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CMS RVU26D · Effective 2026-10-01

64895 Nerve graft Medicare reimbursement rates in Maine

Report 64895 for a peripheral nerve gap in the hand or foot reconstructed with a multiple-strand graft shorter than 4 cm. Compare 64895 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 64895 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

$1107.73–$1136.46

2 of 2 localities have a supported rate.

Lowest: Rest Of Maine

Highest: Southern Maine

A spread of $28.73 per service.

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 64895 in your payment locality →

Peripheral nerve surgery

About 64895: Multiple-strand hand or foot nerve graft

Report 64895 for a peripheral nerve gap in the hand or foot reconstructed with a multiple-strand graft shorter than 4 cm.

Code 64895 describes reconstruction of a short nerve gap in the hand or foot using a graft arranged in multiple strands, or cables. Hand surgeons, plastic surgeons, and peripheral nerve surgeons may perform the operation after trauma or another injury leaves a defect that cannot be repaired directly without tension. The operative report should identify the nerve and site, the graft configuration, and its length.

Select this code when the graft uses multiple strands and is shorter than 4 cm; a single-strand graft or a different site or length belongs to another code in the family. CMS assigns a 90-day major-surgery global period, including 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 others at 50%. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

CMS billing rules for 64895

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 RVU19.88 · 56%
  • Practice expense (office) RVU11.58 · 32%
  • Malpractice RVU4.23 · 12%

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.

64895 compared with similar codes

Office rates for Maine, from the same CMS release.

64890

Nerve graft

Single strand, under 4 cm

No office rate

Both codes describe a hand-or-foot nerve graft shorter than 4 cm. Choose 64895 for multiple strands and 64890 for a single strand.

64896

Nerve graft

Multiple strands, over 4 cm

No office rate

Both describe a multiple-strand nerve graft in the hand or foot; 64896 is for a graft longer than 4 cm.

64897

Nerve graft

Multiple strands, under 4 cm

No office rate

Both describe a multiple-strand nerve graft shorter than 4 cm. Code 64897 is for the arm or leg rather than the hand or foot.

Compare 64895 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

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

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64895 billing questions

How is 64895 distinguished from 64890?

64895 is for a multiple-strand graft in the hand or foot; 64890 is for a single-strand graft at those sites. The operative report should support the strand configuration.

What if the multiple-strand graft is 4 cm or longer?

Compare the documented graft length with the code-family threshold. Code 64896 is the multiple-strand hand-or-foot option for a graft longer than 4 cm.

Should modifier 50 be used for grafting both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.

What documentation supports reporting 64895?

Document the hand or foot nerve site, the use of multiple strands, and graft length under 4 cm. The operative report should also describe the nerve defect and graft reconstruction.

How does the global period affect postoperative visits?

The 90-day major-surgery global 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.

RVUs for 64895PPRRVU2026_Oct_nonQPP.csv, line 7,275 (RVU26D)
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