No office rate
64856 applies to major peripheral nerve repair in the arm or leg. 64872 describes secondary repair and is reported only with a primary procedure.
On this page
CMS RVU26D · Effective 2026-10-01
64872 Nerve repair Medicare reimbursement rates in New Mexico
Use this add-on for secondary nerve repair performed with a primary procedure when the operative work requires repair beyond an initial nerve repair. Compare 64872 office and facility rates across CMS payment localities in New Mexico.
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 64872 in New Mexico?
New Mexico 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
$100.64
1 of 1 localities have a supported rate.
Payment area: New Mexico
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 64872: Secondary repair of a nerve
Use this add-on for secondary nerve repair performed with a primary procedure when the operative work requires repair beyond an initial nerve repair.
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.
CMS billing rules for 64872
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU1.94 · 65%
- Practice expense (office) RVU0.62 · 21%
- Malpractice RVU0.42 · 14%
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 compared with similar codes
Office rates for New Mexico, from the same CMS release.
No office rate
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.
No office rate
64874 is a related nerve-repair add-on. Distinguish it from 64872 by the specific secondary repair work documented and the applicable code descriptor.
Compare 64872 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
New Mexico →
Office / nonfacility
Unavailable
Facility
$100.64
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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 64872 in New Mexico.
PPRRVU2026_Oct_nonQPP.csv
7,266
- Code
- 64872
- Physician work
- 1.94
- Practice expense
- 0.62
- Malpractice
- 0.42
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.94 | × 1.000 | 1.9400 |
| Practice expense | 0.62 | × 0.917 | 0.5685 |
| Malpractice | 0.42 | × 1.201 | 0.5044 |
| Total RVUs | 3.0130 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$100.64
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.94 | 1 |
| Practice expense | 0.62 | 0.917 |
| Malpractice | 0.42 | 1.201 |
(1.94 × 1 + 0.62 × 0.917 + 0.42 × 1.201) × $33.4009 = $100.64
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.
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 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.
7,26364865,,Repair of facial nerve,A,,15.69,10.39,NA,10.39,,2.30,28.38,28.38,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,26464866,,Fusion of facial/other nerve,A,,16.41,14.29,NA,14.29,,3.04,33.74,33.74,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,26564868,,Fusion of facial/other nerve,A,,14.53,9.34,NA,9.34,,2.12,25.99,25.99,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,26664872,,Subsequent repair of nerve,A,,1.94,0.62,NA,0.62,,0.42,2.98,2.98,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,26764874,,Repair & revise nerve add-on,A,,2.91,0.93,NA,0.93,,0.61,4.45,4.45,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,26864876,,Repair nerve/shorten bone,A,,3.29,1.05,NA,1.05,,0.69,5.03,5.03,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,26964885,,Nerve graft head/neck <4 cm,A,,17.16,8.15,NA,8.15,,2.50,27.81,27.81,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097
7704212,NM,05,NEW MEXICO,1.000,0.917,1.201
7813202,NY,01,MANHATTAN,1.064,1.162,1.586
7913202,NY,02,NYC SUBURBS/LONG ISLAND,1.064,1.189,1.857
8013202,NY,03,POUGHKPSIE/N NYC SUBURBS,1.045,1.095,1.210