64836 Repair of hand or foot nerve
Also known as: extensive hand/foot nerve repair
Surgical repair of a nerve injury in the hand or foot with extensive grafting or reconstruction requirements, representing the most complex hand/foot nerve repair.
In Plain Language
major hand or foot nerve reconstruction
Clinical Context
Used for severe hand or foot nerve injuries requiring extensive grafting, multiple anastomoses, or significant reconstruction. Highest complexity level for hand/foot nerve repairs.
RVU Breakdown
| Work RVU | 11.44 |
| Total RVU | 11.44 |
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 11.44, this code ranks in the 63rd percentile among Surgery codes — 1.4x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64836?
CPT 64836 (Repair of hand or foot nerve) is a Surgery code. Surgical repair of a nerve injury in the hand or foot with extensive grafting or reconstruction requirements, representing the most complex hand/foot nerve repair.
What is the wRVU value for CPT 64836?
The work RVU for CPT 64836 is 11.44. This code is primarily used by Hand Surgery, Plastic Surgery, Microsurgery. It has a 90-day global period.
When is CPT 64836 used?
Used for severe hand or foot nerve injuries requiring extensive grafting, multiple anastomoses, or significant reconstruction. Highest complexity level for hand/foot nerve repairs.
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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.