No office rate
Choose 64784 for a neuroma of a major peripheral nerve other than the sciatic nerve. Choose 64790 for removal of a neurofibroma or schwannoma in that nerve.
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CMS RVU26D · Effective 2026-10-01
64790 Nerve tumor removal Medicare reimbursement rates in Kansas
Reports surgical removal of a neurofibroma or schwannoma involving a major peripheral nerve other than the sciatic nerve. Compare 64790 office and facility rates across CMS payment localities in Kansas.
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 64790 in Kansas?
Kansas 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
$723.07
1 of 1 localities have a supported rate.
Payment area: Kansas
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 64790: Major peripheral nerve sheath tumor excision
Reports surgical removal of a neurofibroma or schwannoma involving a major peripheral nerve other than the sciatic nerve.
This code describes operative removal of a neurofibroma or schwannoma arising from a major peripheral nerve, excluding the sciatic nerve. A peripheral nerve, neurosurgical, or orthopedic surgeon typically exposes the involved nerve and removes the tumor, taking care to distinguish the mass from functioning nerve fascicles. The service may occur in a hospital or other surgical setting; the code is not for a superficial cutaneous nerve lesion or an ordinary traumatic neuroma.
Select the code based on the operative findings, the involved nerve, and the extent of tumor removal. Documentation should identify the nerve and lesion, describe the excision, and support that the lesion is a nerve sheath tumor rather than a neuroma. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery and co-surgeon payment require supporting documentation; team surgery is not permitted.
CMS billing rules for 64790
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU11.80 · 49%
- Practice expense (office) RVU9.16 · 38%
- Malpractice RVU3.11 · 13%
369
Medicare services in 2024 · #3801 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.
64790 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
This code applies to nerve sheath tumor removal that is not described as extensive. Code 64792 represents the extensive form, including peripheral nerve involvement.
No office rate
Code 64788 is for a cutaneous nerve lesion. This code applies when the tumor involves a major peripheral nerve.
No office rate
Code 64795 represents biopsy of a nerve for diagnostic tissue sampling. This code is for operative removal of a nerve sheath tumor.
Compare 64790 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
Kansas →
Office / nonfacility
Unavailable
Facility
$723.07
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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 64790 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
7,238
- Code
- 64790
- Physician work
- 11.80
- Practice expense
- 9.16
- Malpractice
- 3.11
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.80 | × 1.000 | 11.8000 |
| Practice expense | 9.16 | × 0.904 | 8.2806 |
| Malpractice | 3.11 | × 0.504 | 1.5674 |
| Total RVUs | 21.6481 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$723.07
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.8 | 1 |
| Practice expense | 9.16 | 0.904 |
| Malpractice | 3.11 | 0.504 |
(11.8 × 1 + 9.16 × 0.904 + 3.11 × 0.504) × $33.4009 = $723.07
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.
64790 billing questions
How is this different from code 64784?
This code is for a neurofibroma or schwannoma involving a major peripheral nerve other than the sciatic nerve. Code 64784 describes removal of a neuroma from a major peripheral nerve.
When would code 64792 be more appropriate?
Use 64792 when the neurofibroma or schwannoma removal is extensive, including peripheral nerve involvement. The operative report should support the extent that distinguishes it from this code.
Can modifier 50 be used for bilateral lesions?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care. Those services are not separately reported as routine care within the global period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction, with payment at 50%.
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.
7,23564786,,Remove sciatic nerve lesion,A,,15.84,8.41,NA,8.41,,4.23,28.48,28.48,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,23664787,,Implant nerve end,A,,4.18,1.17,NA,1.17,,0.75,6.10,6.10,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,23764788,,Remove skin nerve lesion,A,,5.11,5.53,NA,5.53,,1.07,11.71,11.71,0,090,0.11,0.76,0.13,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
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
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958