No office rate
64722 describes nerve decompression. Use 64744 when the operative service transects or avulses the greater occipital nerve.
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CMS RVU26D · Effective 2026-10-01
64744 Occipital neurectomy Medicare reimbursement rates in Maine
Surgical transection or avulsion of the greater occipital nerve, generally reported for operative treatment of persistent occipital neuralgia. Compare 64744 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 64744 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
$490.25–$510.64
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 64744: Greater occipital nerve transection
Surgical transection or avulsion of the greater occipital nerve, generally reported for operative treatment of persistent occipital neuralgia.
This operation intentionally interrupts or removes the greater occipital nerve in the posterior scalp and occipital region, usually to treat persistent occipital neuralgia when surgical neurectomy is selected. The surgeon identifies the targeted nerve and divides or avulses it. This is a destructive nerve procedure, rather than decompression, and is generally performed in an operating room.
Report 64744 for operative treatment of the greater occipital nerve. The operative report should identify the nerve, side, indication, and transection or avulsion performed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 64744
- 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.58 · 34%
- Practice expense (office) RVU8.30 · 51%
- Malpractice RVU2.35 · 14%
69
Medicare services in 2024 · #5157 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.
64744 compared with similar codes
Office rates for Maine, from the same CMS release.
No office rate
64742 concerns transection of a facial nerve; 64744 is specific to the greater occipital nerve in the back of the head.
No office rate
64732 concerns a brow-region nerve. Select 64744 for operative transection or avulsion of the greater occipital nerve.
Compare 64744 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
$490.25
Southern Maine →
Office / nonfacility
Unavailable
Facility
$510.64
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64744 billing questions
Is 64744 used for occipital nerve decompression?
No. 64744 describes transection or avulsion of the greater occipital nerve; decompression is a different operative approach. Code the procedure actually performed.
What operative documentation supports 64744?
Document the greater occipital nerve, the treated side, the clinical indication, and whether the nerve was transected or avulsed.
How is bilateral surgery reported?
CMS lists bilateral reporting with modifier 50, paid at 150%. The operative documentation should support treatment on both sides.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon be paid for 64744?
Assistant-at-surgery payment is allowed only when medical necessity is documented. CMS does not permit co-surgeon or team-surgery payment for this code.
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.
7,21864738,,Incision of jaw nerve,A,,6.20,5.36,NA,5.36,,0.90,12.46,12.46,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,21964740,,Incision of tongue nerve,A,,6.06,5.95,NA,5.95,,0.88,12.89,12.89,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,22064742,,Incision of facial nerve,A,,6.68,5.55,NA,5.55,,0.51,12.74,12.74,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,22164744,,Incise nerve back of head,A,,5.58,8.30,NA,8.30,,2.35,16.23,16.23,0,090,0.11,0.76,0.13,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,22264746,,Incise diaphragm nerve,A,,6.40,4.97,NA,4.97,,1.62,12.99,12.99,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,22364755,,Incision of stomach nerves,A,,14.67,7.46,NA,7.46,,3.92,26.05,26.05,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,22464760,,Incision of vagus nerve,A,,7.40,5.91,NA,5.91,,1.98,15.29,15.29,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00