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64787 Implant nerve end

Surgery

Also known as: nerve end implantation, end-to-muscle implant

Surgical implantation of a nerve end into muscle, bone, or other tissue. Performed when distal nerve stumps cannot be approximated for primary repair.

In Plain Language

implanting nerve ending in muscle; nerve stump placement

Clinical Context

Used in cases of severe nerve loss or gap where primary repair is impossible. Allows for potential axonal outgrowth and reinnervation of distal structures.

RVU Breakdown

Work RVU4.18
Total RVU4.18

Est. Medicare Payment

$139.61

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 4.18, this code ranks in the 29th percentile among Surgery codes — 1.9x below the median (8.00). The highest wRVU in this category is 106.19.

Specialties

Hand SurgeryOrthopedic SurgeryPlastic Surgery

Frequently Asked Questions

What is CPT code 64787?

CPT 64787 (Implant nerve end) is a Surgery code. Surgical implantation of a nerve end into muscle, bone, or other tissue. Performed when distal nerve stumps cannot be approximated for primary repair.

What is the wRVU value for CPT 64787?

The work RVU for CPT 64787 is 4.18. This code is primarily used by Hand Surgery, Orthopedic Surgery, Plastic Surgery.

When is CPT 64787 used?

Used in cases of severe nerve loss or gap where primary repair is impossible. Allows for potential axonal outgrowth and reinnervation of distal structures.

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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.