64790 Removal of nerve lesion
Also known as: extensive nerve lesion removal, nerve tumor excision
Surgical removal of a nerve lesion or tumor requiring extensive dissection, typically from a major nerve plexus or significant neural structure. Represents substantial operative complexity.
In Plain Language
major nerve tumor surgery; complex nerve removal
Clinical Context
Indicated for removal of significant nerve tumors such as neurofibromas or schwannomas from major plexuses or important nerves requiring careful dissection to preserve function.
RVU Breakdown
| Work RVU | 11.80 |
| Total RVU | 11.80 |
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 11.80, this code ranks in the 64th percentile among Surgery codes — 1.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64790?
CPT 64790 (Removal of nerve lesion) is a Surgery code. Surgical removal of a nerve lesion or tumor requiring extensive dissection, typically from a major nerve plexus or significant neural structure. Represents substantial operative complexity.
What is the wRVU value for CPT 64790?
The work RVU for CPT 64790 is 11.80. This code is primarily used by Neurosurgery, Orthopedic Surgery, General Surgery. It has a 90-day global period.
When is CPT 64790 used?
Indicated for removal of significant nerve tumors such as neurofibromas or schwannomas from major plexuses or important nerves requiring careful dissection to preserve function.
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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.