No office rate
Choose 64911 when the repair uses the patient’s vein as graft material; 64910 describes repair using an allograft.
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CMS RVU26D · Effective 2026-10-01
64911 Nerve repair Medicare reimbursement rates in Massachusetts
Reports repair of a peripheral nerve using the patient’s own vein as a graft, typically to reconstruct a nerve defect during surgery. Compare 64911 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 64911 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
$958.87–$1035.30
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 64911: Peripheral nerve repair with vein graft
Reports repair of a peripheral nerve using the patient’s own vein as a graft, typically to reconstruct a nerve defect during surgery.
The surgeon repairs a damaged peripheral nerve by using a segment of the patient’s vein as graft material. This technique may be used when injured nerve ends cannot be directly reconnected without tension. Peripheral nerve, hand, plastic, orthopedic, or neurosurgeons may perform the reconstruction, generally in an operating room. The operative report should identify the nerve repaired and describe the vein graft and its placement.
Report the service for each nerve repaired with a vein autograft. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are reduced to 50%. Modifier 50 is inappropriate under the CMS bilateral rule. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 64911
- 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 RVU13.65 · 48%
- Practice expense (office) RVU11.89 · 42%
- Malpractice RVU2.91 · 10%
60
Medicare services in 2024 · #5245 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.
64911 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
64912 describes repair with nerve allograft strands. Use 64911 when the graft used for the nerve repair is the patient’s vein.
No office rate
64905 describes nerve pedicle transfer, which moves a nerve or nerve segment; 64911 describes repair using a vein graft.
Compare 64911 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
$1035.30
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$958.87
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64911 billing questions
How does this differ from nerve repair with an allograft?
This code describes repair using the patient’s own vein. Codes 64910 or 64912 describe nerve repair using allograft material.
What documentation supports reporting this code?
Document the nerve repaired and the use and placement of a vein autograft. The operative report should make clear that the graft was used in the nerve reconstruction.
Can modifier 50 be reported for bilateral repair?
No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.
How does the global period affect postoperative billing?
The 90-day global includes the day-before preoperative visit and related postoperative care. Multiple procedures in the same session follow the standard reduction, with the highest-valued procedure paid in full and others at 50%.
May an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. 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.
7,28164905,,Nerve pedicle transfer,A,,14.73,8.91,NA,8.91,,3.05,26.69,26.69,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,28264907,,Nerve pedicle transfer,A,,19.53,11.31,NA,11.31,,4.17,35.01,35.01,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,28364910,,Nerve repair w/allograft,A,,10.26,8.85,NA,8.85,,1.76,20.87,20.87,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,28464911,,Neurorraphy w/vein autograft,A,,13.65,11.89,NA,11.89,,2.91,28.45,28.45,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,28564912,,Nrv rpr w/nrv algrft 1st,A,,11.70,10.56,NA,10.56,,2.26,24.52,24.52,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,28664913,,Nrv rpr w/nrv algrft ea addl,A,,2.93,0.92,NA,0.92,,0.54,4.39,4.39,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,28764999,,Unlisted px nervous system,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00