64891 Nerve grf 1strnd hnd/foot >4cm
Also known as: single strand nerve graft hand/foot long, extended digital nerve graft
Surgical nerve graft using autologous nerve tissue in a single strand 4 centimeters or greater for repair of hand or foot nerve injuries.
In Plain Language
large nerve transplant in hand/foot
Clinical Context
Used for hand or foot nerve gaps of 4 cm or longer in a single nerve location. Longer graft may require multiple segments.
RVU Breakdown
| Work RVU | 16.92 |
| Total RVU | 16.92 |
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 16.92, this code ranks in the 77th percentile among Surgery codes — 2.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64891?
CPT 64891 (Nerve grf 1strnd hnd/foot >4cm) is a Surgery code. Surgical nerve graft using autologous nerve tissue in a single strand 4 centimeters or greater for repair of hand or foot nerve injuries.
What is the wRVU value for CPT 64891?
The work RVU for CPT 64891 is 16.92. This code is primarily used by Hand Surgery, Plastic Surgery. It has a 90-day global period.
When is CPT 64891 used?
Used for hand or foot nerve gaps of 4 cm or longer in a single nerve location. Longer graft may require multiple segments.
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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.