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CMS RVU26D · Effective 2026-10-01

64772 Spinal nerve surgery Medicare reimbursement rates in Kentucky

Reports surgical interruption of a single spinal nerve outside the dura when the operation intentionally severs or avulses that nerve. Compare 64772 office and facility rates across CMS payment localities in Kentucky.

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 64772 in Kentucky?

Kentucky 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

$488.63

1 of 1 localities have a supported rate.

Payment area: Kentucky

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.

Find 64772 in your payment locality →

Nerve surgery

About 64772: Extradural spinal nerve transection

Reports surgical interruption of a single spinal nerve outside the dura when the operation intentionally severs or avulses that nerve.

This operation intentionally interrupts a spinal nerve outside the dura, by severing or avulsing it. A neurosurgeon or spine surgeon typically performs it in an operating room when the treatment plan calls for surgical interruption of a specific spinal nerve. The operative report should identify the nerve, its extradural location, and the procedure performed.

Report this code for one spinal nerve; documentation should distinguish the target from a cranial or peripheral nerve. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.

CMS billing rules for 64772

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 may be paid.
Co-surgeons
Co-surgeons paid only with supporting documentation.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU7.64 · 49%
  • Practice expense (office) RVU6.39 · 41%
  • Malpractice RVU1.43 · 9%

13.9K

Medicare services in 2024 · #1293 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.

64772 compared with similar codes

Office rates for Kentucky, from the same CMS release.

64771

Cranial nerve transection

Other nerve, intracranial

No office rate

Use 64772 for an extradural spinal nerve. Use 64771 when the nerve being interrupted is cranial.

64763

Nerve neurotomy

Major nerve, hip or thigh

No office rate

Use 64763 for the specific hip or thigh nerve covered by that code, not for an extradural spinal nerve.

64766

Nerve neurotomy

Hip or thigh nerve

No office rate

Use 64766 for the specific hip or thigh nerve and site covered by that code; 64772 targets an extradural spinal nerve.

Compare 64772 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

Office and facility base rates · shared scale starting at $0

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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 64772 in Kentucky.

PPRRVU2026_Oct_nonQPP.csv

7,228

Code
64772
Physician work
7.64
Practice expense
6.39
Malpractice
1.43

GPCI2026.csv

55

Locality
Kentucky
Physician work
1.000
Practice expense
0.889
Malpractice
0.915
Facility calculation for 64772 in Kentucky
ComponentRVULocality factorAdjusted
Physician work7.64× 1.0007.6400
Practice expense6.39× 0.8895.6807
Malpractice1.43× 0.9151.3084
Total RVUs14.6292
Conversion factor× 33.4009

Facility rate, Kentucky$488.63

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work7.641
Practice expense6.390.889
Malpractice1.430.915

(7.64 × 1 + 6.39 × 0.889 + 1.43 × 0.915) × $33.4009 = $488.63

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.

64772 billing questions

How is this code distinguished from the cranial nerve code?

This code is for interruption of an extradural spinal nerve. The cranial nerve code, 64771, is selected when the operative target is a cranial nerve.

What should the operative report document?

Document the specific spinal nerve, its extradural location, and the actual nerve interruption performed. The record should support that the target was a spinal nerve rather than a cranial or peripheral nerve.

Does the code include postoperative visits?

Yes. Its 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

How is it paid when another procedure is performed in the same session?

The highest-valued procedure is paid in full, and the other procedure or procedures are subject to the standard multiple-procedure reduction.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team-surgery payment is not permitted.

How many spinal nerves does this code describe?

The service is for a single spinal nerve. The operative documentation should identify that nerve and its extradural location.

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.

RVUs for 64772PPRRVU2026_Oct_nonQPP.csv, line 7,228 (RVU26D)
Geographic factors for KentuckyGPCI2026.csv, line 55 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet