No office rate
The key distinction is the operative site: this code is for the ulnar nerve at the wrist; 64718 is for the ulnar nerve at the elbow.
On this page
CMS RVU26D · Effective 2026-10-01
64719 Ulnar nerve surgery Medicare reimbursement rates in Nebraska
Surgical freeing or repositioning of the ulnar nerve at the wrist is reported for compression or tethering in the Guyon canal region. Compare 64719 office and facility rates across CMS payment localities in Nebraska.
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 64719 in Nebraska?
Nebraska 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
$352.92
1 of 1 localities have a supported rate.
Payment area: Nebraska
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 64719: Ulnar nerve decompression at wrist
Surgical freeing or repositioning of the ulnar nerve at the wrist is reported for compression or tethering in the Guyon canal region.
This operation frees the ulnar nerve from constricting tissue or repositions it at the wrist. It is commonly performed for ulnar nerve compression in or near Guyon canal, which may cause symptoms in the ring and small fingers or weakness in the hand. Hand, orthopedic, plastic, or neurosurgeons may perform it in a hospital or ambulatory surgery setting. The wrist location distinguishes it from surgery on the ulnar nerve at the elbow.
Report the service when the operative note supports surgical treatment of the ulnar nerve at the wrist, such as release of compression or nerve repositioning; a diagnosis of ulnar neuropathy alone does not establish the procedure. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.
CMS billing rules for 64719
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.85 · 42%
- Practice expense (office) RVU5.80 · 50%
- Malpractice RVU0.96 · 8%
3.1K
Medicare services in 2024 · #2144 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.
64719 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$439.93
64721 addresses median nerve decompression for carpal tunnel syndrome. This code addresses the ulnar nerve at the wrist, including compression near Guyon canal.
No office rate
Use 64704 for neuroplasty or repositioning of another nerve in the hand or foot. This code is specific to the ulnar nerve at the wrist.
Compare 64719 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
Nebraska →
Office / nonfacility
Unavailable
Facility
$352.92
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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 64719 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
7,209
- Code
- 64719
- Physician work
- 4.85
- Practice expense
- 5.80
- Malpractice
- 0.96
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.85 | × 1.000 | 4.8500 |
| Practice expense | 5.80 | × 0.923 | 5.3534 |
| Malpractice | 0.96 | × 0.378 | 0.3629 |
| Total RVUs | 10.5663 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nebraska$352.92
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.85 | 1 |
| Practice expense | 5.8 | 0.923 |
| Malpractice | 0.96 | 0.378 |
(4.85 × 1 + 5.8 × 0.923 + 0.96 × 0.378) × $33.4009 = $352.92
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.
64719 billing questions
When should this code be selected instead of 64718?
Use this code for surgery on the ulnar nerve at the wrist, typically in the Guyon canal region. Code 64718 is for the ulnar nerve at the elbow.
Can this be reported with carpal tunnel surgery?
Yes, when the surgeon also performs a separately documented median nerve decompression at the wrist. The operative note should identify the distinct nerve and procedure treated.
How is bilateral wrist surgery reported?
For bilateral procedures, report modifier 50. CMS pays the bilateral procedure at 150%.
Does the global period include routine postoperative visits?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
What documentation supports reporting this procedure?
Document the wrist-level ulnar nerve condition and the operative work performed, including the site and whether the nerve was freed from compression or repositioned.
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.
7,20664714,,Revise low back nerve(s),A,,10.29,8.73,NA,8.73,,2.41,21.43,21.43,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,20764716,,Revision of cranial nerve,A,,6.82,6.10,NA,6.10,,1.15,14.07,14.07,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,20864718,,Revise ulnar nerve at elbow,A,,7.08,8.71,NA,8.71,,1.43,17.22,17.22,0,090,0.11,0.76,0.13,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,20964719,,Revise ulnar nerve at wrist,A,,4.85,5.80,NA,5.80,,0.96,11.61,11.61,0,090,0.11,0.76,0.13,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,21064721,,Carpal tunnel surgery,A,,4.85,8.61,,6.83,,0.99,14.45,12.67,0,090,0.11,0.76,0.13,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,21164722,,Decompression unspec nerve,A,,4.70,5.36,NA,5.36,,1.11,11.17,11.17,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,21264726,,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
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068