No office rate
Both are nerve-graft add-on codes. Choose based on the documented graft configuration: 64902 represents a multiple-strand cable graft, while 64901 is its single-strand sibling.
On this page
CMS RVU26D · Effective 2026-10-01
64902 Nerve graft repair Medicare reimbursement rates in Indiana
Reports additional nerve repair involving a multiple-strand cable graft in the hand or foot, alongside an eligible primary procedure. Compare 64902 office and facility rates across CMS payment localities in Indiana.
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 64902 in Indiana?
Indiana 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
$538.01
1 of 1 localities have a supported rate.
Payment area: Indiana
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 64902: Additional cable nerve graft repair
Reports additional nerve repair involving a multiple-strand cable graft in the hand or foot, alongside an eligible primary procedure.
This add-on code describes additional nerve repair involving a multiple-strand cable graft in the hand or foot. A surgeon may use this approach to bridge a nerve defect when a single graft strand is not sufficient. The service is part of operative peripheral nerve reconstruction, commonly performed by a hand, orthopedic, plastic, or peripheral nerve surgeon. The operative report should identify the treated nerve and site and describe the graft configuration and repair performed.
Report 64902 only with an eligible primary procedure; it is not a standalone service. Documentation should make clear why the repair required a multiple-strand cable graft and distinguish it from a single-strand graft or another nerve-repair method. CMS treats this as an add-on code paid within the primary procedure’s global period. Its payment is therefore included within that global period rather than treated as a separate primary procedure.
CMS billing rules for 64902
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU11.51 · 65%
- Practice expense (office) RVU3.67 · 21%
- Malpractice RVU2.46 · 14%
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.
64902 compared with similar codes
Office rates for Indiana, from the same CMS release.
No office rate
64911 identifies nerve repair using a vein autograft. Code 64902 is for repair using a multiple-strand cable graft.
No office rate
64912 covers nerve repair with an allograft for the first strand; 64902 describes a multiple-strand cable-graft repair.
No office rate
64913 represents an additional allograft strand reported with its related allograft repair. Code 64902 describes multiple-strand cable-graft repair instead.
Compare 64902 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
Indiana →
Office / nonfacility
Unavailable
Facility
$538.01
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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 64902 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
7,280
- Code
- 64902
- Physician work
- 11.51
- Practice expense
- 3.67
- Malpractice
- 2.46
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.51 | × 1.000 | 11.5100 |
| Practice expense | 3.67 | × 0.927 | 3.4021 |
| Malpractice | 2.46 | × 0.486 | 1.1956 |
| Total RVUs | 16.1076 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Indiana$538.01
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.51 | 1 |
| Practice expense | 3.67 | 0.927 |
| Malpractice | 2.46 | 0.486 |
(11.51 × 1 + 3.67 × 0.927 + 2.46 × 0.486) × $33.4009 = $538.01
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.
64902 billing questions
When is 64902 preferred over 64901?
Use 64902 for nerve repair using a multiple-strand cable graft. The distinction from 64901 is the graft configuration; the operative report should support the method performed.
Can 64902 be reported by itself?
No. It is an add-on code and must be reported with an eligible primary procedure.
What documentation supports 64902?
The operative report should identify the nerve and hand or foot site, describe the defect and repair, and document use of a multiple-strand cable graft.
How does the global period affect payment?
CMS pays 64902 within the global period of the primary procedure. It is not paid as a separate primary service.
Is 64902 the same as nerve repair with an allograft?
No. Code 64902 represents multiple-strand cable-graft repair; allograft repair is described by a different code family, including 64912 and 64913.
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.
7,27764897,,Nrv grf mltst arm/leg <4 cm,A,,18.90,11.26,NA,11.26,,4.02,34.18,34.18,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,27864898,,Nrv grf mltst arm/leg >4 cm,A,,20.45,12.23,NA,12.23,,4.34,37.02,37.02,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,27964901,,Nerve graft add-on,A,,9.95,3.17,NA,3.17,,2.12,15.24,15.24,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,28064902,,Nerve graft add-on,A,,11.51,3.67,NA,3.67,,2.46,17.64,17.64,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,28164905,,Nerve pedicle transfer,A,,14.73,8.91,NA,8.91,,3.05,26.69,26.69,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,28264907,,Nerve pedicle transfer,A,,19.53,11.31,NA,11.31,,4.17,35.01,35.01,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,28364910,,Nerve repair w/allograft,A,,10.26,8.85,NA,8.85,,1.76,20.87,20.87,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915