Billing code 64732: Brow nerve surgeryMedicare rate & RVUs in Ohio
Reports surgical interruption of a supraorbital or supratrochlear nerve at the brow, typically for selected patients with focal neuralgia or migraine trigger pain.
CMS doesn’t publish an office rate for 64732 in Ohio.
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 64732 covers
This operation intentionally interrupts a brow sensory nerve, generally the supraorbital or supratrochlear nerve, by transection or avulsion. It may be performed for selected patients with persistent focal neuralgia or as part of surgery for migraine trigger pain. Plastic surgeons, facial plastic surgeons, and peripheral nerve or neurosurgical specialists may perform it in a hospital or ambulatory surgical setting. The operative report should identify the nerve and side and describe the interruption performed.
Report 64732 when the documented service is nerve transection or avulsion at the brow, rather than exposure or decompression alone. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For bilateral surgery, modifier 50 is paid at 150%. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures at 50%. An assistant at surgery may be paid; 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.
64732 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $471.57 |
How the 64732 rate is calculated
Each of 64732’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 · 64732
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 4.77Practice expense 8.02Malpractice 2.01
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 64732
64732 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 64732
Brow nerve surgery
| 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) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| 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 · 64732
Brow nerve surgery
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 50 · payment effect
With and without the modifier
64732 without 50 · national facility
$494.33
Brow nerve surgery
64732-50 · Bilateral: 150%
$741.50
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
64732 compared with similar codes
Compare codes
64732 vs 64722 vs 64734 vs 64744: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 64722Nerve decompression
- 64722 describes nerve decompression. Choose 64732 when the surgeon intentionally transects or avulses a supraorbital or supratrochlear nerve.
- 64734Nerve transection
- 64734 concerns nerve interruption at the cheek, while 64732 is for a brow nerve.
- 64744Occipital neurectomy
- 64744 concerns nerve interruption at the back of the head; 64732 is specific to the brow region.
64732 billing questions
When is 64732 appropriate instead of a nerve decompression code?
Use 64732 for documented transection or avulsion of a brow nerve. Decompression describes relieving pressure on a nerve, not intentionally interrupting it.
What details should the operative report include?
Document the specific brow nerve, side, indication, and whether it was transected or avulsed. The record should make clear that nerve interruption—not decompression alone—was performed.
How is bilateral brow nerve surgery reported?
For a bilateral procedure, report modifier 50; CMS pays it at 150%.
Does the 90-day global period include postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. CMS does not permit co-surgeons or team surgery for this code.
How does CMS handle multiple procedures in the same session?
The highest-valued procedure is paid in full, and other procedures are paid at 50%.
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 64732 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 →