maxillofacial surgeon, otolaryngologist, or other surgeon treating selected patients with persistent nerve-mediated tongue symptoms, such as refractory neuropathic pain.
Report the service when the operative note supports deliberate division of the tongue nerve, including the nerve treated and the reason for the procedure. This major surgery includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral procedures, modifier 50 is paid at 150%. Assistant-at-surgery payment may be allowed; co-surgeons and team surgery are not permitted.
CMS billing rules for 64740
- 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 procedure with modifier 50 is paid at 150%.
- 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 RVU6.06 · 47%
- Practice expense (office) RVU5.95 · 46%
- Malpractice RVU0.88 · 7%
32
Medicare services in 2024 · #5630 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.
64740 compared with similar codes
Office rates for Idaho, from the same CMS release.
No office rate
64742 addresses the facial nerve, while 64740 is specific to the nerve supplying the tongue.
No office rate
64740 reports division of the tongue nerve. 64716 concerns revision of a cranial nerve, not this targeted neurotomy.
Compare 64740 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.
1 of 1 payment localities
Idaho →
Office / nonfacility
Unavailable
Facility
$399.15
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 64740 in Idaho.
PPRRVU2026_Oct_nonQPP.csv
7,219
- Code
- 64740
- Physician work
- 6.06
- Practice expense
- 5.95
- Malpractice
- 0.88
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.06 | × 1.000 | 6.0600 |
| Practice expense | 5.95 | × 0.920 | 5.4740 |
| Malpractice | 0.88 | × 0.473 | 0.4162 |
| Total RVUs | 11.9502 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Idaho$399.15
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.06 | 1 |
| Practice expense | 5.95 | 0.92 |
| Malpractice | 0.88 | 0.473 |
(6.06 × 1 + 5.95 × 0.92 + 0.88 × 0.473) × $33.4009 = $399.15
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
64740 billing questions
How is this different from a tongue nerve decompression?
This service represents deliberate nerve division. Use a decompression code when the surgeon relieves pressure on a nerve without dividing it.
What operative documentation supports reporting this code?
Document the tongue nerve treated, the operative steps showing intentional division, and the clinical reason for interrupting the nerve.
Can modifier 50 be reported for bilateral treatment?
Yes. CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%.
How does the multiple-procedure reduction affect another procedure in the same session?
The highest-valued procedure is paid in full, and other procedures performed in the same session are subject to the standard 50% reduction.
Can an assistant surgeon be reported?
Assistant-at-surgery payment may be allowed. CMS does not permit co-surgeons or team surgery for this code.
What postoperative care is included?
The major-surgery 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 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.
7,21664734,,Incision of cheek nerve,A,,5.41,8.99,NA,8.99,,2.28,16.68,16.68,0,090,0.11,0.76,0.13,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,21764736,,Incision of chin nerve,A,,5.10,3.47,NA,3.47,,0.57,9.14,9.14,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,21864738,,Incision of jaw nerve,A,,6.20,5.36,NA,5.36,,0.90,12.46,12.46,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,21964740,,Incision of tongue nerve,A,,6.06,5.95,NA,5.95,,0.88,12.89,12.89,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,22064742,,Incision of facial nerve,A,,6.68,5.55,NA,5.55,,0.51,12.74,12.74,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,22164744,,Incise nerve back of head,A,,5.58,8.30,NA,8.30,,2.35,16.23,16.23,0,090,0.11,0.76,0.13,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,22264746,,Incise diaphragm nerve,A,,6.40,4.97,NA,4.97,,1.62,12.99,12.99,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772