64857

Repair arm/leg nerve

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Code typePrimary
Payment statusActive (A)
Global period90-day

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary64857Repair arm/leg nerve
1
$944.91
$944.91
Add-on0882TIntraop ther estim pn 1st
0
$0.00/ unit
$0.00/ unit
Add-on64859Nerve surgery
0
$212.10/ unit
$212.10/ unit
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 · 15.42 wRVU credited
$944.91
$944.91
How these numbers were computed
  • status=CThis code is not separately payable under the Physician Fee Schedule (status C) — amounts shown are $0.

RVU Breakdown

Component
Office
Facility
Work
15.42
15.42
Practice expense
9.62
9.62
Malpractice
3.25
3.25
Total RVU
28.29
28.29

Payment Policy & Modifiers

Allowed adjustments
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.
Co-surgeons -6262.5% each
Co-surgeons paid (62.5% each) if medical necessity is documented.
Not applicable to this code
Bilateral -50Team 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.