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CMS RVU26D · Effective 2026-10-01

64755 Vagal nerve surgery Medicare reimbursement rates in Rhode Island

Reports surgical transection of vagal nerve branches within the abdomen, such as during an operation directed at gastric vagal innervation. Compare 64755 office and facility rates across CMS payment localities in Rhode Island.

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 64755 in Rhode Island?

Rhode Island 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

$873.49

1 of 1 localities have a supported rate.

Payment area: Rhode Island

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.

Find 64755 in your payment locality →

Surgical nerve procedure

About 64755: Intra-abdominal vagal nerve transection

Reports surgical transection of vagal nerve branches within the abdomen, such as during an operation directed at gastric vagal innervation.

This procedure involves surgically dividing vagal nerve tissue within the abdomen, including branches serving the stomach. A surgeon typically performs it in an operating room as part of an abdominal operation; vagotomy has historically been used in treatment of peptic ulcer disease. The operative report should identify the nerve branches and anatomic level treated, the reason for the procedure, and any accompanying gastric operation.

Report the code when the documented work is intra-abdominal vagal nerve transection, rather than a cervical vagal procedure or a different nerve operation. 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 other procedures are subject to the standard multiple-procedure reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

CMS billing rules for 64755

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 RVU14.67 · 56%
  • Practice expense (office) RVU7.46 · 29%
  • Malpractice RVU3.92 · 15%

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.

64755 compared with similar codes

Office rates for Rhode Island, from the same CMS release.

64760

Vagus nerve surgery

Vagus nerve

No office rate

Choose 64755 for intra-abdominal vagal nerve transection; 64760 identifies the cervical site.

43635

Partial gastrectomy

Add-on service

No office rate

43635 describes a vagotomy performed with a drainage procedure. Distinguish it from reporting focused intra-abdominal nerve transection based on the documented operation.

43640

Vagotomy

With pyloroplasty

No office rate

43640 describes vagotomy without a drainage procedure. Use the documented operative service to distinguish it from intra-abdominal nerve transection.

Compare 64755 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

Office and facility base rates · shared scale starting at $0

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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 64755 in Rhode Island.

PPRRVU2026_Oct_nonQPP.csv

7,223

Code
64755
Physician work
14.67
Practice expense
7.46
Malpractice
3.92

GPCI2026.csv

92

Locality
Rhode Island
Physician work
1.019
Practice expense
1.033
Malpractice
0.892
Facility calculation for 64755 in Rhode Island
ComponentRVULocality factorAdjusted
Physician work14.67× 1.01914.9487
Practice expense7.46× 1.0337.7062
Malpractice3.92× 0.8923.4966
Total RVUs26.1515
Conversion factor× 33.4009

Facility rate, Rhode Island$873.49

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work14.671.019
Practice expense7.461.033
Malpractice3.920.892

(14.67 × 1.019 + 7.46 × 1.033 + 3.92 × 0.892) × $33.4009 = $873.49

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.

64755 billing questions

How does this differ from 64760?

64755 concerns vagal nerve transection within the abdomen. 64760 is the cervical vagal nerve procedure, so the documented operative site distinguishes them.

What documentation supports reporting 64755?

Document the intra-abdominal nerve branches divided, the operative site, the indication, and any associated procedure. The record should make clear that the nerve work was abdominal rather than cervical.

How is it paid when performed with another procedure?

For procedures performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple-procedure reduction.

Is postoperative care included?

Yes. The major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be allowed. Co-surgeon payment requires supporting documentation; 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 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.

RVUs for 64755PPRRVU2026_Oct_nonQPP.csv, line 7,223 (RVU26D)
Geographic factors for Rhode IslandGPCI2026.csv, line 92 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet