No office rate
64727 is an add-on for qualifying internal neurolysis performed with a neuroplasty; it is not the primary cranial nerve release or repositioning service.
On this page
CMS RVU26D · Effective 2026-10-01
64716 Cranial nerve surgery Medicare reimbursement rates in Wyoming
Report cranial nerve neuroplasty or transposition when a surgeon directly frees or repositions a cranial nerve during operative treatment. Compare 64716 office and facility rates across CMS payment localities in Wyoming.
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 64716 in Wyoming?
Wyoming 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
$459.96
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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.
Nerve surgery
About 64716: Cranial nerve neuroplasty or transposition
Report cranial nerve neuroplasty or transposition when a surgeon directly frees or repositions a cranial nerve during operative treatment.
This operation involves surgically freeing a cranial nerve from restrictive scar or surrounding tissue, and/or mobilizing it into a different position to address tethering or compression. Neurosurgeons and head-and-neck surgeons may perform this work in an operating room when a cranial nerve is directly exposed and treated; incidental nerve exposure during a nearby operation is not enough to support the service.
The operative report should identify the cranial nerve and describe the release or repositioning performed, rather than only exploration or intentional nerve transection. 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. Modifier 50 is not appropriate for this cranial-nerve service. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 64716
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- 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 RVU6.82 · 48%
- Practice expense (office) RVU6.10 · 43%
- Malpractice RVU1.15 · 8%
1.5K
Medicare services in 2024 · #2698 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.
64716 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
Use 64742 for intentional facial nerve transection. Use 64716 when the cranial nerve is freed or repositioned rather than cut.
No office rate
64708 addresses revision of an arm or leg nerve. Select 64716 when the nerve treated is cranial.
No office rate
64732 represents transection of the supraorbital nerve; 64716 describes cranial nerve release or repositioning.
Compare 64716 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
Wyoming** →
Office / nonfacility
Unavailable
Facility
$459.96
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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 64716 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
7,207
- Code
- 64716
- Physician work
- 6.82
- Practice expense
- 6.10
- Malpractice
- 1.15
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.82 | × 1.000 | 6.8200 |
| Practice expense | 6.10 | × 1.000 | 6.1000 |
| Malpractice | 1.15 | × 0.740 | 0.8510 |
| Total RVUs | 13.7710 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$459.96
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.82 | 1 |
| Practice expense | 6.1 | 1 |
| Malpractice | 1.15 | 0.74 |
(6.82 × 1 + 6.1 × 1 + 1.15 × 0.74) × $33.4009 = $459.96
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.
64716 billing questions
How is this different from transecting a cranial nerve?
This code describes freeing or repositioning a cranial nerve. A procedure that intentionally cuts a nerve is a different service, such as the facial nerve procedure represented by 64742.
Can internal neurolysis be reported with this service?
CPT 64727 is an add-on for qualifying internal neurolysis performed with a neuroplasty. The operative documentation should support that distinct work.
What should the operative report document?
Identify the cranial nerve and explain the actual release or repositioning performed. A note describing only exposure, inspection, or transection does not establish this service.
Should modifier 50 be used for work on both sides?
No. Modifier 50 is not appropriate for this cranial-nerve service.
How does the 90-day global affect postoperative claims?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How are multiple procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures in the session are subject to the standard 50% multiple-procedure reduction.
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.
7,20464712,,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
7,20864718,,Revise ulnar nerve at elbow,A,,7.08,8.71,NA,8.71,,1.43,17.22,17.22,0,090,0.11,0.76,0.13,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,20964719,,Revise ulnar nerve at wrist,A,,4.85,5.80,NA,5.80,,0.96,11.61,11.61,0,090,0.11,0.76,0.13,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,21064721,,Carpal tunnel surgery,A,,4.85,8.61,,6.83,,0.99,14.45,12.67,0,090,0.11,0.76,0.13,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,