64786 Remove sciatic nerve lesion
Also known as: sciatic nerve lesion removal, sciatic neurofibroma excision
Surgical removal of a significant lesion or tumor affecting the sciatic nerve. This major nerve requires careful dissection to preserve remaining nerve function.
In Plain Language
sciatic nerve tumor removal; large leg nerve surgery
Clinical Context
Indicated for benign tumors or significant pathology affecting the sciatic nerve causing pain, weakness, or functional impairment. Requires expert dissection to minimize nerve injury.
RVU Breakdown
| Work RVU | 15.84 |
| Total RVU | 15.84 |
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 15.84, this code ranks in the 75th percentile among Surgery codes — 2.0x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64786?
CPT 64786 (Remove sciatic nerve lesion) is a Surgery code. Surgical removal of a significant lesion or tumor affecting the sciatic nerve. This major nerve requires careful dissection to preserve remaining nerve function.
What is the wRVU value for CPT 64786?
The work RVU for CPT 64786 is 15.84. This code is primarily used by Neurosurgery, Orthopedic Surgery, General Surgery. It has a 90-day global period.
When is CPT 64786 used?
Indicated for benign tumors or significant pathology affecting the sciatic nerve causing pain, weakness, or functional impairment. Requires expert dissection to minimize nerve injury.
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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.