No office rate
Both codes cover nerve grafting in the head or neck; the graft-length distinction is the dividing point. Use 64886 for a graft over four centimeters and 64885 for one up to four centimeters.
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CMS RVU26D · Effective 2026-10-01
64886 Nerve graft Medicare reimbursement rates in Ohio
Report this code for reconstructive nerve grafting in the head or neck when the graft length exceeds four centimeters, such as for facial nerve reconstruction. Compare 64886 office and facility rates across CMS payment localities in Ohio.
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 64886 in Ohio?
Ohio 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
$1089.88
1 of 1 localities have a supported rate.
Payment area: Ohio
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.
Nerve surgery
About 64886: Head or neck nerve graft over four centimeters
Report this code for reconstructive nerve grafting in the head or neck when the graft length exceeds four centimeters, such as for facial nerve reconstruction.
This operation bridges a nerve gap in the head or neck with a graft when the nerve ends cannot be joined directly without tension. A common setting is facial nerve reconstruction after nerve injury or removal during head-and-neck surgery. Otolaryngology, plastic and reconstructive, and neurosurgical specialists may perform the procedure in an operating room, often using microsurgical techniques to connect the graft to the nerve ends.
Select this code when the graft length is greater than four centimeters; document the reconstructed nerve, graft length, and operative work. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 64886
- 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
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU20.30 · 61%
- Practice expense (office) RVU9.95 · 30%
- Malpractice RVU3.22 · 10%
170
Medicare services in 2024 · #4477 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.
64886 compared with similar codes
Office rates for Ohio, from the same CMS release.
No office rate
This code is for a single-strand graft over four centimeters in the hand or foot, rather than a head-or-neck graft.
No office rate
This code is for a single-strand graft over four centimeters in the arm or leg; 64886 is specific to the head or neck.
No office rate
This code describes a multiple-strand graft over four centimeters in the arm or leg, while 64886 is for a head-or-neck graft.
Compare 64886 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
Ohio →
Office / nonfacility
Unavailable
Facility
$1089.88
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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 64886 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
7,270
- Code
- 64886
- Physician work
- 20.30
- Practice expense
- 9.95
- Malpractice
- 3.22
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 20.30 | × 1.000 | 20.3000 |
| Practice expense | 9.95 | × 0.913 | 9.0843 |
| Malpractice | 3.22 | × 1.008 | 3.2458 |
| Total RVUs | 32.6301 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Ohio$1089.88
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 20.3 | 1 |
| Practice expense | 9.95 | 0.913 |
| Malpractice | 3.22 | 1.008 |
(20.3 × 1 + 9.95 × 0.913 + 3.22 × 1.008) × $33.4009 = $1089.88
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.
64886 billing questions
How does this code differ from 64885?
Both describe nerve grafting in the head or neck. Use 64886 when the graft length is greater than four centimeters; 64885 is for a graft up to four centimeters.
What documentation supports this code?
Document the nerve reconstructed, the graft length, the nerve gap and why grafting was needed, and the operative steps connecting the graft to the nerve ends.
Can modifier 50 be used for bilateral grafting?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures performed in the same session are subject to the standard multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
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.
7,26764874,,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
7,27064886,,Nerve graft head/neck >4 cm,A,,20.30,9.95,NA,9.95,,3.22,33.47,33.47,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,27164890,,Nrv grf 1strnd hnd/foot <4cm,A,,15.83,10.13,NA,10.13,,3.37,29.33,29.33,0,090,0.11,0.76,0.13,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,27264891,,Nrv grf 1strnd hnd/foot >4cm,A,,16.92,10.63,NA,10.63,,3.61,31.16,31.16,0,090,0.11,0.76,0.13,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,27364892,,Nrv grf 1strnd arm/leg <4cm,A,,15.35,9.98,NA,9.98,,3.26,28.59,28.59,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703