Billing code 64784: Neuroma excisionMedicare rate & RVUs in Nevada
Reports surgical removal of a neuroma involving the sciatic nerve, typically for a symptomatic lesion requiring operative treatment.
CMS doesn’t publish an office rate for 64784 in Nevada.
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 64784 covers
A surgeon removes a neuroma arising from the sciatic nerve, a major nerve supplying the back of the thigh and lower leg. This procedure may be performed by a peripheral nerve, neurosurgical, or orthopedic surgeon in a hospital or ambulatory surgery setting when a sciatic nerve neuroma is the operative target. The operative report should identify the lesion and its relationship to the sciatic nerve, describe the excision, and support why the selected procedure was performed.
Report this code for sciatic nerve neuroma excision, not for a lesion on another major peripheral nerve or for a nerve biopsy. The 90-day global period includes the day-before preoperative visit and 90 days of 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 multiple procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
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.
64784 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | Unavailable | $661.68 |
How the 64784 rate is calculated
Each of 64784’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 · 64784
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 10.35Practice expense 7.72Malpractice 2.08
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 64784
64784 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 64784
Neuroma excision
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.11/0.76/0.13 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 64784
Neuroma excision
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
64784 without 51 · national facility
$673.03
Neuroma excision
64784-51 · Second procedure: 50%
$336.52
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
64784 compared with similar codes
Compare codes
64784 vs 64786 vs 64782 vs 64790 vs 64795: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 64786Neuroma excision
- This code represents sciatic nerve neuroma excision; 64786 is used when the excision is extensive.
- 64782Neuroma excision
- 64782 is for a major peripheral nerve other than the sciatic nerve. The nerve involved, rather than symptoms alone, determines the distinction.
- 64790Nerve tumor removal
- 64790 concerns excision of a neurofibroma or neurolemmoma on a major peripheral nerve, not sciatic nerve neuroma excision.
- 64795Nerve biopsy
- 64795 reports a nerve biopsy. Use 64784 when the operative service removes a sciatic nerve neuroma rather than sampling nerve tissue.
64784 billing questions
How does this differ from 64786?
Both codes concern sciatic nerve neuroma excision; 64786 is for an extensive excision. The operative documentation should support the extent represented by the selected code.
When should 64782 be used instead?
64782 describes neuroma excision involving a major peripheral nerve other than the sciatic nerve. Use 64784 when the lesion being excised is on the sciatic nerve.
Can nerve-end implantation be reported with this procedure?
Code 64787 describes implantation of a nerve end into bone or muscle and may be relevant when that work is performed. Document the implantation separately from the neuroma excision.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 or an assistant-at-surgery claim be used?
Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documentation of medical necessity.
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
Fee sheets
Put 64784 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →