Billing code 64901: Nerve graftMedicare rate & RVUs in Utah
Reports each additional 4 cm, or part, of a multiple-strand nerve graft used to reconstruct a nerve in the hand or foot.
CMS doesn’t publish an office rate for 64901 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 64901 covers
This add-on reports graft length beyond the initial segment when a surgeon reconstructs a hand or foot nerve using a multiple-strand nerve graft. The surgeon typically harvests and prepares donor nerve tissue, then uses the strands to bridge a nerve gap. The work is generally performed in an operating room as part of peripheral nerve reconstruction after injury or during nerve repair.
Report 64901 with the primary graft code 64900 when the documented graft length exceeds its initial 4 cm; report each additional 4 cm, or part, as directed by the code definition. The operative report should support the graft method, hand or foot site, and total graft length. CMS classifies 64901 as an add-on: it is billed only with a primary procedure and paid within that procedure’s global period.
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.
64901 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | Unavailable | $495.45 |
How the 64901 rate is calculated
Each of 64901’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 · 64901
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 9.95Practice expense 3.17Malpractice 2.12
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 64901
The CMS indicators that decide how 64901 is paid alongside other services.
CMS payment indicators · 64901
Nerve graft
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 80 · payment effect
With and without the modifier
64901 without 80 · national facility
$509.03
Nerve graft
64901-80 · Assistant: 16%
$81.44
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
64901 compared with similar codes
Compare codes
64901 vs 64902 vs 64910 vs 64913: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 64902Nerve graft repair
- Both are nerve-graft add-ons, but they describe distinct grafting pathways. Use the code that matches the specific graft procedure documented.
- 64910Nerve repair
- 64910 describes nerve repair using a conduit or vein allograft. 64901 applies to additional length in the multiple-strand hand or foot nerve-graft approach.
- 64913Nerve repair
- 64913 captures an additional strand in nerve repair using a nerve allograft; 64901 captures additional graft length for the multiple-strand hand or foot graft.
64901 billing questions
When is 64901 reported with 64900?
Use 64901 for graft length beyond the initial 4 cm reported under 64900. The operative report should identify the total length used.
Can 64901 be billed by itself?
No. It is an add-on code and must be billed with the applicable primary procedure, such as 64900.
What documentation supports the additional unit?
Document the reconstructed nerve, hand or foot site, graft technique, and total graft length so the additional length is evident.
Is 64901 separately paid outside the primary procedure’s global period?
No. CMS specifies that payment for this add-on is within the primary procedure’s global period.
How does 64901 differ from 64913?
64901 reports additional length for a multiple-strand hand or foot nerve graft. 64913 is an add-on for an additional strand in nerve repair using a nerve allograft.
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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