No office rate
Use this code for division of the vagus nerve. Code 64755 concerns stomach nerves, so the operative report's identified nerve target is the key distinction.
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CMS RVU26D · Effective 2026-10-01
64760 Vagus nerve surgery Medicare reimbursement rates in Nebraska
Reports surgical division of the vagus nerve, typically as a vagotomy performed during operative treatment of difficult-to-control peptic ulcer disease. Compare 64760 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 64760 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
$454.36
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.
Nerve surgery
About 64760: Vagus nerve division
Reports surgical division of the vagus nerve, typically as a vagotomy performed during operative treatment of difficult-to-control peptic ulcer disease.
This code represents surgical division of the vagus nerve to interrupt its signaling. A surgeon may perform a vagotomy during an upper abdominal operation, classically as part of treatment for peptic ulcer disease that has not responded to medical management. The service is uncommon in current practice; the operative report should identify the vagus nerve and describe the division performed, rather than only documenting exposure, manipulation, or stimulation.
Select this code when the surgeon actually divides the vagus nerve, not another named nerve or nerve fibers serving the stomach. Documentation should support the nerve targeted and the operative work. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 64760
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- 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 RVU7.40 · 48%
- Practice expense (office) RVU5.91 · 39%
- Malpractice RVU1.98 · 13%
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.
64760 compared with similar codes
Office rates for Nebraska, from the same CMS release.
No office rate
Code 64746 is directed at the phrenic nerve. This code applies when the surgeon divides the vagus nerve.
No office rate
Code 64771 describes a different cranial nerve procedure. Select this code when the documented nerve divided is the vagus nerve.
Compare 64760 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
$454.36
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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 64760 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
7,224
- Code
- 64760
- Physician work
- 7.40
- Practice expense
- 5.91
- Malpractice
- 1.98
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.40 | × 1.000 | 7.4000 |
| Practice expense | 5.91 | × 0.923 | 5.4549 |
| Malpractice | 1.98 | × 0.378 | 0.7484 |
| Total RVUs | 13.6034 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nebraska$454.36
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.4 | 1 |
| Practice expense | 5.91 | 0.923 |
| Malpractice | 1.98 | 0.378 |
(7.4 × 1 + 5.91 × 0.923 + 1.98 × 0.378) × $33.4009 = $454.36
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.
64760 billing questions
How is this code distinguished from a code for stomach nerves?
This code is specific to division of the vagus nerve. Choose a stomach-nerve code when the operative work targets those nerves rather than the vagus.
Does the 90-day global period include routine postoperative care?
Yes. The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Should modifier 50 be reported for bilateral vagus nerve work?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, while other procedures are subject to the standard multiple procedure reduction.
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.
7,22164744,,Incise nerve back of head,A,,5.58,8.30,NA,8.30,,2.35,16.23,16.23,0,090,0.11,0.76,0.13,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,22264746,,Incise diaphragm nerve,A,,6.40,4.97,NA,4.97,,1.62,12.99,12.99,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,22364755,,Incision of stomach nerves,A,,14.67,7.46,NA,7.46,,3.92,26.05,26.05,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,22464760,,Incision of vagus nerve,A,,7.40,5.91,NA,5.91,,1.98,15.29,15.29,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,22564763,,Incise hip/thigh nerve,A,,7.37,5.76,NA,5.76,,1.97,15.10,15.10,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,22664766,,Incise hip/thigh nerve,A,,9.23,6.81,NA,6.81,,2.48,18.52,18.52,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,22764771,,Sever cranial nerve,A,,7.95,7.31,NA,7.31,,1.47,16.73,16.73,0,090,0.11,0.76,0.13,2,0,2,0,0,9,,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