No office rate
This code represents sciatic nerve neuroma excision; 64786 is used when the excision is extensive.
On this page
CMS RVU26D · Effective 2026-10-01
64784 Neuroma excision Medicare reimbursement rates in Pennsylvania
Reports surgical removal of a neuroma involving the sciatic nerve, typically for a symptomatic lesion requiring operative treatment. Compare 64784 office and facility rates across CMS payment localities in Pennsylvania.
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 64784 in Pennsylvania?
Pennsylvania has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$648.06–$703.23
2 of 2 localities have a supported rate.
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 64784: Sciatic nerve neuroma excision
Reports surgical removal of a neuroma involving the sciatic nerve, typically for a symptomatic lesion requiring operative treatment.
A surgeon removes a neuroma arising from the sciatic nerve, a major nerve supplying the back of the thigh and lower leg. This procedure may be performed by a peripheral nerve, neurosurgical, or orthopedic surgeon in a hospital or ambulatory surgery setting when a sciatic nerve neuroma is the operative target. The operative report should identify the lesion and its relationship to the sciatic nerve, describe the excision, and support why the selected procedure was performed.
Report this code for sciatic nerve neuroma excision, not for a lesion on another major peripheral nerve or for a nerve biopsy. The 90-day global period includes 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 multiple procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 64784
- 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU10.35 · 51%
- Practice expense (office) RVU7.72 · 38%
- Malpractice RVU2.08 · 10%
1K
Medicare services in 2024 · #2934 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.
64784 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
No office rate
64782 is for a major peripheral nerve other than the sciatic nerve. The nerve involved, rather than symptoms alone, determines the distinction.
No office rate
64790 concerns excision of a neurofibroma or neurolemmoma on a major peripheral nerve, not sciatic nerve neuroma excision.
No office rate
64795 reports a nerve biopsy. Use 64784 when the operative service removes a sciatic nerve neuroma rather than sampling nerve tissue.
Compare 64784 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.
2 of 2 payment localities
Metropolitan Philadelphia →
Office / nonfacility
Unavailable
Facility
$703.23
Rest Of Pennsylvania →
Office / nonfacility
Unavailable
Facility
$648.06
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64784 billing questions
How does this differ from 64786?
Both codes concern sciatic nerve neuroma excision; 64786 is for an extensive excision. The operative documentation should support the extent represented by the selected code.
When should 64782 be used instead?
64782 describes neuroma excision involving a major peripheral nerve other than the sciatic nerve. Use 64784 when the lesion being excised is on the sciatic nerve.
Can nerve-end implantation be reported with this procedure?
Code 64787 describes implantation of a nerve end into bone or muscle and may be relevant when that work is performed. Document the implantation separately from the neuroma excision.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 or an assistant-at-surgery claim be used?
Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documentation of medical necessity.
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.
7,23164778,,Digit nerve surgery add-on,A,,3.03,0.97,NA,0.97,,0.64,4.64,4.64,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,23264782,,Remove limb nerve lesion,A,,6.69,5.31,NA,5.31,,1.06,13.06,13.06,0,090,0.11,0.76,0.13,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,23364783,,Limb nerve surgery add-on,A,,3.62,1.15,NA,1.15,,0.78,5.55,5.55,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,23464784,,Remove nerve lesion,A,,10.35,7.72,NA,7.72,,2.08,20.15,20.15,0,090,0.11,0.76,0.13,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,23564786,,Remove sciatic nerve lesion,A,,15.84,8.41,NA,8.41,,4.23,28.48,28.48,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,23664787,,Implant nerve end,A,,4.18,1.17,NA,1.17,,0.75,6.10,6.10,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,23764788,,Remove skin nerve lesion,A,,5.11,5.53,NA,5.53,,1.07,11.71,11.71,0,090,0.11,0.76,0.13,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00