No office rate
64912 covers the first allograft strand for a nerve; 64913 reports each additional strand.
On this page
CMS RVU26D · Effective 2026-10-01
64912 Nerve repair Medicare reimbursement rates in Massachusetts
Reports microsurgical repair of a peripheral nerve gap using the first strand of nerve allograft to bridge the defect. Compare 64912 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 64912 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
$828.61–$895.14
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.
Nerve surgery
About 64912: Peripheral nerve repair with allograft
Reports microsurgical repair of a peripheral nerve gap using the first strand of nerve allograft to bridge the defect.
A surgeon uses a nerve allograft to bridge a gap in a damaged peripheral nerve, then coapts the graft to the nerve ends under microsurgical technique. Common settings include hospital operating rooms for traumatic nerve injuries or defects left after tumor excision. The graft provides a bridge without harvesting the patient’s own nerve. Report this code for the first allograft strand used for each nerve; additional strands are reported with 64913.
The operative report should identify the nerve repaired, the gap or defect, use of nerve allograft, and the number of strands. 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 the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 64912
- 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 RVU11.70 · 48%
- Practice expense (office) RVU10.56 · 43%
- Malpractice RVU2.26 · 9%
863
Medicare services in 2024 · #3079 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.
64912 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
Choose 64912 when nerve allograft is used. 64911 describes nerve repair using a vein autograft.
No office rate
64912 bridges a nerve defect with allograft. 64905 describes a nerve pedicle transfer, a different reconstructive technique.
Compare 64912 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
$895.14
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$828.61
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64912 billing questions
When should 64912 be reported instead of 64913?
Report 64912 for the first nerve allograft strand used to repair a nerve. Report 64913 for each additional strand.
What documentation supports reporting this code?
Document the nerve repaired, the defect being bridged, use of a nerve allograft, and the number of strands used. The operative note should support that a repair was performed rather than a nerve transfer.
Can modifier 50 be used when both sides are repaired?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and related postoperative care for 90 days are included in the global period.
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.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
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.
7,28264907,,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
7,28865091,,Revise eye,A,,7.08,12.20,NA,12.20,,0.56,19.84,19.84,0,090,0.10,0.70,0.20,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00