$474.05
Both concern the median nerve at the carpal tunnel. Choose based on whether the documented operation is decompression or neuroplasty and/or transposition.
On this page
CMS RVU26D · Effective 2026-10-01
64728 Carpal tunnel decompression Medicare reimbursement rates in Wyoming
Surgical decompression of the median nerve at the wrist is reported when operative treatment relieves pressure within the carpal tunnel. Compare 64728 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 64728 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
$1340.97
1 of 1 localities have a supported rate.
Payment area: Wyoming**
One mapped payment locality.
Facility setting
$120.50
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.
Peripheral nerve surgery
About 64728: Median nerve decompression at carpal tunnel
Surgical decompression of the median nerve at the wrist is reported when operative treatment relieves pressure within the carpal tunnel.
A surgeon decompresses the median nerve where it passes through the carpal tunnel at the wrist, relieving pressure associated with carpal tunnel syndrome. The procedure is generally performed by a hand, orthopedic, plastic, or neurosurgeon in an operating room or ambulatory surgery setting. The operative report should identify the median nerve and carpal tunnel as the site and describe the decompression performed.
Report this code when the documented service is median nerve decompression at the carpal tunnel; distinguish it from other nerve procedures by the nerve and operative work described. This minor procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 64728
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU2.70 · 7%
- Practice expense (office) RVU37.27 · 93%
- Malpractice RVU0.24 · 1%
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.
64728 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
This code describes median nerve decompression at the carpal tunnel; 29848 is used for endoscopic carpal tunnel release.
No office rate
Use 64722 for decompression of an unspecified nerve. This code identifies the median nerve and carpal tunnel specifically.
Compare 64728 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
$1340.97
Facility
$120.50
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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 64728 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
7,214
- Code
- 64728
- Physician work
- 2.70
- Practice expense
- 37.27
- Malpractice
- 0.24
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.70 | × 1.000 | 2.7000 |
| Practice expense | 37.27 | × 1.000 | 37.2700 |
| Malpractice | 0.24 | × 0.740 | 0.1776 |
| Total RVUs | 40.1476 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$1340.97
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.7 | 1 |
| Practice expense | 37.27 | 1 |
| Malpractice | 0.24 | 0.74 |
(2.7 × 1 + 37.27 × 1 + 0.24 × 0.74) × $33.4009 = $1340.97
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.7 | 1 |
| Practice expense | 0.73 | 1 |
| Malpractice | 0.24 | 0.74 |
(2.7 × 1 + 0.73 × 1 + 0.24 × 0.74) × $33.4009 = $120.50
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.
64728 billing questions
How is this code distinguished from 64721?
Use the code that matches the documented operation: this code identifies median nerve decompression at the carpal tunnel, while 64721 describes neuroplasty and/or transposition at that site. Review the operative report for the procedure actually performed.
Can this be reported with an endoscopic carpal tunnel release?
CPT 29848 describes endoscopic release at the carpal tunnel and is generally an alternative code for that operative approach, not an additional charge for the same decompression.
Is same-day postoperative care included?
Yes. The 0-day global period includes same-day preoperative and postoperative care.
How is bilateral surgery reported?
For bilateral procedures, report modifier 50; CMS pays the bilateral service at 150%.
When can an assistant-at-surgery be paid?
Payment for an assistant at surgery requires documentation of medical necessity. Co-surgeon and team-surgery payment 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.
7,21164722,,Decompression unspec nerve,A,,4.70,5.36,NA,5.36,,1.11,11.17,11.17,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,21264726,,Dcmprn plantar digital nerve,A,,4.16,3.14,NA,3.14,,0.43,7.73,7.73,0,090,0.11,0.76,0.13,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,21364727,,Internal neurolysis,A,,3.02,1.06,NA,1.06,,0.26,4.34,4.34,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,21464728,,Dcmprn median nrv carpl tunl,A,,2.70,37.27,,0.73,,0.24,40.21,3.67,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,21564732,,Incision of brow nerve,A,,4.77,8.02,NA,8.02,,2.01,14.80,14.80,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,21664734,,Incision of cheek nerve,A,,5.41,8.99,NA,8.99,,2.28,16.68,16.68,0,090,0.11,0.76,0.13,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,21764736,,Incision of chin nerve,A,,5.10,3.47,NA,3.47,,0.57,9.14,9.14,0,090,0.11,0.76,0.13,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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.,,,,,,