No office rate
Choose 64702 for a digital nerve in a finger or toe. Code 64704 applies to a nerve in the hand or foot that is not classified as a finger or toe nerve.
On this page
CMS RVU26D · Effective 2026-10-01
64704 Nerve neuroplasty Medicare reimbursement rates in Utah
Report this procedure when a surgeon frees a nerve in the hand or foot from surrounding scar or adhesions to improve its mobility. Compare 64704 office and facility rates across CMS payment localities in Utah.
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 64704 in Utah?
Utah 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
$298.17
1 of 1 localities have a supported rate.
Payment area: Utah
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 64704: Hand or foot nerve neuroplasty
Report this procedure when a surgeon frees a nerve in the hand or foot from surrounding scar or adhesions to improve its mobility.
The surgeon exposes a nerve in the hand or foot and releases it from restrictive scar tissue or adhesions. This external neurolysis, also called neuroplasty, may be performed by a hand surgeon, orthopedic surgeon, plastic surgeon, or peripheral nerve surgeon when a nerve is tethered or compressed in the operative area. The code is for a hand or foot nerve, rather than a digital nerve of a finger or toe or a nerve at a separately specified site such as the carpal tunnel.
Choose the code from the nerve’s location and the work documented, not simply from a diagnosis of neuropathy. The operative report should identify the nerve, the hand or foot site, the tethering or scarring, and the release performed. This major surgery code 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 is paid in full and other procedures are subject to the standard reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 64704
- 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 RVU4.57 · 50%
- Practice expense (office) RVU4.10 · 44%
- Malpractice RVU0.56 · 6%
2.5K
Medicare services in 2024 · #2290 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.
64704 compared with similar codes
Office rates for Utah, from the same CMS release.
No office rate
Code 64708 covers a nerve in the arm or leg. Code 64704 is limited by site to a nerve in the hand or foot.
$462.02
Code 64721 is specific to carpal tunnel surgery involving the median nerve. Use 64704 for a different hand or foot nerve neuroplasty.
No office rate
Code 64727 describes internal neurolysis as an add-on service, not the primary hand or foot nerve neuroplasty represented by 64704.
Compare 64704 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
Utah →
Office / nonfacility
Unavailable
Facility
$298.17
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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 64704 in Utah.
PPRRVU2026_Oct_nonQPP.csv
7,202
- Code
- 64704
- Physician work
- 4.57
- Practice expense
- 4.10
- Malpractice
- 0.56
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.57 | × 1.000 | 4.5700 |
| Practice expense | 4.10 | × 0.940 | 3.8540 |
| Malpractice | 0.56 | × 0.898 | 0.5029 |
| Total RVUs | 8.9269 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$298.17
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.57 | 1 |
| Practice expense | 4.1 | 0.94 |
| Malpractice | 0.56 | 0.898 |
(4.57 × 1 + 4.1 × 0.94 + 0.56 × 0.898) × $33.4009 = $298.17
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.
64704 billing questions
How does this differ from code 64702?
Code 64702 is for neuroplasty of a digital nerve in a finger or toe. Use 64704 for a nerve in the hand or foot that is not represented by that digital-nerve code.
Is this the code for carpal tunnel release?
No. Carpal tunnel surgery has a specific code, 64721. Use 64704 when the documented neuroplasty is for a hand or foot nerve outside that separately specified procedure.
What documentation supports reporting this procedure?
Document the nerve and its hand or foot location, the scar or adhesions restricting it, and the operative release performed. A diagnosis of nerve symptoms alone does not establish that neuroplasty was performed.
Can modifier 50 be used for treatment on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code. Document the treated side or sides, but do not use modifier 50 for 64704.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. Unrelated services during that period are not described by this global-care rule.
How are other procedures in the same session paid?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.
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.
7,19964680,,Injection treatment of nerve,A,,2.60,7.52,,1.53,,0.26,10.38,4.39,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,20064681,,Injection treatment of nerve,A,,3.69,9.85,,1.79,,0.30,13.84,5.78,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,20164702,,Revise finger/toe nerve,A,,6.10,7.44,NA,7.44,,1.09,14.63,14.63,0,090,0.11,0.76,0.13,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,20264704,,Revise hand/foot nerve,A,,4.57,4.10,NA,4.10,,0.56,9.23,9.23,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,20364708,,Revise arm/leg nerve,A,,6.20,6.85,NA,6.85,,0.85,13.90,13.90,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,20464712,,Revision of sciatic nerve,A,,7.87,7.14,NA,7.14,,1.68,16.69,16.69,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,20564713,,Revision of arm nerve(s),A,,11.12,8.61,NA,8.61,,2.58,22.31,22.31,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985