No office rate
64782 reports the first qualifying major peripheral nerve neuroma excision. Use 64783 only for an additional qualifying major nerve treated in the same session.
On this page
CMS RVU26D · Effective 2026-10-01
64783 Neuroma excision Medicare reimbursement rates in Wisconsin
Reports excision of a neuroma from an additional major peripheral nerve, beyond the first qualifying nerve treated during the same operative session. Compare 64783 office and facility rates across CMS payment localities in Wisconsin.
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 64783 in Wisconsin?
Wisconsin 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
$165.73
1 of 1 localities have a supported rate.
Payment area: Wisconsin
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.
Peripheral nerve surgery
About 64783: Additional major peripheral nerve neuroma excision
Reports excision of a neuroma from an additional major peripheral nerve, beyond the first qualifying nerve treated during the same operative session.
This add-on code describes excision of a neuroma from an additional major peripheral nerve other than the sciatic nerve. It may apply when a surgeon treats symptomatic neuromas involving more than one major nerve, such as the median, ulnar, or radial nerve. Peripheral nerve, hand, orthopedic, and plastic surgeons may perform these procedures in an operating room, often for persistent focal nerve pain after trauma or prior surgery.
Report 64783 only with the primary procedure for the first qualifying major peripheral nerve neuroma excision, 64782. The operative report should identify each nerve treated and support that the additional site involved a major peripheral nerve rather than a digital or sciatic nerve. CMS classifies this as an add-on code: it is billed with the primary procedure and paid within that procedure's global period.
CMS billing rules for 64783
- 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 RVU3.62 · 65%
- Practice expense (office) RVU1.15 · 21%
- Malpractice RVU0.78 · 14%
56
Medicare services in 2024 · #5287 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.
64783 compared with similar codes
Office rates for Wisconsin, from the same CMS release.
No office rate
64778 is the add-on for an additional digital nerve neuroma. Code 64783 is for an additional major peripheral nerve other than the sciatic nerve.
No office rate
64784 is used for sciatic nerve neuroma excision. Code 64783 concerns an additional major peripheral nerve other than the sciatic nerve.
Compare 64783 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
Wisconsin →
Office / nonfacility
Unavailable
Facility
$165.73
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 64783 in Wisconsin.
PPRRVU2026_Oct_nonQPP.csv
7,233
- Code
- 64783
- Physician work
- 3.62
- Practice expense
- 1.15
- Malpractice
- 0.78
GPCI2026.csv
111
- Locality
- Wisconsin
- Physician work
- 1.000
- Practice expense
- 0.958
- Malpractice
- 0.308
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.62 | × 1.000 | 3.6200 |
| Practice expense | 1.15 | × 0.958 | 1.1017 |
| Malpractice | 0.78 | × 0.308 | 0.2402 |
| Total RVUs | 4.9619 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wisconsin$165.73
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.62 | 1 |
| Practice expense | 1.15 | 0.958 |
| Malpractice | 0.78 | 0.308 |
(3.62 × 1 + 1.15 × 0.958 + 0.78 × 0.308) × $33.4009 = $165.73
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.
64783 billing questions
When should 64783 be reported instead of 64782?
Use 64782 for the first qualifying major peripheral nerve neuroma excision. Report 64783 for an additional qualifying major peripheral nerve treated in the same operative session.
Can 64783 be billed by itself?
No. It is an add-on code and must be reported with the primary procedure, 64782.
Does each additional neuroma count as a unit?
The distinction is an additional major peripheral nerve, not simply another neuroma or incision. The operative documentation should identify the additional nerve treated.
How does the CMS global-period rule affect this code?
CMS places payment for this add-on within the primary procedure's global period. Report it with the related primary procedure rather than as a stand-alone service.
Is this code appropriate for a digital or sciatic nerve neuroma?
No. Digital nerve neuroma excisions use the digital nerve code family, and sciatic nerve neuroma excision has a separate 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 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.
7,23064776,,Remove digit nerve lesion,A,,5.46,4.84,NA,4.84,,0.91,11.21,11.21,0,090,0.11,0.76,0.13,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,23164778,,Digit nerve surgery add-on,A,,3.03,0.97,NA,0.97,,0.64,4.64,4.64,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,23264782,,Remove limb nerve lesion,A,,6.69,5.31,NA,5.31,,1.06,13.06,13.06,0,090,0.11,0.76,0.13,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,23364783,,Limb nerve surgery add-on,A,,3.62,1.15,NA,1.15,,0.78,5.55,5.55,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,23464784,,Remove nerve lesion,A,,10.35,7.72,NA,7.72,,2.08,20.15,20.15,0,090,0.11,0.76,0.13,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,23564786,,Remove sciatic nerve lesion,A,,15.84,8.41,NA,8.41,,4.23,28.48,28.48,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,23664787,,Implant nerve end,A,,4.18,1.17,NA,1.17,,0.75,6.10,6.10,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,