CPT code 64902: Nerve graft repair2026 Medicare rate & RVUs in Minnesota
Reports additional nerve repair involving a multiple-strand cable graft in the hand or foot, alongside an eligible primary procedure.
CMS doesn’t publish an office rate for 64902 in Minnesota.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 64902 covers
This add-on code describes additional nerve repair involving a multiple-strand cable graft in the hand or foot. A surgeon may use this approach to bridge a nerve defect when a single graft strand is not sufficient. The service is part of operative peripheral nerve reconstruction, commonly performed by a hand, orthopedic, plastic, or peripheral nerve surgeon. The operative report should identify the treated nerve and site and describe the graft configuration and repair performed.
Report 64902 only with an eligible primary procedure; it is not a standalone service. Documentation should make clear why the repair required a multiple-strand cable graft and distinguish it from a single-strand graft or another nerve-repair method. CMS treats this as an add-on code paid within the primary procedure’s global period. Its payment is therefore included within that global period rather than treated as a separate primary procedure.
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.
64902 in Minnesota
| Payment locality | Office | Facility |
|---|---|---|
| Minnesota | Unavailable | $534.90 |
How the 64902 rate is calculated
Each of 64902’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 64902
RVUs × geographic indexes × conversion factor
Work11.51
11.51 RVUs× 1.000 GPCI
Practice expense3.67
3.67 RVUs× 1.000 GPCI
Malpractice2.46
2.46 RVUs× 1.000 GPCI
Adjusted RVUs
17.6400
Conversion factor
$33.4009
Medicare rate
$589.19
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 64902
The CMS indicators that decide how 64902 is paid alongside other services.
CMS payment indicators · 64902
Nerve graft repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 80 · payment effect
With and without the modifier
64902 without 80 · national facility
$589.19
Nerve graft repair
64902-80 · Assistant: 16%
$94.27
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
64902 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 64901Nerve graft
- Both are nerve-graft add-on codes. Choose based on the documented graft configuration: 64902 represents a multiple-strand cable graft, while 64901 is its single-strand sibling.
- 64911Nerve repair
- 64911 identifies nerve repair using a vein autograft. Code 64902 is for repair using a multiple-strand cable graft.
- 64912Nerve repair
- 64912 covers nerve repair with an allograft for the first strand; 64902 describes a multiple-strand cable-graft repair.
- 64913Nerve repair
- 64913 represents an additional allograft strand reported with its related allograft repair. Code 64902 describes multiple-strand cable-graft repair instead.
64902 billing questions
When is 64902 preferred over 64901?
Use 64902 for nerve repair using a multiple-strand cable graft. The distinction from 64901 is the graft configuration; the operative report should support the method performed.
Can 64902 be reported by itself?
No. It is an add-on code and must be reported with an eligible primary procedure.
What documentation supports 64902?
The operative report should identify the nerve and hand or foot site, describe the defect and repair, and document use of a multiple-strand cable graft.
How does the global period affect payment?
CMS pays 64902 within the global period of the primary procedure. It is not paid as a separate primary service.
Is 64902 the same as nerve repair with an allograft?
No. Code 64902 represents multiple-strand cable-graft repair; allograft repair is described by a different code family, including 64912 and 64913.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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