No office rate
This is the related hip or thigh nerve neurotomy code for a different CPT nerve classification. Use the documented target nerve and applicable CPT distinction to choose.
On this page
CMS RVU26D · Effective 2026-10-01
64763 Nerve neurotomy Medicare reimbursement rates in Massachusetts
Reports surgical neurotomy of a major peripheral nerve in the hip or thigh when the operative service matches this anatomic and nerve classification. Compare 64763 office and facility rates across CMS payment localities in Massachusetts.
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 64763 in Massachusetts?
Massachusetts 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
$505.13–$544.53
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 64763: Hip or thigh nerve neurotomy
Reports surgical neurotomy of a major peripheral nerve in the hip or thigh when the operative service matches this anatomic and nerve classification.
This code represents surgical interruption of a major peripheral nerve in the hip or thigh. The surgeon identifies and exposes the targeted nerve, then performs the neurotomy as part of an operative treatment plan. The procedure is generally performed in a hospital or other surgical setting by a surgeon managing a nerve-related condition. The operative report should identify the nerve and its location so the service can be distinguished from neurotomy of another nerve or a procedure that removes a nerve lesion.
Select the code based on the documented nerve, its hip or thigh location, and the service performed; the CPT distinction between this code and its sibling concerns the nerve classification. Keep the operative report and diagnosis documentation available to support that choice and any reported laterality. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 64763
- 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 RVU7.37 · 49%
- Practice expense (office) RVU5.76 · 38%
- Malpractice RVU1.97 · 13%
16
Medicare services in 2024 · #6047 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.
64763 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
64712 is directed specifically to the sciatic nerve. This code is selected for a major peripheral nerve in the hip or thigh when that classification fits.
No office rate
64786 addresses removal of a sciatic nerve lesion. This code reports neurotomy, not excision of a nerve lesion.
Compare 64763 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
Metropolitan Boston →
Office / nonfacility
Unavailable
Facility
$544.53
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$505.13
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64763 billing questions
How do I distinguish this code from 64766?
Both concern a hip or thigh nerve neurotomy. Choose between them using the CPT nerve classification and the operative documentation; do not select based on location alone.
What documentation supports reporting this service?
Document the targeted nerve, its hip or thigh location, the indication, and the neurotomy performed. The record should support why the nerve falls within this code's classification rather than its sibling.
Does the 90-day global period include postoperative visits?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral reporting handled?
For a bilateral procedure, modifier 50 is paid at 150% under the CMS facts for this code.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
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.
7,22264746,,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
7,22564763,,Incise hip/thigh nerve,A,,7.37,5.76,NA,5.76,,1.97,15.10,15.10,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,22664766,,Incise hip/thigh nerve,A,,9.23,6.81,NA,6.81,,2.48,18.52,18.52,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,22764771,,Sever cranial nerve,A,,7.95,7.31,NA,7.31,,1.47,16.73,16.73,0,090,0.11,0.76,0.13,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,22864772,,Incision of spinal nerve,A,,7.64,6.39,NA,6.39,,1.43,15.46,15.46,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00