Billing code 64872: Nerve repairMedicare rate & RVUs in Nevada
Use this add-on for secondary nerve repair performed with a primary procedure when the operative work requires repair beyond an initial nerve repair.
CMS doesn’t publish an office rate for 64872 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 64872 covers
This code represents secondary repair of a nerve, rather than a straightforward initial repair. A surgeon may perform this work during an operation to address a nerve that cannot be repaired with a simple primary repair, such as when delayed treatment or the condition of the nerve ends requires a more involved repair. Peripheral nerve, hand, plastic, or neurosurgeons may perform it in an operating room. The operative report should identify the nerve and explain why secondary repair was needed.
Report 64872 only with a primary procedure, as an add-on, and not as a stand-alone service. The primary procedure and the secondary repair should be supported by the operative documentation, including the reason for secondary repair and the work performed. CMS treats this add-on as paid within the primary procedure's global period; it is not a separate service outside that global period.
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.
64872 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | Unavailable | $97.21 |
How the 64872 rate is calculated
Each of 64872’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 · 64872
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.94Practice expense 0.62Malpractice 0.42
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 64872
The CMS indicators that decide how 64872 is paid alongside other services.
CMS payment indicators · 64872
Nerve repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 80 · payment effect
With and without the modifier
64872 without 80 · national facility
$99.53
Nerve repair
64872-80 · Assistant: 16%
$15.92
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
64872 compared with similar codes
Compare codes
64872 vs 64856 vs 64857 vs 64874: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 64856Brachial plexus repair
- 64856 applies to major peripheral nerve repair in the arm or leg. 64872 describes secondary repair and is reported only with a primary procedure.
- 64857Nerve repair
- 64857 is a primary repair code for a major peripheral nerve in the arm or leg. Choose 64872 when the operative service is secondary repair and report it with a primary procedure.
- 64874Nerve repair
- 64874 is a related nerve-repair add-on. Distinguish it from 64872 by the specific secondary repair work documented and the applicable code descriptor.
64872 billing questions
Can 64872 be billed by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure.
What documentation supports secondary repair?
Document the nerve involved, why an initial repair was not sufficient, and the secondary repair performed. The operative report should make the additional work clear.
How is 64872 different from a primary nerve repair code?
Use a primary repair code when the operative service is an initial repair. 64872 is for secondary repair and must accompany a primary procedure.
How does the global period affect payment?
CMS pays 64872 within the global period of the primary procedure. It is not treated as a separate service outside that period.
Does the code identify a particular nerve or body site?
The supplied descriptor identifies secondary nerve repair but does not specify a nerve or site. Document the nerve and repair circumstances in the operative report.
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
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