No office rate
This code is for a cervicothoracic target. Use 64802 when the operative report identifies the cervical sympathetic pathway as the treated level.
On this page
CMS RVU26D · Effective 2026-10-01
64802 Cervical sympathectomy Medicare reimbursement rates in Idaho
Reports operative interruption of the cervical sympathetic pathway for a selected disorder involving sympathetic-mediated symptoms in the head, neck, or upper limb. Compare 64802 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 64802 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
$772.19
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.
Nerve surgery
About 64802: Cervical sympathetic chain surgery
Reports operative interruption of the cervical sympathetic pathway for a selected disorder involving sympathetic-mediated symptoms in the head, neck, or upper limb.
Cervical sympathectomy surgically interrupts the sympathetic pathway in the neck. A surgeon exposes and treats the cervical sympathetic chain in an operating room; the code is distinguished by the cervical location, not simply by the patient’s symptoms or the surgical approach. It may be considered for selected disorders attributed to cervical sympathetic activity, including refractory vasospastic or ischemic symptoms involving the upper limb. The operative report should identify the treated anatomy and side.
Report this service for surgery on the cervical sympathetic pathway, rather than a sympathectomy at the cervicothoracic, thoracolumbar, lumbar, or peripheral arterial level. Documentation should support the indication, anatomic level, laterality, and work performed. Medicare assigns 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 other procedures are subject to a 50% reduction. For bilateral performance, modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 64802
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU10.11 · 38%
- Practice expense (office) RVU11.95 · 45%
- Malpractice RVU4.26 · 16%
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.
64802 compared with similar codes
Office rates for Idaho, from the same CMS release.
No office rate
This code identifies thoracolumbar sympathectomy, not surgery on the cervical pathway.
No office rate
This code targets sympathetic fibers at a digital artery. It is not selected for surgery on the cervical sympathetic chain.
Compare 64802 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
$772.19
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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 64802 in Idaho.
PPRRVU2026_Oct_nonQPP.csv
7,241
- Code
- 64802
- Physician work
- 10.11
- Practice expense
- 11.95
- Malpractice
- 4.26
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.11 | × 1.000 | 10.1100 |
| Practice expense | 11.95 | × 0.920 | 10.9940 |
| Malpractice | 4.26 | × 0.473 | 2.0150 |
| Total RVUs | 23.1190 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Idaho$772.19
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.11 | 1 |
| Practice expense | 11.95 | 0.92 |
| Malpractice | 4.26 | 0.473 |
(10.11 × 1 + 11.95 × 0.92 + 4.26 × 0.473) × $33.4009 = $772.19
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.
64802 billing questions
How is 64802 distinguished from 64804?
Choose 64802 when the operative target is the cervical sympathetic pathway. Use 64804 when the documented target is cervicothoracic.
Can modifier 50 be reported for bilateral cervical sympathectomy?
Yes. CMS treats this as a bilateral procedure; modifier 50 is paid at 150% when the service is performed bilaterally.
Are related postoperative visits separately reported?
Related postoperative care during the 90-day global period is included. The global period also includes the day-before preoperative visit.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What documentation supports reporting 64802?
The operative report should identify the cervical sympathetic pathway treated, the side or sides, and the operative work. The documented anatomic target distinguishes this service from sympathectomy at other levels or at a peripheral artery.
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.
7,23864790,,Removal of nerve lesion,A,,11.80,9.16,NA,9.16,,3.11,24.07,24.07,0,090,0.11,0.76,0.13,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,23964792,,Removal of nerve lesion,A,,15.46,14.34,NA,14.34,,6.52,36.32,36.32,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,24064795,,Biopsy of nerve,A,,2.93,1.77,NA,1.77,,0.88,5.58,5.58,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,24164802,,Sympathectomy cervical,A,,10.11,11.95,NA,11.95,,4.26,26.32,26.32,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,24264804,,Sympathectomy cervicothorac,A,,15.51,13.86,NA,13.86,,6.54,35.91,35.91,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,24364809,,Sympathectomy thoracolumbar,A,,14.34,12.38,NA,12.38,,6.04,32.76,32.76,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,24464818,,Sympathectomy lumbar,A,,11.06,8.11,NA,8.11,,2.36,21.53,21.53,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,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