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64890 Nerve grf 1strnd hnd/foot <4cm

Surgery Global 90d

Also known as: single strand nerve graft hand/foot short, digital nerve graft

Surgical nerve graft using autologous nerve tissue in a single strand less than 4 centimeters for repair of hand or foot nerve injuries.

In Plain Language

nerve transplant in hand/foot; small nerve graft

Clinical Context

Indicated for hand or foot nerve gaps less than 4 cm in a single nerve. Uses harvested autologous nerve for gap repair.

RVU Breakdown

Work RVU15.83
Total RVU15.83

Est. Medicare Payment

$528.72

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 15.83, this code ranks in the 75th percentile among Surgery codes — 2.0x the median (8.00). The highest wRVU in this category is 106.19.

Specialties

Hand SurgeryPlastic SurgeryPodiatry

Frequently Asked Questions

What is CPT code 64890?

CPT 64890 (Nerve grf 1strnd hnd/foot <4cm) is a Surgery code. Surgical nerve graft using autologous nerve tissue in a single strand less than 4 centimeters for repair of hand or foot nerve injuries.

What is the wRVU value for CPT 64890?

The work RVU for CPT 64890 is 15.83. This code is primarily used by Hand Surgery, Plastic Surgery, Podiatry. It has a 90-day global period.

When is CPT 64890 used?

Indicated for hand or foot nerve gaps less than 4 cm in a single nerve. Uses harvested autologous nerve for gap repair.

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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.