No office rate
Choose 64712 for revision of the sciatic nerve. Code 64708 is for another major peripheral nerve in an arm or leg.
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CMS RVU26D · Effective 2026-10-01
64712 Nerve revision Medicare reimbursement rates in Virginia
Reports operative revision of the sciatic nerve, typically when prior surgery, scarring, or altered anatomy requires surgical work on the nerve. Compare 64712 office and facility rates across CMS payment localities in Virginia.
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 64712 in Virginia?
Virginia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$536.91–$620.45
2 of 2 localities have a supported rate.
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 64712: Sciatic nerve surgical revision
Reports operative revision of the sciatic nerve, typically when prior surgery, scarring, or altered anatomy requires surgical work on the nerve.
This code represents an operation to revise the sciatic nerve, such as surgically freeing it from restrictive scar tissue or addressing an altered nerve course. It is performed by a surgeon working around the nerve, commonly in an operating room, when the documented problem calls for operative revision rather than a nonsurgical treatment for sciatica. The operative note should identify the sciatic nerve and describe the revision performed and the findings that required it.
Select this code for the sciatic nerve rather than a different major peripheral nerve or a lumbar plexus nerve. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, Medicare pays the highest-valued procedure in full and applies the standard multiple procedure reduction to the others. For bilateral reporting with modifier 50, Medicare pays 150%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 64712
- 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 may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.87 · 47%
- Practice expense (office) RVU7.14 · 43%
- Malpractice RVU1.68 · 10%
1.1K
Medicare services in 2024 · #2917 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.
64712 compared with similar codes
Office rates for Virginia, from the same CMS release.
No office rate
Code 64713 represents an additional major peripheral nerve, not the primary sciatic nerve revision. Report it only when the operative work includes another qualifying nerve.
No office rate
Code 64714 concerns the lumbar plexus. Identify whether the operative target is that plexus or the sciatic nerve before selecting the code.
Compare 64712 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.
2 of 2 payment localities
Dc + Md/Va Suburbs →
Office / nonfacility
Unavailable
Facility
$620.45
Virginia →
Office / nonfacility
Unavailable
Facility
$536.91
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64712 billing questions
How do I distinguish this from 64708?
Use 64712 when the nerve being revised is the sciatic nerve. Code 64708 is for a major peripheral nerve of the arm or leg other than the sciatic nerve.
Can 64713 be reported with this code?
Code 64713 describes work on an additional major peripheral nerve. Report it with 64712 only when the operative record supports work on another qualifying nerve.
What documentation supports reporting 64712?
Document the sciatic nerve as the operative target, the reason revision was needed, and the specific surgical work and findings. The record should distinguish this work from treatment of symptoms alone.
Does the 90-day global period include related postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are bilateral and multiple procedures handled?
Medicare pays bilateral reporting with modifier 50 at 150%. For multiple procedures in one session, the highest-valued procedure is paid in full and the others are subject to the standard reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; team surgery is 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 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.
7,20164702,,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
7,20664714,,Revise low back nerve(s),A,,10.29,8.73,NA,8.73,,2.41,21.43,21.43,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,20764716,,Revision of cranial nerve,A,,6.82,6.10,NA,6.10,,1.15,14.07,14.07,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00