64876 Repair nerve/shorten bone
Also known as: nerve repair with bone shortening, neuroschesis
Add-on code for nerve repair combined with bone shortening procedure to relieve tension and facilitate nerve repair without grafting.
In Plain Language
nerve repair with bone surgery
Clinical Context
Performed when significant nerve gap exists but shortening adjacent bone can relieve tension enough to allow primary repair. Reduces need for graft in selected cases.
RVU Breakdown
| Work RVU | 3.29 |
| Total RVU | 3.29 |
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. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 3.29, this code ranks in the 23rd percentile among Surgery codes — 2.4x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64876?
CPT 64876 (Repair nerve/shorten bone) is a Surgery code. Add-on code for nerve repair combined with bone shortening procedure to relieve tension and facilitate nerve repair without grafting.
What is the wRVU value for CPT 64876?
The work RVU for CPT 64876 is 3.29. This code is primarily used by Orthopedic Surgery, Plastic Surgery.
When is CPT 64876 used?
Performed when significant nerve gap exists but shortening adjacent bone can relieve tension enough to allow primary repair. Reduces need for graft in selected cases.
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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.