No office rate
Use 64905 for the first stage of a staged nerve pedicle transfer and 64907 for its second stage. The operative record should establish which stage was performed.
On this page
CMS RVU26D · Effective 2026-10-01
64907 Nerve transfer Medicare reimbursement rates in Ohio
Reports the second stage of a planned nerve pedicle transfer to redirect nerve supply and support reinnervation after nerve injury or loss. Compare 64907 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 64907 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
$1137.61
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 64907: Second-stage nerve pedicle transfer
Reports the second stage of a planned nerve pedicle transfer to redirect nerve supply and support reinnervation after nerve injury or loss.
CPT 64907 identifies the second stage of a staged nerve pedicle transfer. The surgeon redirects nerve supply to support reinnervation of a target affected by nerve injury or loss. Peripheral nerve, hand, plastic, or neurosurgeons may perform the procedure in an operating room. The operative record should establish that this is the planned second stage, rather than a separate nerve repair or graft procedure.
Select the code from the documented stage of the nerve-pedicle procedure, not simply from the diagnosis or the number of nerves treated. Record the operative work and its relationship to the planned first stage. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When other 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. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 64907
- 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 RVU19.53 · 56%
- Practice expense (office) RVU11.31 · 32%
- Malpractice RVU4.17 · 12%
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.
64907 compared with similar codes
Office rates for Ohio, from the same CMS release.
No office rate
64911 describes nerve repair using a vein autograft. It is not the second-stage nerve pedicle transfer code.
No office rate
64912 describes nerve repair using a nerve allograft; 64907 identifies the second stage of a nerve pedicle transfer.
Compare 64907 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
$1137.61
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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 64907 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
7,282
- Code
- 64907
- Physician work
- 19.53
- Practice expense
- 11.31
- Malpractice
- 4.17
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 19.53 | × 1.000 | 19.5300 |
| Practice expense | 11.31 | × 0.913 | 10.3260 |
| Malpractice | 4.17 | × 1.008 | 4.2034 |
| Total RVUs | 34.0594 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Ohio$1137.61
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 19.53 | 1 |
| Practice expense | 11.31 | 0.913 |
| Malpractice | 4.17 | 1.008 |
(19.53 × 1 + 11.31 × 0.913 + 4.17 × 1.008) × $33.4009 = $1137.61
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.
64907 billing questions
How is 64907 distinguished from 64905?
64907 is for the second stage of a staged nerve pedicle transfer; 64905 is the first-stage code. The operative documentation should identify the stage performed.
What documentation supports reporting 64907?
Document the second-stage operative work, the donor and recipient nerve structures involved, and how the procedure fits the planned staged transfer.
Can 64907 be reported with another procedure in the same session?
Other separately performed procedures may be reported when supported by the operative record. Medicare applies its standard multiple-procedure reduction when procedures are performed in the same session.
Should modifier 50 be used for bilateral work?
No. The descriptor or anatomy makes modifier 50 inappropriate for this code.
How are assistant and co-surgeon services handled?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
7,27964901,,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
7,28164905,,Nerve pedicle transfer,A,,14.73,8.91,NA,8.91,,3.05,26.69,26.69,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,28264907,,Nerve pedicle transfer,A,,19.53,11.31,NA,11.31,,4.17,35.01,35.01,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,28364910,,Nerve repair w/allograft,A,,10.26,8.85,NA,8.85,,1.76,20.87,20.87,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,28464911,,Neurorraphy w/vein autograft,A,,13.65,11.89,NA,11.89,,2.91,28.45,28.45,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,28564912,,Nrv rpr w/nrv algrft 1st,A,,11.70,10.56,NA,10.56,,2.26,24.52,24.52,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,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