No office rate
Use 64786 for a sciatic nerve neuroma; use 64784 when the neuroma involves another major peripheral nerve.
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CMS RVU26D · Effective 2026-10-01
64786 Neuroma excision Medicare reimbursement rates in Michigan
Report surgical excision of a neuroma involving the sciatic nerve, such as a painful lesion associated with nerve injury or prior surgery. Compare 64786 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 64786 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
$945.05–$1038.35
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 64786: Sciatic nerve neuroma excision
Report surgical excision of a neuroma involving the sciatic nerve, such as a painful lesion associated with nerve injury or prior surgery.
This code describes surgery to remove a neuroma involving the sciatic nerve. A neuroma may develop after nerve injury or a prior operation and cause persistent pain or sensitivity. The procedure is typically performed by a peripheral nerve, neurosurgical, or orthopedic surgeon in an operating-room setting, with exposure of the sciatic nerve and excision of the lesion. The code is specific to the sciatic nerve; the operative report should identify the nerve and describe the lesion removed.
Select this code when the operative service is excision of a sciatic nerve neuroma, rather than excision of a neuroma on another nerve or removal of a different nerve lesion. Documentation should support the diagnosis, sciatic nerve involvement, and work performed. Medicare assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 reports bilateral surgery and is paid at 150%. Assistant-at-surgery payment may be made; co-surgeons and team surgery are not permitted.
CMS billing rules for 64786
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU15.84 · 56%
- Practice expense (office) RVU8.41 · 30%
- Malpractice RVU4.23 · 15%
85
Medicare services in 2024 · #5002 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.
64786 compared with similar codes
Office rates for Michigan, from the same CMS release.
No office rate
64786 describes neuroma excision. Code 64790 is for excision of a neurofibroma or neurilemmoma involving a major peripheral nerve.
No office rate
64786 removes the sciatic nerve neuroma. Code 64787 describes implantation of a nerve end into bone or muscle, which is a distinct operative service.
Compare 64786 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
$1038.35
Rest Of Michigan →
Office / nonfacility
Unavailable
Facility
$945.05
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64786 billing questions
How does this differ from 64784?
Use 64786 for a neuroma involving the sciatic nerve. Code 64784 is for a major peripheral nerve other than the sciatic nerve.
Can this code describe removal of a neurofibroma?
This code is for excision of a sciatic nerve neuroma. A neurofibroma or neurilemmoma has a different code pathway; document the lesion type and nerve involved.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
How is bilateral surgery reported?
When the procedure is performed bilaterally, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant surgeon be paid?
Assistant-at-surgery payment may be made for this procedure. Co-surgeons and team surgery are not permitted under the CMS facts for this code.
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.
7,23264782,,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
7,23364783,,Limb nerve surgery add-on,A,,3.62,1.15,NA,1.15,,0.78,5.55,5.55,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,23464784,,Remove nerve lesion,A,,10.35,7.72,NA,7.72,,2.08,20.15,20.15,0,090,0.11,0.76,0.13,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,23564786,,Remove sciatic nerve lesion,A,,15.84,8.41,NA,8.41,,4.23,28.48,28.48,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,23664787,,Implant nerve end,A,,4.18,1.17,NA,1.17,,0.75,6.10,6.10,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,23764788,,Remove skin nerve lesion,A,,5.11,5.53,NA,5.53,,1.07,11.71,11.71,0,090,0.11,0.76,0.13,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,23864790,,Removal of nerve lesion,A,,11.80,9.16,NA,9.16,,3.11,24.07,24.07,0,090,0.11,0.76,0.13,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00