Billing code 27326: NeurectomyMedicare rate & RVUs in Oklahoma
Reports surgical excision of a targeted nerve or nerve segment in the popliteal region when treatment requires removal rather than decompression.
CMS doesn’t publish an office rate for 27326 in Oklahoma.
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 27326 covers
This operation removes a selected nerve or nerve segment in the popliteal region behind the knee. An orthopedic surgeon or peripheral nerve surgeon performs it in an operative setting when the documented treatment plan calls for excision of a nerve in that location. The operative report should identify the nerve or branch and describe the procedure performed; the popliteal location distinguishes this service from neurectomy in another anatomic region.
Report 27326 for the popliteal neurectomy itself, not for drainage of a lesion or exploration of the knee joint. The day-before preoperative visit and 90 days of related postoperative care are included in the major-surgery global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is 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.
27326 in Oklahoma
| Payment locality | Office | Facility |
|---|---|---|
| Oklahoma | Unavailable | $467.79 |
How the 27326 rate is calculated
Each of 27326’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 · 27326
RVUs × geographic indexes × conversion factor
Work6.31
6.31 RVUs× 1.000 GPCI
Practice expense7.46
7.46 RVUs× 1.000 GPCI
Malpractice1.33
1.33 RVUs× 1.000 GPCI
Adjusted RVUs
15.1000
Conversion factor
$33.4009
Medicare rate
$504.35
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27326
27326 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27326
Neurectomy
| 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) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 27326
Neurectomy
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
27326 without 50 · national facility
$504.35
Neurectomy
27326-50 · Bilateral: 150%
$756.53
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).
27326 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 27325Hamstring neurectomy
- Use 27326 for a neurectomy in the popliteal region and 27325 for one in the hamstring region. The operative location determines the choice.
- 64714Nerve surgery
- 64714 describes neuroplasty of a major peripheral nerve in the leg. Choose 27326 when the documented work is excision of a nerve or nerve segment in the popliteal region.
- 64708Nerve neuroplasty
- 64708 covers major peripheral nerve neuroplasty in an arm or leg. It is not the code for excision of a popliteal nerve segment.
27326 billing questions
How does 27326 differ from 27325?
27326 is for neurectomy in the popliteal region behind the knee. 27325 identifies neurectomy in the hamstring region; select based on the documented operative site.
Can 27326 be reported for nerve decompression?
No. 27326 describes excision of a nerve or nerve segment in the popliteal region, not a procedure whose purpose is nerve decompression.
What documentation supports 27326?
The operative report should identify the nerve or branch treated, establish its popliteal location, and describe the neurectomy performed.
How is a bilateral procedure reported?
Use modifier 50 for a bilateral procedure; CMS pays the bilateral service at 150% under the supplied fee schedule rule.
Is postoperative care separately included in the claim?
The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period.
Can an assistant or co-surgeon be paid?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, while 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 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
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