Billing code 64722: Nerve decompressionMedicare rate & RVUs in Oklahoma
Reports surgical release of a compressed peripheral nerve when the operative nerve does not fit a more specifically named decompression code.
CMS doesn’t publish an office rate for 64722 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 64722 covers
A surgeon exposes a compressed peripheral nerve and releases constricting tissue to relieve pressure on the nerve. The code is for an unspecified nerve, so the operative report should identify the nerve and anatomic site even though the code does not name either. Peripheral nerve decompression is typically performed in an operating room or ambulatory surgery setting for a documented entrapment or other compression problem.
Select this code when a more specific nerve or site code does not describe the operation. Document the nerve, location, compression findings, and release performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be allowed; 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.
64722 in Oklahoma
| Payment locality | Office | Facility |
|---|---|---|
| Oklahoma | Unavailable | $345.66 |
How the 64722 rate is calculated
Each of 64722’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 · 64722
RVUs × geographic indexes × conversion factor
Work4.70
4.70 RVUs× 1.000 GPCI
Practice expense5.36
5.36 RVUs× 1.000 GPCI
Malpractice1.11
1.11 RVUs× 1.000 GPCI
Adjusted RVUs
11.1700
Conversion factor
$33.4009
Medicare rate
$373.09
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 64722
64722 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 64722
Nerve decompression
| 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) | 0 | The 150% bilateral adjustment doesn’t apply. |
| 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) | 0.11/0.76/0.13 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 64722
Nerve decompression
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 51 · payment effect
With and without the modifier
64722 without 51 · national facility
$373.09
Nerve decompression
64722-51 · Second procedure: 50%
$186.55
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
64722 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 64721Carpal tunnel release
- 64721 identifies median nerve surgery at the carpal tunnel. Use 64722 only when the decompressed nerve and site do not fit a more specific code.
- 64726Nerve decompression
- 64726 is specific to a plantar digital nerve. 64722 is the unspecified-nerve option when that named nerve and site are not involved.
- 64718Ulnar nerve surgery
- 64718 identifies ulnar nerve surgery at the elbow. Choose it for that named nerve and site rather than reporting an unspecified-nerve decompression.
64722 billing questions
When should this code be chosen instead of a named-nerve decompression code?
Use it when the operation decompresses a nerve that is not represented by a more specific nerve or site code. The operative report should still name the nerve and its location.
Can it be reported for carpal tunnel release?
For decompression of the median nerve at the carpal tunnel, compare the specific carpal tunnel code 64721 rather than defaulting to an unspecified-nerve code.
How does the multiple-procedure rule affect payment?
When this and other procedures are performed in the same session, Medicare pays the highest-valued procedure in full and applies the standard 50% reduction to the others.
Should modifier 50 be appended for bilateral decompression?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What should the operative note support?
Document the nerve and anatomic site, the compression addressed, and the release performed. These details support use of this unspecified code rather than a more specific nerve code.
How are assistant and co-surgeon services handled?
Assistant-at-surgery payment may be allowed. 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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