Use 27326 for a neurectomy in the popliteal region and 27325 for one in the hamstring region. The operative location determines the choice.
On this page
CMS RVU26D · Effective 2026-10-01
27326 Neurectomy Medicare reimbursement rates in Minnesota
Reports surgical excision of a targeted nerve or nerve segment in the popliteal region when treatment requires removal rather than decompression. Compare 27326 office and facility rates across CMS payment localities in Minnesota.
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 27326 in Minnesota?
Minnesota has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$480.31
1 of 1 localities have a supported rate.
Payment area: Minnesota
One mapped payment locality.
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 27326: Neurectomy in the popliteal region
Reports surgical excision of a targeted nerve or nerve segment in the popliteal region when treatment requires removal rather than decompression.
This operation removes a selected nerve or nerve segment in the popliteal region behind the knee. An orthopedic surgeon or peripheral nerve surgeon performs it in an operative setting when the documented treatment plan calls for excision of a nerve in that location. The operative report should identify the nerve or branch and describe the procedure performed; the popliteal location distinguishes this service from neurectomy in another anatomic region.
Report 27326 for the popliteal neurectomy itself, not for drainage of a lesion or exploration of the knee joint. The day-before preoperative visit and 90 days of related postoperative care are included in the major-surgery global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27326
- 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 RVU6.31 · 42%
- Practice expense (office) RVU7.46 · 49%
- Malpractice RVU1.33 · 9%
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.
27326 compared with similar codes
Office rates for Minnesota, from the same CMS release.
64714 describes neuroplasty of a major peripheral nerve in the leg. Choose 27326 when the documented work is excision of a nerve or nerve segment in the popliteal region.
64708 covers major peripheral nerve neuroplasty in an arm or leg. It is not the code for excision of a popliteal nerve segment.
Compare 27326 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.
1 of 1 payment localities
Minnesota →
Office / nonfacility
Unavailable
Facility
$480.31
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 27326 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
2,837
- Code
- 27326
- Physician work
- 6.31
- Practice expense
- 7.46
- Malpractice
- 1.33
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.31 | × 1.000 | 6.3100 |
| Practice expense | 7.46 | × 1.029 | 7.6763 |
| Malpractice | 1.33 | × 0.296 | 0.3937 |
| Total RVUs | 14.3800 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$480.31
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.31 | 1 |
| Practice expense | 7.46 | 1.029 |
| Malpractice | 1.33 | 0.296 |
(6.31 × 1 + 7.46 × 1.029 + 1.33 × 0.296) × $33.4009 = $480.31
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
27326 billing questions
How does 27326 differ from 27325?
27326 is for neurectomy in the popliteal region behind the knee. 27325 identifies neurectomy in the hamstring region; select based on the documented operative site.
Can 27326 be reported for nerve decompression?
No. 27326 describes excision of a nerve or nerve segment in the popliteal region, not a procedure whose purpose is nerve decompression.
What documentation supports 27326?
The operative report should identify the nerve or branch treated, establish its popliteal location, and describe the neurectomy performed.
How is a bilateral procedure reported?
Use modifier 50 for a bilateral procedure; CMS pays the bilateral service at 150% under the supplied fee schedule rule.
Is postoperative care separately included in the claim?
The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period.
Can an assistant or co-surgeon be paid?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, while 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.
