No office rate
64722 describes nerve decompression. Choose 64732 when the surgeon intentionally transects or avulses a supraorbital or supratrochlear nerve.
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CMS RVU26D · Effective 2026-10-01
64732 Brow nerve surgery Medicare reimbursement rates in Missouri
Reports surgical interruption of a supraorbital or supratrochlear nerve at the brow, typically for selected patients with focal neuralgia or migraine trigger pain. Compare 64732 office and facility rates across CMS payment localities in Missouri.
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 64732 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$455.62–$481.61
3 of 3 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.
Where 64732 pays more and less in Missouri
Peripheral nerve surgery
About 64732: Supraorbital nerve transection
Reports surgical interruption of a supraorbital or supratrochlear nerve at the brow, typically for selected patients with focal neuralgia or migraine trigger pain.
This operation intentionally interrupts a brow sensory nerve, generally the supraorbital or supratrochlear nerve, by transection or avulsion. It may be performed for selected patients with persistent focal neuralgia or as part of surgery for migraine trigger pain. Plastic surgeons, facial plastic surgeons, and peripheral nerve or neurosurgical specialists may perform it in a hospital or ambulatory surgical setting. The operative report should identify the nerve and side and describe the interruption performed.
Report 64732 when the documented service is nerve transection or avulsion at the brow, rather than exposure or decompression alone. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For bilateral surgery, modifier 50 is paid at 150%. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures at 50%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 64732
- 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 RVU4.77 · 32%
- Practice expense (office) RVU8.02 · 54%
- Malpractice RVU2.01 · 14%
14
Medicare services in 2024 · #6117 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.
64732 compared with similar codes
Office rates for Missouri, from the same CMS release.
Compare 64732 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
Unavailable
Facility
$476.45
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$481.61
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$455.62
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64732 billing questions
When is 64732 appropriate instead of a nerve decompression code?
Use 64732 for documented transection or avulsion of a brow nerve. Decompression describes relieving pressure on a nerve, not intentionally interrupting it.
What details should the operative report include?
Document the specific brow nerve, side, indication, and whether it was transected or avulsed. The record should make clear that nerve interruption—not decompression alone—was performed.
How is bilateral brow nerve surgery reported?
For a bilateral procedure, report modifier 50; CMS pays it at 150%.
Does the 90-day global period include postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. CMS does not permit co-surgeons or team surgery for this code.
How does CMS handle multiple procedures in the same session?
The highest-valued procedure is paid in full, and other procedures are paid at 50%.
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.
7,21264726,,Dcmprn plantar digital nerve,A,,4.16,3.14,NA,3.14,,0.43,7.73,7.73,0,090,0.11,0.76,0.13,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,21364727,,Internal neurolysis,A,,3.02,1.06,NA,1.06,,0.26,4.34,4.34,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,21464728,,Dcmprn median nrv carpl tunl,A,,2.70,37.27,,0.73,,0.24,40.21,3.67,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,21564732,,Incision of brow nerve,A,,4.77,8.02,NA,8.02,,2.01,14.80,14.80,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,21664734,,Incision of cheek nerve,A,,5.41,8.99,NA,8.99,,2.28,16.68,16.68,0,090,0.11,0.76,0.13,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,21764736,,Incision of chin nerve,A,,5.10,3.47,NA,3.47,,0.57,9.14,9.14,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,21864738,,Incision of jaw nerve,A,,6.20,5.36,NA,5.36,,0.90,12.46,12.46,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00