No office rate
Use 64910 for repair with nerve allograft; 64911 describes repair using a vein autograft harvested from the patient.
On this page
CMS RVU26D · Effective 2026-10-01
64910 Nerve repair Medicare reimbursement rates in Wyoming
Reports surgical repair of a peripheral nerve using donor nerve allograft to bridge a defect when direct repair is not feasible. Compare 64910 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 64910 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
$681.79
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 64910: Peripheral nerve repair with allograft
Reports surgical repair of a peripheral nerve using donor nerve allograft to bridge a defect when direct repair is not feasible.
A surgeon uses donor nerve tissue to reconnect a peripheral nerve across a defect, commonly after traumatic nerve injury or excision leaves a gap that cannot be closed with a tension-free direct repair. The procedure is typically performed in an operating room by a peripheral nerve, hand, plastic, or other surgeon with microsurgical expertise. The allograft serves as the bridge between the nerve ends; this is distinct from using a patient's own vein as a graft.
Report the service when the operative record supports nerve repair using an allograft. Document the nerve treated, the defect and repair, and the graft material used. This major surgery has a 90-day global period, including the day-before preoperative visit and related postoperative care. If multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Bilateral adjustment is inappropriate for this code. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 64910
- 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 RVU10.26 · 49%
- Practice expense (office) RVU8.85 · 42%
- Malpractice RVU1.76 · 8%
1.4K
Medicare services in 2024 · #2733 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.
64910 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
64912 identifies the first allograft unit. Apply its specific descriptor when the documented repair matches that coding structure.
No office rate
64913 identifies each additional allograft unit; it is not interchangeable with the first-unit code.
No office rate
64905 describes a nerve pedicle transfer, not bridging a nerve defect with allograft.
Compare 64910 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
$681.79
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 64910 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
7,283
- Code
- 64910
- Physician work
- 10.26
- Practice expense
- 8.85
- Malpractice
- 1.76
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.26 | × 1.000 | 10.2600 |
| Practice expense | 8.85 | × 1.000 | 8.8500 |
| Malpractice | 1.76 | × 0.740 | 1.3024 |
| Total RVUs | 20.4124 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$681.79
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.26 | 1 |
| Practice expense | 8.85 | 1 |
| Malpractice | 1.76 | 0.74 |
(10.26 × 1 + 8.85 × 1 + 1.76 × 0.74) × $33.4009 = $681.79
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.
64910 billing questions
How does this differ from 64911?
64910 is for nerve repair using an allograft. Code 64911 describes nerve repair using a vein autograft, meaning the patient's own vein is used.
When should 64912 and 64913 be considered?
Those codes distinguish a first allograft unit from each additional one. Compare the operative work with their specific descriptors before choosing them instead of 64910.
Does the 90-day global include postoperative visits?
Yes. Related postoperative care during the 90-day global period is included, as is the day-before preoperative visit.
How are multiple procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures in that session are subject to the standard multiple procedure reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery 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.
7,28064902,,Nerve graft add-on,A,,11.51,3.67,NA,3.67,,2.46,17.64,17.64,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,28164905,,Nerve pedicle transfer,A,,14.73,8.91,NA,8.91,,3.05,26.69,26.69,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,28264907,,Nerve pedicle transfer,A,,19.53,11.31,NA,11.31,,4.17,35.01,35.01,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,28364910,,Nerve repair w/allograft,A,,10.26,8.85,NA,8.85,,1.76,20.87,20.87,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,28464911,,Neurorraphy w/vein autograft,A,,13.65,11.89,NA,11.89,,2.91,28.45,28.45,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,28564912,,Nrv rpr w/nrv algrft 1st,A,,11.70,10.56,NA,10.56,,2.26,24.52,24.52,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,28664913,,Nrv rpr w/nrv algrft ea addl,A,,2.93,0.92,NA,0.92,,0.54,4.39,4.39,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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.,,,,,,