No office rate
Use 64836 for the first non-digital hand or foot nerve repaired with transposition; 64837 reports each additional qualifying nerve.
On this page
CMS RVU26D · Effective 2026-10-01
64837 Nerve repair Medicare reimbursement rates in Kentucky
Reports repair with transposition of each additional non-digital nerve in the hand or foot during the same operation as the primary nerve repair. Compare 64837 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 64837 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
$300.75
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.
Peripheral nerve surgery
About 64837: Additional transposed hand or foot nerve repair
Reports repair with transposition of each additional non-digital nerve in the hand or foot during the same operation as the primary nerve repair.
This add-on represents repair of an additional non-digital nerve in the hand or foot when the surgeon also transposes that nerve. Transposition moves the nerve into a different position or tissue bed as part of the repair. It is typically performed by a hand, orthopedic, plastic, or peripheral nerve surgeon in an operating room after traumatic injury or during reconstruction when more than one nerve requires this treatment.
Report 64837 only with the primary repair code 64836 for the first nerve repaired with transposition. The operative report should identify the additional nerve and document its repair and transposition; the add-on is for another nerve, not another nerve end or a repeat repair of the same nerve. CMS classifies it as an add-on code: it is billed only with a primary procedure and its payment falls within that procedure's global period.
CMS billing rules for 64837
- 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 RVU6.09 · 65%
- Practice expense (office) RVU1.94 · 21%
- Malpractice RVU1.30 · 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.
64837 compared with similar codes
Office rates for Kentucky, from the same CMS release.
No office rate
Use 64835 for an additional non-digital hand or foot nerve repaired without the transposition represented by 64837.
No office rate
Use 64832 for each additional digital nerve. Code 64837 is for additional non-digital nerves of the hand or foot repaired with transposition.
Compare 64837 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
Kentucky →
Office / nonfacility
Unavailable
Facility
$300.75
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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 64837 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
7,254
- Code
- 64837
- Physician work
- 6.09
- Practice expense
- 1.94
- Malpractice
- 1.30
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.09 | × 1.000 | 6.0900 |
| Practice expense | 1.94 | × 0.889 | 1.7247 |
| Malpractice | 1.30 | × 0.915 | 1.1895 |
| Total RVUs | 9.0042 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$300.75
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.09 | 1 |
| Practice expense | 1.94 | 0.889 |
| Malpractice | 1.3 | 0.915 |
(6.09 × 1 + 1.94 × 0.889 + 1.3 × 0.915) × $33.4009 = $300.75
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.
64837 billing questions
Which primary code must accompany 64837?
Report 64837 with 64836, which represents repair with transposition of the first qualifying hand or foot nerve. The additional nerve must also be repaired with transposition.
Can 64837 be used for an additional digital nerve?
No. Code 64837 applies to additional non-digital nerves of the hand or foot; 64832 is the add-on for an additional digital nerve.
How does 64837 differ from 64835?
Both concern additional non-digital hand or foot nerves, but 64837 is for repair with transposition. Code 64835 describes an additional nerve repair without that transposition distinction.
What should the operative report document?
Identify the additional nerve and describe its repair and transposition. The record should also support the primary 64836 service for the first nerve.
Is 64837 billed as a stand-alone service?
No. CMS identifies it as an add-on code, so it is billed only with a primary procedure; payment is within that procedure's global period.
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.
7,25164834,,Repair of hand or foot nerve,A,,10.54,7.45,NA,7.45,,1.79,19.78,19.78,0,090,0.11,0.76,0.13,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,25264835,,Repair of hand or foot nerve,A,,11.44,8.73,NA,8.73,,2.44,22.61,22.61,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,25364836,,Repair of hand or foot nerve,A,,11.44,8.73,NA,8.73,,2.44,22.61,22.61,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,25464837,,Repair nerve add-on,A,,6.09,1.94,NA,1.94,,1.30,9.33,9.33,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,25564840,,Repair of leg nerve,A,,13.67,9.91,NA,9.91,,2.91,26.49,26.49,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,25664856,,Repair/transpose nerve,A,,14.69,9.37,NA,9.37,,3.47,27.53,27.53,0,090,0.11,0.76,0.13,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,25764857,,Repair arm/leg nerve,A,,15.42,9.62,NA,9.62,,3.25,28.29,28.29,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631