No office rate
Both describe multiple-strand grafting in an arm or leg; select 64898 when the graft length is over 4 cm rather than under 4 cm.
On this page
CMS RVU26D · Effective 2026-10-01
64897 Nerve graft Medicare reimbursement rates in Ohio
Reports placement of a short, multiple-strand nerve graft to bridge a peripheral nerve defect in an arm or leg, outside the hand or foot. Compare 64897 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 64897 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
$1110.00
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.
Peripheral nerve surgery
About 64897: Multiple-strand peripheral nerve graft, short
Reports placement of a short, multiple-strand nerve graft to bridge a peripheral nerve defect in an arm or leg, outside the hand or foot.
A surgeon uses multiple strands of nerve graft to bridge a defect in a peripheral nerve in the arm or leg. This may follow traumatic nerve injury or removal of damaged nerve tissue when the remaining ends cannot be joined directly. Peripheral nerve, hand, plastic, orthopedic, or neurosurgeons may perform the reconstruction, typically in a hospital or ambulatory surgical setting. The graft length for this code is under 4 cm; hand and foot sites have separate codes in this family.
Choose the code based on the recipient site, number of graft strands, and graft length. The operative report should identify the arm or leg nerve reconstructed, document use of multiple strands, and support a graft length under 4 cm. The service has a 90-day global period, including 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 50% multiple-procedure reduction. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.
CMS billing rules for 64897
- 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 RVU18.90 · 55%
- Practice expense (office) RVU11.26 · 33%
- Malpractice RVU4.02 · 12%
22
Medicare services in 2024 · #5878 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.
64897 compared with similar codes
Office rates for Ohio, from the same CMS release.
No office rate
This code covers a single-strand graft in an arm or leg under 4 cm. Use 64897 when multiple strands are used.
No office rate
Both describe multiple-strand grafts under 4 cm, but 64895 is for a hand or foot site; 64897 is for an arm or leg site.
No office rate
This code is for a single-strand graft in an arm or leg over 4 cm; 64897 is for multiple strands under 4 cm.
Compare 64897 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
$1110.00
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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 64897 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
7,277
- Code
- 64897
- Physician work
- 18.90
- Practice expense
- 11.26
- Malpractice
- 4.02
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 18.90 | × 1.000 | 18.9000 |
| Practice expense | 11.26 | × 0.913 | 10.2804 |
| Malpractice | 4.02 | × 1.008 | 4.0522 |
| Total RVUs | 33.2325 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Ohio$1110.00
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 18.9 | 1 |
| Practice expense | 11.26 | 0.913 |
| Malpractice | 4.02 | 1.008 |
(18.9 × 1 + 11.26 × 0.913 + 4.02 × 1.008) × $33.4009 = $1110.00
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.
64897 billing questions
How does this differ from a single-strand nerve graft code?
This code is for multiple graft strands in an arm or leg, with graft length under 4 cm. A single-strand graft uses a different code in the same family.
When should the longer-length sibling be used?
Use the longer-length code when the documented graft length is over 4 cm. The operative report should support the length used to select the code.
Should modifier 50 be appended for grafts on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 is not used for bilateral reporting.
What documentation supports reporting multiple strands?
The operative report should describe the nerve and arm or leg site reconstructed, the use of multiple graft strands, and a graft length under 4 cm.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team-surgery payment 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.
7,27464893,,Nrv grf 1strnd arm/leg >4 cm,A,,16.45,10.48,NA,10.48,,3.50,30.43,30.43,0,090,0.11,0.76,0.13,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,27564895,,Nrv grf mltst hnd/foot <4 cm,A,,19.88,11.58,NA,11.58,,4.23,35.69,35.69,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,27664896,,Nrv grf mltst hnd/foot >4 cm,A,,21.41,12.54,NA,12.54,,4.56,38.51,38.51,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,27764897,,Nrv grf mltst arm/leg <4 cm,A,,18.90,11.26,NA,11.26,,4.02,34.18,34.18,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,27864898,,Nrv grf mltst arm/leg >4 cm,A,,20.45,12.23,NA,12.23,,4.34,37.02,37.02,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,27964901,,Nerve graft add-on,A,,9.95,3.17,NA,3.17,,2.12,15.24,15.24,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,28064902,,Nerve graft add-on,A,,11.51,3.67,NA,3.67,,2.46,17.64,17.64,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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