No office rate
This code is for a single-strand arm or leg graft over 4 cm; 64892 is the corresponding length category under 4 cm.
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CMS RVU26D · Effective 2026-10-01
64893 Nerve graft Medicare reimbursement rates in Texas
Reports a single-strand nerve graft longer than 4 cm to bridge a nerve gap in an arm or leg, excluding the hand and foot. Compare 64893 office and facility rates across CMS payment localities in Texas.
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 64893 in Texas?
Texas has 8 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 8 payment areas shown below, using the same CMS release.
Office / nonfacility
No 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.
Where 64893 pays more and less in Texas
Peripheral nerve surgery
About 64893: Single-strand arm or leg nerve graft over 4 cm
Reports a single-strand nerve graft longer than 4 cm to bridge a nerve gap in an arm or leg, excluding the hand and foot.
A peripheral nerve surgeon uses a graft to bridge a gap in a nerve of the arm or leg when the nerve ends cannot be joined directly without tension. This reconstruction may follow traumatic nerve loss or a defect encountered during surgery. A donor nerve such as the sural nerve is a common graft source; graft procurement and placement are part of the graft service. This code distinguishes a single-strand reconstruction from a multistrand graft and applies to the arm or leg rather than the hand or foot.
Select the code from the operative report’s documented anatomic site, graft length, and strand configuration. The record should support the nerve reconstructed and the graft used to span the defect. CMS assigns a 90-day global period, including 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 others at 50%. Do not append modifier 50; CMS identifies it as inappropriate for this descriptor and anatomy. Assistant-at-surgery payment may be made; co-surgeons and team surgery are not permitted.
CMS billing rules for 64893
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU16.45 · 54%
- Practice expense (office) RVU10.48 · 34%
- Malpractice RVU3.50 · 12%
16
Medicare services in 2024 · #6049 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.
64893 compared with similar codes
Office rates for Texas, from the same CMS release.
No office rate
Both cover arm or leg grafts over 4 cm, but 64898 is for a multistrand reconstruction rather than a single strand.
No office rate
Use 64891 for a single-strand graft over 4 cm in the hand or foot; this code is for the arm or leg.
No office rate
64857 describes nerve repair in the arm or leg; use this code when the documented service bridges the defect with a single-strand graft over 4 cm.
Compare 64893 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.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Office Unavailable | Facility $1024.46 |
| Beaumont | Office Unavailable | Facility $976.59 |
| Brazoria | Office Unavailable | Facility $991.92 |
| Dallas | Office Unavailable | Facility $1003.33 |
| Fort Worth | Office Unavailable | Facility $1001.35 |
| Galveston | Office Unavailable | Facility $998.23 |
| Houston | Office Unavailable | Facility $1062.29 |
| Rest Of Texas | Office Unavailable | Facility $987.20 |
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64893 billing questions
When is this code selected instead of 64892?
Use 64893 for a single-strand graft in the arm or leg when the documented graft length is more than 4 cm. Code 64892 describes the corresponding graft length of less than 4 cm.
How does this differ from 64898?
Both describe an arm or leg graft over 4 cm, but 64893 is for a single strand and 64898 is for a multistrand graft.
Can modifier 50 be used for grafts on both sides?
No. CMS identifies modifier 50 as inappropriate for this descriptor and anatomy; report the documented graft service without that modifier.
What documentation supports the code selection?
The operative report should identify the reconstructed nerve and site, the graft length, and whether the reconstruction used a single strand or multiple strands.
Are related postoperative visits included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
May an assistant or co-surgeon be reported?
CMS permits assistant-at-surgery payment for this code. Co-surgeons and team surgery are 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.
7,27164890,,Nrv grf 1strnd hnd/foot <4cm,A,,15.83,10.13,NA,10.13,,3.37,29.33,29.33,0,090,0.11,0.76,0.13,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,27264891,,Nrv grf 1strnd hnd/foot >4cm,A,,16.92,10.63,NA,10.63,,3.61,31.16,31.16,0,090,0.11,0.76,0.13,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,27364892,,Nrv grf 1strnd arm/leg <4cm,A,,15.35,9.98,NA,9.98,,3.26,28.59,28.59,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,27464893,,Nrv grf 1strnd arm/leg >4 cm,A,,16.45,10.48,NA,10.48,,3.50,30.43,30.43,0,090,0.11,0.76,0.13,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,27564895,,Nrv grf mltst hnd/foot <4 cm,A,,19.88,11.58,NA,11.58,,4.23,35.69,35.69,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,27664896,,Nrv grf mltst hnd/foot >4 cm,A,,21.41,12.54,NA,12.54,,4.56,38.51,38.51,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,27764897,,Nrv grf mltst arm/leg <4 cm,A,,18.90,11.26,NA,11.26,,4.02,34.18,34.18,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00