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CMS RVU26D · Effective 2026-10-01

64712 Nerve revision Medicare reimbursement rates in Minnesota

Reports operative revision of the sciatic nerve, typically when prior surgery, scarring, or altered anatomy requires surgical work on the nerve. Compare 64712 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 64712 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

$524.87

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.

Find 64712 in your payment locality →

Peripheral nerve surgery

About 64712: Sciatic nerve surgical revision

Reports operative revision of the sciatic nerve, typically when prior surgery, scarring, or altered anatomy requires surgical work on the nerve.

This code represents an operation to revise the sciatic nerve, such as surgically freeing it from restrictive scar tissue or addressing an altered nerve course. It is performed by a surgeon working around the nerve, commonly in an operating room, when the documented problem calls for operative revision rather than a nonsurgical treatment for sciatica. The operative note should identify the sciatic nerve and describe the revision performed and the findings that required it.

Select this code for the sciatic nerve rather than a different major peripheral nerve or a lumbar plexus nerve. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, Medicare pays the highest-valued procedure in full and applies the standard multiple procedure reduction to the others. For bilateral reporting with modifier 50, Medicare pays 150%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

CMS billing rules for 64712

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 RVU7.87 · 47%
  • Practice expense (office) RVU7.14 · 43%
  • Malpractice RVU1.68 · 10%

1.1K

Medicare services in 2024 · #2917 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.

64712 compared with similar codes

Office rates for Minnesota, from the same CMS release.

64708

Nerve neuroplasty

Major arm or leg nerve

No office rate

Choose 64712 for revision of the sciatic nerve. Code 64708 is for another major peripheral nerve in an arm or leg.

64713

Nerve revision

Major peripheral nerve, arm

No office rate

Code 64713 represents an additional major peripheral nerve, not the primary sciatic nerve revision. Report it only when the operative work includes another qualifying nerve.

64714

Nerve surgery

Lumbar plexus

No office rate

Code 64714 concerns the lumbar plexus. Identify whether the operative target is that plexus or the sciatic nerve before selecting the code.

Compare 64712 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

Office and facility base rates · shared scale starting at $0

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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 64712 in Minnesota.

PPRRVU2026_Oct_nonQPP.csv

7,204

Code
64712
Physician work
7.87
Practice expense
7.14
Malpractice
1.68

GPCI2026.csv

66

Locality
Minnesota
Physician work
1.000
Practice expense
1.029
Malpractice
0.296
Facility calculation for 64712 in Minnesota
ComponentRVULocality factorAdjusted
Physician work7.87× 1.0007.8700
Practice expense7.14× 1.0297.3471
Malpractice1.68× 0.2960.4973
Total RVUs15.7143
Conversion factor× 33.4009

Facility rate, Minnesota$524.87

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work7.871
Practice expense7.141.029
Malpractice1.680.296

(7.87 × 1 + 7.14 × 1.029 + 1.68 × 0.296) × $33.4009 = $524.87

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.

64712 billing questions

How do I distinguish this from 64708?

Use 64712 when the nerve being revised is the sciatic nerve. Code 64708 is for a major peripheral nerve of the arm or leg other than the sciatic nerve.

Can 64713 be reported with this code?

Code 64713 describes work on an additional major peripheral nerve. Report it with 64712 only when the operative record supports work on another qualifying nerve.

What documentation supports reporting 64712?

Document the sciatic nerve as the operative target, the reason revision was needed, and the specific surgical work and findings. The record should distinguish this work from treatment of symptoms alone.

Does the 90-day global period include related postoperative care?

Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.

How are bilateral and multiple procedures handled?

Medicare pays bilateral reporting with modifier 50 at 150%. For multiple procedures in one 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 reported?

Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; 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.

RVUs for 64712PPRRVU2026_Oct_nonQPP.csv, line 7,204 (RVU26D)
Geographic factors for MinnesotaGPCI2026.csv, line 66 (RVU26D)