No office rate
Use 64732 for the supraorbital nerve in the brow. This code is for the infraorbital nerve in the cheek.
On this page
CMS RVU26D · Effective 2026-10-01
64734 Nerve transection Medicare reimbursement rates in Utah
Reports deliberate division or avulsion of the infraorbital nerve, typically for selected cases of persistent nerve-related pain or injury in the cheek. Compare 64734 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 64734 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
$531.34
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.
Nerve surgery
About 64734: Infraorbital nerve transection or avulsion
Reports deliberate division or avulsion of the infraorbital nerve, typically for selected cases of persistent nerve-related pain or injury in the cheek.
This service involves intentionally dividing or avulsing the infraorbital nerve, a sensory nerve that supplies the cheek and upper lip. A surgeon may perform it for selected patients with persistent infraorbital neuralgia or painful nerve injury when sacrificing the nerve is part of the treatment plan. It is generally performed in an operative setting by a surgeon such as an oral and maxillofacial, plastic, or otolaryngologic surgeon.
Report the code when the operative record identifies the infraorbital nerve and documents its transection or avulsion, the treated side, and the clinical reason for the procedure. The 90-day global period includes 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 other procedures are subject to the standard 50% multiple-procedure reduction. For bilateral surgery, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 64734
- 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 procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.41 · 32%
- Practice expense (office) RVU8.99 · 54%
- Malpractice RVU2.28 · 14%
13
Medicare services in 2024 · #6134 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.
64734 compared with similar codes
Office rates for Utah, from the same CMS release.
No office rate
Use 64736 for the mental nerve in the chin; this code identifies the infraorbital nerve in the cheek.
No office rate
64738 is for another extradural cranial nerve rather than the specifically identified infraorbital nerve.
Compare 64734 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
$531.34
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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 64734 in Utah.
PPRRVU2026_Oct_nonQPP.csv
7,216
- Code
- 64734
- Physician work
- 5.41
- Practice expense
- 8.99
- Malpractice
- 2.28
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.41 | × 1.000 | 5.4100 |
| Practice expense | 8.99 | × 0.940 | 8.4506 |
| Malpractice | 2.28 | × 0.898 | 2.0474 |
| Total RVUs | 15.9080 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$531.34
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.41 | 1 |
| Practice expense | 8.99 | 0.94 |
| Malpractice | 2.28 | 0.898 |
(5.41 × 1 + 8.99 × 0.94 + 2.28 × 0.898) × $33.4009 = $531.34
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.
64734 billing questions
How is this distinguished from the brow or chin nerve codes?
This code is for the infraorbital nerve in the cheek. The brow and chin codes apply to the supraorbital and mental nerves, respectively.
What documentation supports reporting this code?
Document the infraorbital nerve, the side treated, the actual transection or avulsion, and the condition prompting the nerve procedure.
Are related postoperative visits separately included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral surgery reported?
Report bilateral surgery with modifier 50; CMS pays the bilateral procedure at 150%.
When is assistant-at-surgery payment allowed?
Payment for an assistant at surgery is allowed only when the record documents medical necessity.
How does CMS handle another procedure performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
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.
7,21364727,,Internal neurolysis,A,,3.02,1.06,NA,1.06,,0.26,4.34,4.34,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,21464728,,Dcmprn median nrv carpl tunl,A,,2.70,37.27,,0.73,,0.24,40.21,3.67,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,21564732,,Incision of brow nerve,A,,4.77,8.02,NA,8.02,,2.01,14.80,14.80,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,21664734,,Incision of cheek nerve,A,,5.41,8.99,NA,8.99,,2.28,16.68,16.68,0,090,0.11,0.76,0.13,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,21764736,,Incision of chin nerve,A,,5.10,3.47,NA,3.47,,0.57,9.14,9.14,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,21864738,,Incision of jaw nerve,A,,6.20,5.36,NA,5.36,,0.90,12.46,12.46,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,21964740,,Incision of tongue nerve,A,,6.06,5.95,NA,5.95,,0.88,12.89,12.89,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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