64840

Repair of leg nerve

Add to my model
Code typePrimary
Payment statusActive (A)
Global period90-day

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary64840Repair of leg nerve
1
$884.79
$884.79
Add-on64872Subsequent repair of nerve
0
$99.53/ unit
$99.53/ unit
Add-on64874Repair & revise nerve add-on
0
$148.63/ unit
$148.63/ unit
Add-on64876Repair nerve/shorten bone
0
$168.01/ unit
$168.01/ unit
Add-on69990Microsurgery add-on
0
$198.07/ unit
$198.07/ unit
Whole procedure · 13.67 wRVU credited
$884.79
$884.79

RVU Breakdown

Component
Office
Facility
Work
13.67
13.67
Practice expense
9.91
9.91
Malpractice
2.91
2.91
Total RVU
26.49
26.49

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. $1,327.19 office.
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%. Add-on codes are exempt.
Assistant surgeon -80/81/8216%
Assistant at surgery (mod 80/81/82) is paid at 16% of the fee schedule amount.
Not applicable to this code
Co-surgeon -62Team surgeon -66Prof / tech split

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.