64865 Repair of facial nerve
Also known as: complex facial nerve repair
Surgical repair of the facial nerve with additional complexity such as longer gap, multiple level injury, or requiring graft repair.
In Plain Language
complicated face nerve surgery
Clinical Context
Represents more complex facial nerve repair requiring graft or extensive dissection. Higher value than simple facial nerve repair due to increased difficulty.
RVU Breakdown
| Work RVU | 15.69 |
| Total RVU | 15.69 |
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 15.69, this code ranks in the 74th percentile among Surgery codes — 2.0x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64865?
CPT 64865 (Repair of facial nerve) is a Surgery code. Surgical repair of the facial nerve with additional complexity such as longer gap, multiple level injury, or requiring graft repair.
What is the wRVU value for CPT 64865?
The work RVU for CPT 64865 is 15.69. This code is primarily used by Neurosurgery, Otolaryngology, Plastic Surgery. It has a 90-day global period.
When is CPT 64865 used?
Represents more complex facial nerve repair requiring graft or extensive dissection. Higher value than simple facial nerve repair due to increased difficulty.
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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.