64857 Repair arm/leg nerve
Also known as: arm/leg nerve repair, extremity nerve repair
Surgical repair of a significant nerve injury in the arm or leg, often requiring graft reconstruction due to nerve gap or poor tissue quality.
In Plain Language
arm or leg nerve surgery; limb nerve repair
Clinical Context
Indicated for significant arm or leg nerve injuries requiring graft repair due to gap or complexity. Includes injuries from trauma, stretch, or iatrogenic causes.
RVU Breakdown
| Work RVU | 15.42 |
| Total RVU | 15.42 |
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 15.42, this code ranks in the 74th percentile among Surgery codes — 1.9x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64857?
CPT 64857 (Repair arm/leg nerve) is a Surgery code. Surgical repair of a significant nerve injury in the arm or leg, often requiring graft reconstruction due to nerve gap or poor tissue quality.
What is the wRVU value for CPT 64857?
The work RVU for CPT 64857 is 15.42. This code is primarily used by Orthopedic Surgery, Plastic Surgery, Neurosurgery. It has a 90-day global period.
When is CPT 64857 used?
Indicated for significant arm or leg nerve injuries requiring graft repair due to gap or complexity. Includes injuries from trauma, stretch, or iatrogenic causes.
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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.