No office rate
64874 describes nerve repair and revision add-on work. Use 64876 for documented bone shortening performed to facilitate the nerve repair.
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CMS RVU26D · Effective 2026-10-01
64876 Nerve repair Medicare reimbursement rates in Virginia
Add-on work for a nerve repair that requires shortening a bone to bring the nerve ends together for reconstruction. Compare 64876 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 64876 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
$160.63–$182.79
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 64876: Peripheral nerve repair with bone shortening
Add-on work for a nerve repair that requires shortening a bone to bring the nerve ends together for reconstruction.
This add-on captures bone shortening performed as part of a nerve repair when reducing the distance between the nerve ends is needed to complete the reconstruction. It is relevant to operative repair of an injured peripheral nerve when the surgeon documents that bone shortening was part of the approach to the nerve repair. The work is performed by the surgeon during the operative encounter, not as a standalone bone procedure.
Report 64876 only with an eligible primary procedure; it is not reported by itself. The operative report should identify the nerve repair, the bone shortened, and why shortening was needed to accomplish the repair. CMS treats payment for this add-on as part of the primary procedure's global period. The supplied CMS facts do not identify the eligible primary codes, so confirm that the selected primary procedure permits this add-on before billing.
CMS billing rules for 64876
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU3.29 · 65%
- Practice expense (office) RVU1.05 · 21%
- Malpractice RVU0.69 · 14%
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.
64876 compared with similar codes
Office rates for Virginia, from the same CMS release.
No office rate
64872 concerns subsequent or delayed nerve repair. 64876 identifies bone-shortening work associated with a nerve repair.
No office rate
64890 describes a single-strand nerve graft in the hand or foot. 64876 describes bone shortening in connection with nerve repair, not graft placement.
Compare 64876 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
$182.79
Virginia →
Office / nonfacility
Unavailable
Facility
$160.63
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64876 billing questions
When should 64876 be considered instead of a nerve graft code?
Consider 64876 when bone shortening is performed to facilitate the nerve repair. Nerve graft codes describe grafting work, not bone shortening.
Can 64876 be billed by itself?
No. CMS identifies it as an add-on code that must be billed with an eligible primary procedure.
What should the operative note document?
Document the nerve repaired, the bone shortened, and the reason shortening was necessary to accomplish the nerve repair.
How does the global period affect payment?
Payment for 64876 is within the global period of the primary procedure with which it is billed.
Is bone shortening alone enough to report 64876?
No. The code represents bone-shortening work in connection with a nerve repair and must accompany an eligible primary procedure.
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.
7,26564868,,Fusion of facial/other nerve,A,,14.53,9.34,NA,9.34,,2.12,25.99,25.99,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,26664872,,Subsequent repair of nerve,A,,1.94,0.62,NA,0.62,,0.42,2.98,2.98,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,26764874,,Repair & revise nerve add-on,A,,2.91,0.93,NA,0.93,,0.61,4.45,4.45,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,26864876,,Repair nerve/shorten bone,A,,3.29,1.05,NA,1.05,,0.69,5.03,5.03,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,26964885,,Nerve graft head/neck <4 cm,A,,17.16,8.15,NA,8.15,,2.50,27.81,27.81,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,27064886,,Nerve graft head/neck >4 cm,A,,20.30,9.95,NA,9.95,,3.22,33.47,33.47,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,27164890,,Nrv grf 1strnd hnd/foot <4cm,A,,15.83,10.13,NA,10.13,,3.37,29.33,29.33,0,090,0.11,0.76,0.13,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00