64778 Digit nerve surgery add-on
Also known as: additional digit neuroma removal
Surgical removal of additional nerve lesion(s) in the digit(s) as an add-on procedure to the primary digit nerve lesion removal.
In Plain Language
removing additional finger/toe nerve tumors
Clinical Context
Used when multiple neuromas or lesions are removed from different digits in the same operative session. Each additional digit requires this add-on code.
RVU Breakdown
| Work RVU | 3.03 |
| Total RVU | 3.03 |
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. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 3.03, this code ranks in the 21st percentile among Surgery codes — 2.6x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64778?
CPT 64778 (Digit nerve surgery add-on) is a Surgery code. Surgical removal of additional nerve lesion(s) in the digit(s) as an add-on procedure to the primary digit nerve lesion removal.
What is the wRVU value for CPT 64778?
The work RVU for CPT 64778 is 3.03. This code is primarily used by Hand Surgery, Orthopedic Surgery.
When is CPT 64778 used?
Used when multiple neuromas or lesions are removed from different digits in the same operative session. Each additional digit requires this add-on code.
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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.