64858 Repair sciatic nerve
Also known as: sciatic nerve repair, sciatic nerveraphy
Surgical repair of a sciatic nerve injury with end-to-end anastomosis or grafting. The sciatic nerve is the largest peripheral nerve and injuries are functionally significant.
In Plain Language
sciatic nerve surgery; big leg nerve repair
Clinical Context
Indicated for sciatic nerve injuries causing leg paralysis or major sensory loss. Highest relative value nerve repair code due to significance and complexity.
RVU Breakdown
| Work RVU | 17.37 |
| Total RVU | 17.37 |
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 17.37, this code ranks in the 78th percentile among Surgery codes — 2.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64858?
CPT 64858 (Repair sciatic nerve) is a Surgery code. Surgical repair of a sciatic nerve injury with end-to-end anastomosis or grafting. The sciatic nerve is the largest peripheral nerve and injuries are functionally significant.
What is the wRVU value for CPT 64858?
The work RVU for CPT 64858 is 17.37. This code is primarily used by Orthopedic Surgery, Neurosurgery, Plastic Surgery. It has a 90-day global period.
When is CPT 64858 used?
Indicated for sciatic nerve injuries causing leg paralysis or major sensory loss. Highest relative value nerve repair code due to significance and complexity.
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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.