Billing code 64702: Nerve neuroplastyMedicare rate & RVUs in Utah

Surgical neuroplasty frees one or both digital nerves within the same finger or toe when scar tethering or focal compression requires operative release.

CMS RVU26DEffective Oct 1, 20261 payment locality1.4K Medicare services in 2024

CMS doesn’t publish an office rate for 64702 in Utah.

—Office (non-facility)
$470.03Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 64702 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Utah
  2. What 64702 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 64702 covers

This code describes operative freeing of one or both digital nerves in a single finger or toe. The surgeon exposes the affected nerve and releases tissue tethering or constricting it; the service is directed to a digital nerve, not a larger nerve in the hand, foot, arm, or leg. Hand, orthopedic, plastic, and foot surgeons may perform it when examination and operative findings support focal digital nerve involvement.

Select the code when the treated nerve or nerves are in the same digit, and document the digit, side, nerve involvement, and release performed. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for this service; co-surgeon and team-surgery designations are not permitted.

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.

64702 in Utah

64702 office and facility rates by payment locality
Payment localityOfficeFacility
UtahUnavailable$470.03

How the 64702 rate is calculated

Each of 64702’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 64702

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 6.10Practice expense 7.44Malpractice 1.09

14.6300 adjusted RVUs×$33.4009 conversion factor=$488.66

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 64702

64702 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 64702

Nerve neuroplasty

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.11/0.76/0.13Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 64702

Nerve neuroplasty

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

64702 without 51 · national facility

$488.66

Nerve neuroplasty

64702-51 · Second procedure: 50%

$244.33

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

64702 compared with similar codes

Compare codes

64702 vs 64704 vs 64708 vs 64726 vs 64776: national Medicare rates

Swap in your local Medicare rate.

  • 64702
    Nerve neuroplasty · 6.1 wRVU
    —
  • 64704
    Nerve neuroplasty · 4.57 wRVU
    —
  • 64708
    Nerve neuroplasty · 6.2 wRVU
    —
  • 64726
    Nerve decompression · 4.16 wRVU
    —
  • 64776
    Neuroma excision · 5.46 wRVU
    —

How to choose

64704Nerve neuroplasty
64702 is for one or both digital nerves in the same finger or toe. Consider 64704 for neuroplasty of a nerve of the hand or foot outside that digital-nerve service.
64708Nerve neuroplasty
64708 addresses neuroplasty of a major peripheral nerve in the arm or leg. It is not the code for freeing a digital nerve within one finger or toe.
64726Nerve decompression
64726 specifically describes decompression of a plantar digital nerve. Distinguish that foot-specific decompression service from neuroplasty of a digital nerve reported with 64702.
64776Neuroma excision
64776 reports excision of a digital nerve neuroma. Choose it when the operative service removes the neuroma rather than freeing the nerve from constricting or tethering tissue.

64702 billing questions

Can this code cover both digital nerves in one finger or toe?

Yes. It covers one or both digital nerves when they are in the same digit. Document the digit and which nerve or nerves were treated.

When should 64704 be considered instead?

Use 64702 for digital nerve work in a single finger or toe. Code 64704 describes neuroplasty of a nerve of the hand or foot outside that digital-nerve circumstance.

Can modifier 50 be used when both sides are treated?

No. CMS identifies bilateral adjustment as inappropriate for this code. The code's unit is based on the digital nerve or nerves treated within the same digit.

What postoperative care is included?

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

Can an assistant surgeon or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this service. Co-surgeon and team-surgery designations 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 64702PPRRVU2026_Oct_nonQPP.csv, line 7,201 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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