No office rate
Choose 64774 for excision of a neuroma involving a cutaneous nerve. Code 64788 is for a neurofibroma or schwannoma of a cutaneous nerve.
On this page
CMS RVU26D · Effective 2026-10-01
64788 Nerve tumor excision Medicare reimbursement rates in Nebraska
Reports surgical removal of a neurofibroma or schwannoma arising from a surgically accessible cutaneous nerve, rather than a neuroma or a major nerve lesion. Compare 64788 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 64788 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
$354.67
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 64788: Cutaneous nerve sheath tumor excision
Reports surgical removal of a neurofibroma or schwannoma arising from a surgically accessible cutaneous nerve, rather than a neuroma or a major nerve lesion.
A surgeon uses this code to remove a neurofibroma or schwannoma arising from a cutaneous nerve that can be surgically reached. The service may address a localized, painful or enlarging superficial nerve sheath lesion. The surgeon identifies the involved sensory nerve, excises the lesion, and commonly submits the specimen for pathologic examination. These procedures may be performed in an office procedure setting or a facility, depending on the lesion and planned care.
Choose this code for the lesion type and cutaneous nerve site, not simply because a nerve-associated lump is removed. The operative report should identify the nerve, lesion, and extent of excision; pathology may support the lesion diagnosis. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay for an assistant at surgery, and co-surgeons and team surgery are not permitted.
CMS billing rules for 64788
- 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
- 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 RVU5.11 · 44%
- Practice expense (office) RVU5.53 · 47%
- Malpractice RVU1.07 · 9%
715
Medicare services in 2024 · #3241 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.
64788 compared with similar codes
Office rates for Nebraska, from the same CMS release.
No office rate
Code 64776 applies to a digital nerve neuroma in the hand or foot; 64788 addresses a neurofibroma or schwannoma of a cutaneous nerve.
No office rate
Code 64782 concerns neuroma excision on a major peripheral nerve. Use 64788 when the lesion is a neurofibroma or schwannoma of a cutaneous nerve.
No office rate
Use 64795 for a nerve biopsy when the service is diagnostic sampling. Code 64788 represents excision of a cutaneous nerve neurofibroma or schwannoma.
Compare 64788 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
$354.67
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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 64788 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
7,237
- Code
- 64788
- Physician work
- 5.11
- Practice expense
- 5.53
- Malpractice
- 1.07
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.11 | × 1.000 | 5.1100 |
| Practice expense | 5.53 | × 0.923 | 5.1042 |
| Malpractice | 1.07 | × 0.378 | 0.4045 |
| Total RVUs | 10.6187 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nebraska$354.67
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.11 | 1 |
| Practice expense | 5.53 | 0.923 |
| Malpractice | 1.07 | 0.378 |
(5.11 × 1 + 5.53 × 0.923 + 1.07 × 0.378) × $33.4009 = $354.67
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.
64788 billing questions
How is this different from 64774?
64788 is for excision of a neurofibroma or schwannoma of a cutaneous nerve. Code 64774 describes excision of a cutaneous nerve neuroma.
When is 64776 a better choice?
Use 64776 for excision of a neuroma on a digital nerve of the hand or foot. Code 64788 concerns a neurofibroma or schwannoma of a cutaneous nerve.
Does the 90-day global period include follow-up care?
Yes. The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can modifier 50 be used for lesions on both sides?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.
What happens if another procedure is performed in the same session?
The highest-valued procedure is paid in full; other procedures in that session 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.
7,23464784,,Remove nerve lesion,A,,10.35,7.72,NA,7.72,,2.08,20.15,20.15,0,090,0.11,0.76,0.13,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,23564786,,Remove sciatic nerve lesion,A,,15.84,8.41,NA,8.41,,4.23,28.48,28.48,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,23664787,,Implant nerve end,A,,4.18,1.17,NA,1.17,,0.75,6.10,6.10,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,23764788,,Remove skin nerve lesion,A,,5.11,5.53,NA,5.53,,1.07,11.71,11.71,0,090,0.11,0.76,0.13,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,23864790,,Removal of nerve lesion,A,,11.80,9.16,NA,9.16,,3.11,24.07,24.07,0,090,0.11,0.76,0.13,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,23964792,,Removal of nerve lesion,A,,15.46,14.34,NA,14.34,,6.52,36.32,36.32,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,24064795,,Biopsy of nerve,A,,2.93,1.77,NA,1.77,,0.88,5.58,5.58,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,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