64774 Remove skin nerve lesion
Also known as: neuroma excision, skin nerve lesion removal, cutaneous nerve tumor removal
Surgical removal of a lesion (tumor, neuroma, or other mass) affecting the cutaneous or sensory nerve of the skin. Preserves underlying nerve function when possible.
In Plain Language
skin nerve tumor removal; mole removal on nerve
Clinical Context
Indicated for benign nerve tumors (neuromas, neurofibromas), painful neuromas, or other cutaneous nerve lesions causing pain or cosmetic concern.
RVU Breakdown
| Work RVU | 5.66 |
| Total RVU | 5.66 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 5.66, this code ranks in the 38th percentile among Surgery codes — 1.4x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64774?
CPT 64774 (Remove skin nerve lesion) is a Surgery code. Surgical removal of a lesion (tumor, neuroma, or other mass) affecting the cutaneous or sensory nerve of the skin. Preserves underlying nerve function when possible.
What is the wRVU value for CPT 64774?
The work RVU for CPT 64774 is 5.66. This code is primarily used by Dermatology, Plastic Surgery, Orthopedic Surgery. It has a 90-day global period.
When is CPT 64774 used?
Indicated for benign nerve tumors (neuromas, neurofibromas), painful neuromas, or other cutaneous nerve lesions causing pain or cosmetic concern.
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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.