No office rate
64774 reports excision of a surgically identifiable cutaneous nerve neuroma. Use 64787 only for the additional placement of a nerve end into muscle or bone with an eligible primary procedure.
On this page
CMS RVU26D · Effective 2026-10-01
64787 Nerve-end implantation Medicare reimbursement rates in Tennessee
Reports placement of a divided nerve end into nearby muscle or bone as an additional step during qualifying surgery, often to manage a neuroma. Compare 64787 office and facility rates across CMS payment localities in Tennessee.
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 64787 in Tennessee?
Tennessee 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
$188.59
1 of 1 localities have a supported rate.
Payment area: Tennessee
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.
Peripheral nerve surgery
About 64787: Implantation of nerve end into muscle or bone
Reports placement of a divided nerve end into nearby muscle or bone as an additional step during qualifying surgery, often to manage a neuroma.
The surgeon places a divided nerve end into muscle or bone, commonly when treating a symptomatic neuroma or managing a nerve stump during another nerve procedure. The operative report should identify the nerve and site, describe the implantation and its destination, and document the related primary procedure. This work is typically performed in an operating room by a surgeon treating peripheral nerve conditions.
Code 64787 is an add-on, not a stand-alone service: report it only with an eligible primary procedure. CMS pays it within the primary procedure’s global period, so it is not separately paid as a service outside that period. The documentation should distinguish the nerve-end implantation from the primary excision or other nerve work. Identify the primary code and explain why the nerve end was implanted rather than simply documenting nerve division or removal.
CMS billing rules for 64787
- 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 RVU4.18 · 69%
- Practice expense (office) RVU1.17 · 19%
- Malpractice RVU0.75 · 12%
691
Medicare services in 2024 · #3277 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.
64787 compared with similar codes
Office rates for Tennessee, from the same CMS release.
No office rate
64776 addresses excision of a digital nerve neuroma. It describes the primary excision, while 64787 describes additional implantation of the nerve end.
No office rate
64786 reports sciatic nerve neuroma excision. It is a primary procedure; 64787 identifies the additional nerve-end implantation when performed.
Compare 64787 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
Tennessee →
Office / nonfacility
Unavailable
Facility
$188.59
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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 64787 in Tennessee.
PPRRVU2026_Oct_nonQPP.csv
7,236
- Code
- 64787
- Physician work
- 4.18
- Practice expense
- 1.17
- Malpractice
- 0.75
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.18 | × 1.000 | 4.1800 |
| Practice expense | 1.17 | × 0.909 | 1.0635 |
| Malpractice | 0.75 | × 0.537 | 0.4028 |
| Total RVUs | 5.6463 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Tennessee$188.59
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.18 | 1 |
| Practice expense | 1.17 | 0.909 |
| Malpractice | 0.75 | 0.537 |
(4.18 × 1 + 1.17 × 0.909 + 0.75 × 0.537) × $33.4009 = $188.59
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.
64787 billing questions
Can 64787 be reported by itself?
No. It is an add-on code and must be reported with an eligible primary procedure.
Is nerve-end implantation included in the neuroma excision?
The implantation is additional work when the nerve end is placed into muscle or bone. Document that step separately from the neuroma excision or other primary nerve procedure.
What should the operative report document?
Name the nerve and operative site, describe the placement of its end, identify whether it was implanted into muscle or bone, and state the related primary procedure.
How does the global-period payment rule affect 64787?
CMS pays this add-on within the primary procedure’s global period. It is not paid as a separate service outside that period.
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.
7,23364783,,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
7,23864790,,Removal of nerve lesion,A,,11.80,9.16,NA,9.16,,3.11,24.07,24.07,0,090,0.11,0.76,0.13,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,23964792,,Removal of nerve lesion,A,,15.46,14.34,NA,14.34,,6.52,36.32,36.32,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780