No office rate
64831 reports repair of the first digital nerve; 64832 reports each additional digital nerve repaired in the same operative session.
On this page
CMS RVU26D · Effective 2026-10-01
64832 Nerve repair Medicare reimbursement rates in Rhode Island
Reports suture repair of each additional digital nerve in a hand or foot when another digital nerve is repaired during the same operative session. Compare 64832 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 64832 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
$283.25
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.
Nerve surgery
About 64832: Additional digital nerve repair
Reports suture repair of each additional digital nerve in a hand or foot when another digital nerve is repaired during the same operative session.
Code 64832 represents suture repair of an additional digital nerve in the hand or foot during the same operative session as repair of a first digital nerve. It applies when separate digital nerves are injured, such as in a hand or foot laceration requiring repair of more than one digital nerve. Hand surgeons and other surgeons performing peripheral nerve repair typically report it in an operating-room setting.
Report 64832 with the primary procedure for the first digital nerve, not as a stand-alone service. Count each separately repaired additional digital nerve. The operative report should identify the hand or foot, the digital nerves repaired, the injury, and the repair performed, and support the primary procedure reported for the first nerve. CMS classifies this as an add-on code: it is billed only with a primary procedure and paid within that procedure's global period.
CMS billing rules for 64832
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU5.51 · 65%
- Practice expense (office) RVU1.85 · 22%
- Malpractice RVU1.07 · 13%
172
Medicare services in 2024 · #4465 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.
64832 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
No office rate
64837 is for an additional hand or foot nerve that is not digital. Use 64832 when the additional repaired nerve is digital.
No office rate
64834 describes primary repair of a common sensory nerve in the hand or foot, rather than an additional digital nerve repair.
Compare 64832 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
Rhode Island →
Office / nonfacility
Unavailable
Facility
$283.25
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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 64832 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
7,250
- Code
- 64832
- Physician work
- 5.51
- Practice expense
- 1.85
- Malpractice
- 1.07
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.51 | × 1.019 | 5.6147 |
| Practice expense | 1.85 | × 1.033 | 1.9110 |
| Malpractice | 1.07 | × 0.892 | 0.9544 |
| Total RVUs | 8.4802 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$283.25
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.51 | 1.019 |
| Practice expense | 1.85 | 1.033 |
| Malpractice | 1.07 | 0.892 |
(5.51 × 1.019 + 1.85 × 1.033 + 1.07 × 0.892) × $33.4009 = $283.25
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.
64832 billing questions
When should 64832 be reported instead of 64831?
Report 64831 for the first digital nerve repaired. Report 64832 for each additional digital nerve repaired during the same operative session.
Can 64832 be billed by itself?
No. It is an add-on code and must be billed with a primary procedure, typically 64831 for repair of the first digital nerve.
How should the additional nerve count be supported?
Document the hand or foot, identify each digital nerve repaired, and describe the injury and repair for each additional nerve.
Does 64832 have its own global period?
CMS treats it as an add-on code paid within the primary procedure's global period.
Is 64832 used for an additional non-digital nerve?
No. It is for an additional digital nerve. Code 64837 is the related add-on for an additional nerve in the hand or foot that is not digital.
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.
7,24764822,,Sympathectomy ulnar artery,A,,9.10,8.73,NA,8.73,,1.94,19.77,19.77,0,090,0.11,0.76,0.13,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,24864823,,Sympathectomy supfc palmar,A,,10.67,9.22,NA,9.22,,2.27,22.16,22.16,0,090,0.11,0.76,0.13,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,24964831,,Repair of digit nerve,A,,8.93,8.64,NA,8.64,,1.70,19.27,19.27,0,090,0.11,0.76,0.13,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,25064832,,Repair nerve add-on,A,,5.51,1.85,NA,1.85,,1.07,8.43,8.43,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,25164834,,Repair of hand or foot nerve,A,,10.54,7.45,NA,7.45,,1.79,19.78,19.78,0,090,0.11,0.76,0.13,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,25264835,,Repair of hand or foot nerve,A,,11.44,8.73,NA,8.73,,2.44,22.61,22.61,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,25364836,,Repair of hand or foot nerve,A,,11.44,8.73,NA,8.73,,2.44,22.61,22.61,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537