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64831

Active90-day global

Repair of digit nerve

2026 Medicare payment

Estimated allowed amounts. Pick a locality or enter a ZIP; toggle modifiers to see how the payment rules change the number; add the add-on codes to price the whole procedure.

Show values as
Modifiers
LineQtyNon-facility (office)Facility (hospital/ASC)
648311$643.64$643.64
add-on0882T
0
$0.00/ unit$0.00/ unit
add-on64832
0
$281.57/ unit$281.57/ unit
add-on64872
0
$99.53/ unit$99.53/ unit
add-on64874
0
$148.63/ unit$148.63/ unit
add-on64876
0
$168.01/ unit$168.01/ unit
add-on69990
0
$198.07/ unit$198.07/ unit
Conversion factor: Locality: national average GPCIs

RVU breakdown (national)

Relative value units before geographic adjustment. Payment = (work×GPCIw + PE×GPCIpe + MP×GPCImp) × CF

RowWork RVUPE RVU (office)PE RVU (facility)MP RVUTotal (office)
648318.938.648.641.7019.27

Payment policy for 64831

CMS's indicator fields, translated. These control which modifiers are payable and how.

Professional/technical (PC/TC)

pctc=0

Physician service

Cannot be split into professional/technical components — modifiers 26 and TC don't apply.

Multiple procedures

mult_surg=2

Standard MPPR

When billed with other procedures the same day: highest-valued paid 100%, the rest 50%.

Bilateral (modifier 50)

bilt_surg=1

Bilateral 150%

With modifier 50 (both sides), payment is 150% of the single-side amount.

Assistant surgeon (80/81/82)

asst_surg=1

Not payable

Assistant at surgery may not be paid for this procedure.

Co-surgeons (modifier 62)

co_surg=0

Not permitted

Co-surgeons (mod 62) may not be paid for this procedure.

Team surgery (modifier 66)

team_surg=0

Not permitted

Team surgery (mod 66) may not be paid for this procedure.

Global surgery package

Major surgery: payment covers the day before, the day of, and 90 days after. Of the total payment, 11% is attributed to pre-operative care, 76% to the procedure itself, and 13% to post-operative visits.

Source: pfs.data.cms.gov "Indicators for 2026", retrieved 2026-07-16; conversion factors $33.4009 / $33.5675 (QP) per CMS-1832-F. Estimated amounts — not billing or coding advice.

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