64865

Repair of facial nerve

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

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary64865Repair of facial nerve
1
$947.92
$947.92
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 · 15.69 wRVU credited
$947.92
$947.92

RVU Breakdown

Component
Office
Facility
Work
15.69
15.69
Practice expense
10.39
10.39
Malpractice
2.30
2.30
Total RVU
28.38
28.38

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.