No office rate
64837 is another nerve-repair add-on, but it applies in a different coding context. Match the add-on to the primary procedure and documented work rather than choosing between them by nerve count alone.
On this page
CMS RVU26D · Effective 2026-10-01
64874 Nerve repair Medicare reimbursement rates in Wyoming
Reports repair or revision of an additional nerve when the work requires extensive mobilization or transposition during a qualifying primary nerve procedure. Compare 64874 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 64874 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
$143.34
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 64874: Additional extensive nerve repair
Reports repair or revision of an additional nerve when the work requires extensive mobilization or transposition during a qualifying primary nerve procedure.
This add-on represents repair or revision of another nerve when the surgeon must extensively free it from surrounding tissue or move it to a different position. It may arise during operative treatment of peripheral nerve injuries or reconstructive nerve surgery. Peripheral nerve, hand, orthopedic, or plastic surgeons typically perform this work in an operating room; the operative note should identify the additional nerve and describe the mobilization or transposition performed.
Report 64874 only with a qualifying primary procedure, not as a stand-alone service. The record should distinguish the additional nerve and its work from the nerve repair represented by the primary code. CMS treats this as an add-on paid within the primary procedure’s global period, so it is not separately paid outside that global period. Select the primary code for the main nerve procedure, then report this code only when the additional nerve work meets its scope.
CMS billing rules for 64874
- 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 RVU2.91 · 65%
- Practice expense (office) RVU0.93 · 21%
- Malpractice RVU0.61 · 14%
45
Medicare services in 2024 · #5425 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.
64874 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
64856 represents a primary major peripheral nerve repair in an arm or leg. 64874 represents qualifying additional nerve work and cannot replace the primary procedure code.
No office rate
64857 is a primary nerve-repair service, whereas 64874 is an add-on for additional nerve repair or revision involving extensive mobilization or transposition.
Compare 64874 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
$143.34
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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 64874 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
7,267
- Code
- 64874
- Physician work
- 2.91
- Practice expense
- 0.93
- Malpractice
- 0.61
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.91 | × 1.000 | 2.9100 |
| Practice expense | 0.93 | × 1.000 | 0.9300 |
| Malpractice | 0.61 | × 0.740 | 0.4514 |
| Total RVUs | 4.2914 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$143.34
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.91 | 1 |
| Practice expense | 0.93 | 1 |
| Malpractice | 0.61 | 0.74 |
(2.91 × 1 + 0.93 × 1 + 0.61 × 0.74) × $33.4009 = $143.34
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.
64874 billing questions
Can 64874 be reported by itself?
No. It is an add-on and must be billed with a qualifying primary procedure.
What documentation supports 64874?
Identify the additional nerve and describe the repair or revision, including the extensive mobilization or transposition that required the additional work.
How is 64874 different from 64837?
Both are nerve-repair add-on codes, but they belong to different coding contexts. Choose based on the applicable primary procedure and the specific additional nerve work, not simply the number of nerves treated.
Is 64874 paid separately from the primary procedure’s global period?
No. CMS classifies it as an add-on paid within the primary procedure’s global period.
Should the additional nerve be listed separately in the operative note?
Yes. The note should make clear which nerve received the additional repair or revision and what extensive mobilization or transposition was performed.
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.
7,26464866,,Fusion of facial/other nerve,A,,16.41,14.29,NA,14.29,,3.04,33.74,33.74,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,26564868,,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
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.,,,,,,