Billing code 64862: Nerve repairMedicare rate & RVUs in Kentucky
Surgical repair of a peripheral nerve in the low-back region is reported when the operative service addresses a nerve injury at that site.
CMS doesn’t publish an office rate for 64862 in Kentucky.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 64862 covers
This code describes surgical repair of a peripheral nerve in the low-back region. Neurosurgeons, peripheral nerve surgeons, and other surgeons with expertise in nerve reconstruction may perform the procedure, typically in an operating room for an identified nerve injury or disruption. The operative report should establish the nerve’s location and the repair performed; a repair of a named nerve elsewhere in the body belongs to the code for that site or nerve.
The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. For a bilateral service reported with modifier 50, CMS pays at 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
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.
64862 in Kentucky
| Payment locality | Office | Facility |
|---|---|---|
| Kentucky | Unavailable | $1,180.17 |
How the 64862 rate is calculated
Each of 64862’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 64862
RVUs × geographic indexes × conversion factor
Work20.56
20.56 RVUs× 1.000 GPCI
Practice expense12.11
12.11 RVUs× 1.000 GPCI
Malpractice4.38
4.38 RVUs× 1.000 GPCI
Adjusted RVUs
37.0500
Conversion factor
$33.4009
Medicare rate
$1,237.50
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 64862
64862 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 64862
Nerve repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.11/0.76/0.13 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 64862
Nerve repair
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
64862 without 50 · national facility
$1,237.50
Nerve repair
64862-50 · Bilateral: 150%
$1,856.25
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
64862 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 64858Nerve repair
- Choose 64858 when the repair is specifically of the sciatic nerve. This code is for a nerve repair in the low-back region.
- 64840Leg nerve repair
- Code 64840 is associated with nerve repair in the leg; this code is for repair in the low-back region.
- 64872Nerve repair
- Code 64872 describes a subsequent nerve repair. Use this code for the low-back nerve repair service itself, rather than a later repair.
64862 billing questions
How is this code distinguished from the sciatic nerve repair code?
Use this code for a nerve repair in the low-back region. Code 64858 is specific to repair of the sciatic nerve.
What documentation supports reporting this code?
The operative report should identify the repaired nerve and its low-back location, describe the injury or disruption, and document the repair performed.
Does the code include related postoperative visits?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral repair paid?
When the bilateral service is reported with modifier 50, CMS pays at 150%.
Can an assistant surgeon be reported?
An assistant at surgery may be paid. Co-surgeons and team surgery are not permitted for this code.
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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