No office rate
Choose 64714 for the lumbar plexus and 64712 for the sciatic nerve. The operative anatomy determines the code.
On this page
CMS RVU26D · Effective 2026-10-01
64714 Nerve surgery Medicare reimbursement rates in Maine
Reports surgical freeing or repositioning of the lumbar plexus when treatment is directed to this nerve network rather than another named nerve. Compare 64714 office and facility rates across CMS payment localities in Maine.
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 64714 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$662.03–$683.45
2 of 2 localities have a supported rate.
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 64714: Lumbar plexus nerve release or transposition
Reports surgical freeing or repositioning of the lumbar plexus when treatment is directed to this nerve network rather than another named nerve.
This operation addresses the lumbar plexus, a network of nerves in the lower back and pelvis. The surgeon may free it from restrictive tissue or reposition it as part of treatment for a documented nerve problem. Neurosurgeons, orthopedic surgeons, and other surgeons with peripheral nerve expertise may perform the procedure, usually in an operating room. The operative report should identify the lumbar plexus as the target and describe the work performed.
Select the code by the nerve treated: a procedure on the lumbar plexus is distinct from work on the sciatic nerve or a less specifically identified major peripheral nerve. Document the indication, anatomy, and whether the nerve was released, repositioned, or both. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For same-session procedures, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 64714
- 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 procedure with modifier 50 is paid at 150%.
- 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 RVU10.29 · 48%
- Practice expense (office) RVU8.73 · 41%
- Malpractice RVU2.41 · 11%
783
Medicare services in 2024 · #3171 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.
64714 compared with similar codes
Office rates for Maine, from the same CMS release.
No office rate
64713 addresses the brachial plexus in the arm; 64714 addresses the lumbar plexus in the lower back and pelvis.
No office rate
64708 is for a major peripheral nerve in the arm or leg that is not covered by a more specific named-nerve code. Use 64714 when the lumbar plexus is treated.
Compare 64714 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.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
Unavailable
Facility
$662.03
Southern Maine →
Office / nonfacility
Unavailable
Facility
$683.45
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64714 billing questions
When should this code be chosen instead of the sciatic nerve code?
Use this code when the lumbar plexus is the operative target. Use 64712 when the procedure is on the sciatic nerve.
How does this differ from code 64708?
This code identifies the lumbar plexus specifically. Code 64708 is for a major peripheral nerve in the arm or leg that is not otherwise specified by a more specific code.
What documentation supports reporting this code?
The operative report should identify the lumbar plexus, describe the nerve work performed, and support the clinical reason for the procedure.
How is bilateral work reported?
For bilateral procedures, report modifier 50; CMS payment is 150% under the listed bilateral rule.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
7,20364708,,Revise arm/leg nerve,A,,6.20,6.85,NA,6.85,,0.85,13.90,13.90,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,20464712,,Revision of sciatic nerve,A,,7.87,7.14,NA,7.14,,1.68,16.69,16.69,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,20564713,,Revision of arm nerve(s),A,,11.12,8.61,NA,8.61,,2.58,22.31,22.31,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,20664714,,Revise low back nerve(s),A,,10.29,8.73,NA,8.73,,2.41,21.43,21.43,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,20764716,,Revision of cranial nerve,A,,6.82,6.10,NA,6.10,,1.15,14.07,14.07,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,20864718,,Revise ulnar nerve at elbow,A,,7.08,8.71,NA,8.71,,1.43,17.22,17.22,0,090,0.11,0.76,0.13,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,20964719,,Revise ulnar nerve at wrist,A,,4.85,5.80,NA,5.80,,0.96,11.61,11.61,0,090,0.11,0.76,0.13,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00