64746 Incise diaphragm nerve
Also known as: phrenic nerve incision, phrenic nerve sectioning
Surgical incision and sectioning of the phrenic nerve (Cranial Nerve XI) to treat intractable hiccoughs or provide diaphragmatic paralysis for therapeutic purposes.
Clinical Context
Historically used for intractable hiccoughs unresponsive to medical management. Now rarely performed due to effective medical treatments. May be used therapeutically for specific pulmonary conditions.
RVU Breakdown
| Work RVU | 6.40 |
| Practice Expense RVU | 4.97 |
| Malpractice RVU | 1.62 |
| Total RVU | 12.99 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.