No office rate
Both are nerve-graft add-ons, but they describe distinct grafting pathways. Use the code that matches the specific graft procedure documented.
On this page
CMS RVU26D · Effective 2026-10-01
64901 Nerve graft Medicare reimbursement rates in Minnesota
Reports each additional 4 cm, or part, of a multiple-strand nerve graft used to reconstruct a nerve in the hand or foot. Compare 64901 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 64901 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
$462.25
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 64901: Additional hand or foot nerve graft length
Reports each additional 4 cm, or part, of a multiple-strand nerve graft used to reconstruct a nerve in the hand or foot.
This add-on reports graft length beyond the initial segment when a surgeon reconstructs a hand or foot nerve using a multiple-strand nerve graft. The surgeon typically harvests and prepares donor nerve tissue, then uses the strands to bridge a nerve gap. The work is generally performed in an operating room as part of peripheral nerve reconstruction after injury or during nerve repair.
Report 64901 with the primary graft code 64900 when the documented graft length exceeds its initial 4 cm; report each additional 4 cm, or part, as directed by the code definition. The operative report should support the graft method, hand or foot site, and total graft length. CMS classifies 64901 as an add-on: it is billed only with a primary procedure and paid within that procedure’s global period.
CMS billing rules for 64901
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU9.95 · 65%
- Practice expense (office) RVU3.17 · 21%
- Malpractice RVU2.12 · 14%
15
Medicare services in 2024 · #6082 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.
64901 compared with similar codes
Office rates for Minnesota, from the same CMS release.
No office rate
64910 describes nerve repair using a conduit or vein allograft. 64901 applies to additional length in the multiple-strand hand or foot nerve-graft approach.
No office rate
64913 captures an additional strand in nerve repair using a nerve allograft; 64901 captures additional graft length for the multiple-strand hand or foot graft.
Compare 64901 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
$462.25
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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 64901 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
7,279
- Code
- 64901
- Physician work
- 9.95
- Practice expense
- 3.17
- Malpractice
- 2.12
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.95 | × 1.000 | 9.9500 |
| Practice expense | 3.17 | × 1.029 | 3.2619 |
| Malpractice | 2.12 | × 0.296 | 0.6275 |
| Total RVUs | 13.8394 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$462.25
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.95 | 1 |
| Practice expense | 3.17 | 1.029 |
| Malpractice | 2.12 | 0.296 |
(9.95 × 1 + 3.17 × 1.029 + 2.12 × 0.296) × $33.4009 = $462.25
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.
64901 billing questions
When is 64901 reported with 64900?
Use 64901 for graft length beyond the initial 4 cm reported under 64900. The operative report should identify the total length used.
Can 64901 be billed by itself?
No. It is an add-on code and must be billed with the applicable primary procedure, such as 64900.
What documentation supports the additional unit?
Document the reconstructed nerve, hand or foot site, graft technique, and total graft length so the additional length is evident.
Is 64901 separately paid outside the primary procedure’s global period?
No. CMS specifies that payment for this add-on is within the primary procedure’s global period.
How does 64901 differ from 64913?
64901 reports additional length for a multiple-strand hand or foot nerve graft. 64913 is an add-on for an additional strand in nerve repair using a nerve allograft.
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.
7,27664896,,Nrv grf mltst hnd/foot >4 cm,A,,21.41,12.54,NA,12.54,,4.56,38.51,38.51,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,27764897,,Nrv grf mltst arm/leg <4 cm,A,,18.90,11.26,NA,11.26,,4.02,34.18,34.18,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,27864898,,Nrv grf mltst arm/leg >4 cm,A,,20.45,12.23,NA,12.23,,4.34,37.02,37.02,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,27964901,,Nerve graft add-on,A,,9.95,3.17,NA,3.17,,2.12,15.24,15.24,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,28064902,,Nerve graft add-on,A,,11.51,3.67,NA,3.67,,2.46,17.64,17.64,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,28164905,,Nerve pedicle transfer,A,,14.73,8.91,NA,8.91,,3.05,26.69,26.69,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,28264907,,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
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002