Billing code 64782: Neuroma excisionMedicare rate & RVUs in Utah
Reports surgical removal of a neuroma involving a major peripheral nerve in an arm or leg, rather than a digital, cutaneous, or sciatic nerve.
CMS doesn’t publish an office rate for 64782 in Utah.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 64782 covers
A surgeon exposes and removes a neuroma arising from a major peripheral nerve in an arm or leg. The service may address a painful nerve lesion after trauma or prior surgery. It is typically performed by an orthopedic, hand, plastic, or peripheral nerve surgeon in an operating room. The operative report should identify the affected nerve and limb, describe the neuroma and its removal, and distinguish the nerve from a digital, cutaneous, or sciatic nerve.
Report this code for the major limb nerve neuroma excision itself; a separate code is available for each additional major peripheral nerve excised in the same limb. 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 one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Do not apply a bilateral adjustment or modifier 50. Assistant-at-surgery payment is restricted; co-surgeon payment requires supporting documentation, and team surgery is 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.
64782 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | Unavailable | $421.96 |
How the 64782 rate is calculated
Each of 64782’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 · 64782
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 6.69Practice expense 5.31Malpractice 1.06
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 64782
64782 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 64782
Neuroma excision
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.11/0.76/0.13 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 64782
Neuroma excision
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
64782 without 51 · national facility
$436.22
Neuroma excision
64782-51 · Second procedure: 50%
$218.11
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%).
64782 compared with similar codes
Compare codes
64782 vs 64783 vs 64776 vs 64786: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 64783Neuroma excision
- 64782 identifies the first major peripheral nerve excision in the limb. Use 64783 for each additional major peripheral nerve excised in that same limb.
- 64776Neuroma excision
- Use 64776 when the neuroma involves a digital nerve; 64782 is for a major peripheral nerve in the arm or leg.
- 64786Neuroma excision
- 64786 is specific to a sciatic nerve neuroma. This code applies to other major peripheral nerves in an arm or leg.
64782 billing questions
How does this differ from excision of a digital nerve neuroma?
This code is for a neuroma of a major peripheral nerve in the arm or leg. A digital nerve neuroma is reported with the code for the digital nerve service.
Can this code be reported for a sciatic nerve neuroma?
No. The sciatic nerve has a separate neuroma excision code, 64786.
How is another major nerve excised during the same session reported?
Code 64783 is the add-on code for each additional major peripheral nerve excised in the same limb. Document each nerve and its treatment in the operative report.
Does the 90-day global include routine postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 or an assistant-at-surgery claim be used?
The CMS bilateral adjustment does not apply to this code, so do not use modifier 50 for a bilateral adjustment. Assistant-at-surgery payment is restricted.
When may co-surgeons be reported?
Co-surgeon payment requires supporting documentation. Team surgery is not permitted for this code.
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
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