64886 Nerve graft head/neck >4 centimeters
Also known as: long nerve graft head/neck, extended nerve graft
Surgical nerve graft using autologous nerve tissue 4 centimeters or greater in length for repair of head or neck nerve injuries.
In Plain Language
large nerve transplant in head/neck
Clinical Context
Used for head or neck nerve gaps of 4 cm or longer. Longer grafts require multiple segments to minimize donor morbidity while achieving adequate reconstruction.
RVU Breakdown
| Work RVU | 20.30 |
| Total RVU | 20.30 |
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 20.30, this code ranks in the 83rd percentile among Surgery codes — 2.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64886?
CPT 64886 (Nerve graft head/neck >4 centimeters) is a Surgery code. Surgical nerve graft using autologous nerve tissue 4 centimeters or greater in length for repair of head or neck nerve injuries.
What is the wRVU value for CPT 64886?
The work RVU for CPT 64886 is 20.30. This code is primarily used by Neurosurgery, Otolaryngology, Plastic Surgery. It has a 90-day global period.
When is CPT 64886 used?
Used for head or neck nerve gaps of 4 cm or longer. Longer grafts require multiple segments to minimize donor morbidity while achieving adequate reconstruction.
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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.