No office rate
Use this code for a neuroma arising from a cranial nerve; 64790 identifies a neuroma of a sympathetic nerve.
On this page
CMS RVU26D · Effective 2026-10-01
64792 Neuroma excision Medicare reimbursement rates in Wyoming
Surgical removal of a symptomatic neuroma arising from a cranial nerve, selected when the operative target is the nerve lesion itself. Compare 64792 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 64792 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
$1156.50
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.
Nerve surgery
About 64792: Cranial nerve neuroma excision
Surgical removal of a symptomatic neuroma arising from a cranial nerve, selected when the operative target is the nerve lesion itself.
This service involves surgically exposing and removing a neuroma arising from a cranial nerve. It is typically performed by a neurosurgeon or an otolaryngologist or head-and-neck surgeon when a focal nerve lesion is the operative target. The code is distinguished by the cranial nerve location; a neuroma involving a peripheral nerve of an extremity or a sympathetic nerve belongs to a different anatomic category. Cases are generally performed in a hospital operating room rather than an office setting.
Report the service when the operative record supports removal of a cranial nerve neuroma, identifying the nerve, lesion, and work performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during the following 90 days. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 64792
- 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 RVU15.46 · 43%
- Practice expense (office) RVU14.34 · 39%
- Malpractice RVU6.52 · 18%
102
Medicare services in 2024 · #4873 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.
64792 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
Use 64784 for a major peripheral nerve outside the arm or leg. A cranial nerve neuroma belongs to this code instead.
No office rate
64795 is for obtaining a nerve biopsy specimen. This code describes operative removal of a cranial nerve neuroma, not diagnostic sampling alone.
No office rate
64771 describes interruption of a cranial nerve. This code is for removal of a neuroma, not nerve transection as the operative goal.
Compare 64792 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
$1156.50
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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 64792 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
7,239
- Code
- 64792
- Physician work
- 15.46
- Practice expense
- 14.34
- Malpractice
- 6.52
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 15.46 | × 1.000 | 15.4600 |
| Practice expense | 14.34 | × 1.000 | 14.3400 |
| Malpractice | 6.52 | × 0.740 | 4.8248 |
| Total RVUs | 34.6248 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$1156.50
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 15.46 | 1 |
| Practice expense | 14.34 | 1 |
| Malpractice | 6.52 | 0.74 |
(15.46 × 1 + 14.34 × 1 + 6.52 × 0.74) × $33.4009 = $1156.50
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.
64792 billing questions
How is this code distinguished from other neuroma excision codes?
The defining feature is that the neuroma arises from a cranial nerve. Codes for neuromas of skin, digits, extremity nerves, sciatic nerve, or sympathetic nerve describe different anatomic categories.
What should the operative note identify?
Document the cranial nerve involved, the neuroma and its location, and the surgical work performed to remove it. The record should make clear that the target was a neuroma rather than a nerve biopsy or nerve interruption.
Can modifier 50 be used for bilateral neuromas?
No. CMS identifies bilateral adjustment as inappropriate for this descriptor and anatomy, so modifier 50 should not be appended.
How are other procedures in the same session paid?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50% when performed in the same session.
What postoperative care is included in the global period?
The 90-day global includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
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.
7,23664787,,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
7,23764788,,Remove skin nerve lesion,A,,5.11,5.53,NA,5.53,,1.07,11.71,11.71,0,090,0.11,0.76,0.13,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,23864790,,Removal of nerve lesion,A,,11.80,9.16,NA,9.16,,3.11,24.07,24.07,0,090,0.11,0.76,0.13,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,23964792,,Removal of nerve lesion,A,,15.46,14.34,NA,14.34,,6.52,36.32,36.32,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,24064795,,Biopsy of nerve,A,,2.93,1.77,NA,1.77,,0.88,5.58,5.58,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,24164802,,Sympathectomy cervical,A,,10.11,11.95,NA,11.95,,4.26,26.32,26.32,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,24264804,,Sympathectomy cervicothorac,A,,15.51,13.86,NA,13.86,,6.54,35.91,35.91,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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.,,,,,,