CPT 64479
Global 000 ActiveNjx aa&/strd tfrm epi c/t 1
CPT 64479 Billing & Documentation Guide
CPT code 64479 (Njx aa&/strd tfrm epi c/t 1) is classified under Surgery (Endocrine/Nervous/Eye/Ear) with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 2.23, a non-facility practice expense RVU of 6.11, and a malpractice RVU of 0.2, a total non-facility RVU of 8.54 and facility RVU of 3.49. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $294.71, though rates vary from $253.23 to $380.54 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 64479, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 64479 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Endoscopic or minor procedure with related preoperative and postoperative work performed on the same day
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 64479 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 64479
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 2.23 | 2.23 |
| Practice Expense RVU | 6.11 | 1.06 |
| Malpractice RVU | 0.2 | 0.2 |
| Total RVU | 8.54 | 3.49 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 64479
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $322.26 | $122.67 | $303 - $380.54 | 29 |
| Florida | $292.24 | $123.01 | $279.62 - $303.82 | 3 |
| Georgia | $277.28 | $116.37 | $264.49 - $290.08 | 2 |
| Illinois | $284.7 | $121.72 | $271.25 - $296.43 | 4 |
| Michigan | $275.52 | $117.13 | $268.35 - $282.68 | 2 |
| North Carolina | $269.16 | $111.79 | $269.16 - $269.16 | 1 |
| New York | $314.77 | $126.59 | $273.06 - $334.31 | 5 |
| Ohio | $267.54 | $113.54 | $267.54 - $267.54 | 1 |
| Pennsylvania | $282.19 | $116.98 | $268.14 - $296.24 | 2 |
| Texas | $282.02 | $115.96 | $266.4 - $296.47 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 64479
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 64479 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0178T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0179T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0180T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 01991 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01992 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0228T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0229T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0282T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0283T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0284T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 64479
What does CPT code 64479 mean? +
CPT code 64479 represents: Njx aa&/strd tfrm epi c/t 1. It's in the Surgery (Endocrine/Nervous/Eye/Ear) category with a global period of 000.
What is the Medicare reimbursement for CPT 64479? +
The 2026 Medicare national average non-facility payment for CPT 64479 is $294.71. Rates range from $253.23 to $380.54 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 64479? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 64479? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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