No office rate
64774 is for a cutaneous nerve neuroma; 64776 is for a digital nerve neuroma.
On this page
CMS RVU26D · Effective 2026-10-01
64774 Neuroma excision Medicare reimbursement rates in Michigan
Reports surgical excision of a symptomatic neuroma arising from a cutaneous nerve, such as a painful nerve lesion in a prior incision scar. Compare 64774 office and facility rates across CMS payment localities in Michigan.
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 64774 in Michigan?
Michigan 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
$401.04–$432.69
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 64774: Cutaneous nerve neuroma excision
Reports surgical excision of a symptomatic neuroma arising from a cutaneous nerve, such as a painful nerve lesion in a prior incision scar.
This service removes a symptomatic neuroma arising from a cutaneous sensory nerve. A typical situation is a painful nerve-end lesion in a surgical scar or after nerve injury. The surgeon identifies and excises the neuroma; the code is specific to a cutaneous nerve, rather than a digital or major peripheral nerve. Surgeons in specialties such as plastic, orthopedic, or general surgery may perform it in an operating room or another appropriate surgical setting.
Select the code when documentation supports excision of a cutaneous nerve neuroma and identifies the treated nerve and site. Distinguish a neuroma from a cutaneous nerve neurofibroma or neurilemmoma, and from a lesion of a digital or major peripheral nerve. This major surgery code has a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate; assistant-at-surgery payment is statutorily restricted, and co-surgeons and team surgery are not permitted.
CMS billing rules for 64774
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.66 · 46%
- Practice expense (office) RVU5.48 · 44%
- Malpractice RVU1.19 · 10%
585
Medicare services in 2024 · #3416 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.
64774 compared with similar codes
Office rates for Michigan, from the same CMS release.
No office rate
Choose 64774 for a cutaneous nerve neuroma and 64788 for a cutaneous nerve neurofibroma or neurilemmoma.
No office rate
64784 concerns a major peripheral nerve neuroma without transposition. 64774 is for a cutaneous nerve neuroma.
No office rate
64795 reports nerve biopsy for diagnostic sampling; 64774 reports excision of a cutaneous nerve neuroma.
Compare 64774 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
Detroit →
Office / nonfacility
Unavailable
Facility
$432.69
Rest Of Michigan →
Office / nonfacility
Unavailable
Facility
$401.04
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64774 billing questions
When is 64774 appropriate instead of 64776?
Use 64774 for excision of a cutaneous nerve neuroma. Code 64776 is for a neuroma of a digital nerve.
How does 64774 differ from 64788?
64774 describes excision of a cutaneous nerve neuroma. 64788 is for a cutaneous nerve neurofibroma or neurilemmoma.
What documentation supports reporting 64774?
Document the neuroma diagnosis, the cutaneous nerve and site involved, and the surgical excision performed. The record should distinguish the lesion from a digital or major peripheral nerve lesion.
Should modifier 50 be appended for bilateral lesions?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
How does the global period affect postoperative visits?
The 90-day global period includes the day-before preoperative visit and related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard reduction.
Can an assistant or co-surgeon be paid for this procedure?
Assistant-at-surgery payment is statutorily restricted. Co-surgeons and team surgery are 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.
7,22664766,,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
7,22964774,,Remove skin nerve lesion,A,,5.66,5.48,NA,5.48,,1.19,12.33,12.33,0,090,0.11,0.76,0.13,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,23064776,,Remove digit nerve lesion,A,,5.46,4.84,NA,4.84,,0.91,11.21,11.21,0,090,0.11,0.76,0.13,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,23164778,,Digit nerve surgery add-on,A,,3.03,0.97,NA,0.97,,0.64,4.64,4.64,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,23264782,,Remove limb nerve lesion,A,,6.69,5.31,NA,5.31,,1.06,13.06,13.06,0,090,0.11,0.76,0.13,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00