CPT 64902
Global ZZZ ActiveNerve graft add-on
CPT 64902 Billing & Documentation Guide
CPT code 64902 (Nerve graft add-on) is classified under Surgery (Endocrine/Nervous/Eye/Ear) with a global period indicator of ZZZ. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 11.51, a non-facility practice expense RVU of 3.67, and a malpractice RVU of 2.46, a total non-facility RVU of 17.64 and facility RVU of 17.64. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $590.56, though rates vary from $527.18 to $752.49 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 64902, 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 64902 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Add-on code (global concept does not apply)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 64902 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 64902
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 11.51 | 11.51 |
| Practice Expense RVU | 3.67 | 3.67 |
| Malpractice RVU | 2.46 | 2.46 |
| Total RVU | 17.64 | 17.64 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 64902
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 | $587.83 | $587.83 | $569.37 - $647.54 | 29 |
| Florida | $667.39 | $667.39 | $625.13 - $719.85 | 3 |
| Georgia | $600.28 | $600.28 | $591.73 - $608.82 | 2 |
| Illinois | $661.25 | $661.25 | $624.79 - $698.9 | 4 |
| Michigan | $615.2 | $615.2 | $589.13 - $641.27 | 2 |
| North Carolina | $551.32 | $551.32 | $551.32 - $551.32 | 1 |
| New York | $651.13 | $651.13 | $558.66 - $707.38 | 5 |
| Ohio | $579.18 | $579.18 | $579.18 - $579.18 | 1 |
| Pennsylvania | $595.81 | $595.81 | $574.62 - $617 | 2 |
| Texas | $583.56 | $583.56 | $572.33 - $622.3 | 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 64902
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 64902 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0333T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0464T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0490T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0718T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 20527 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 20550 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 20551 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 20552 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 20553 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 20560 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 64902
What does CPT code 64902 mean? +
CPT code 64902 represents: Nerve graft add-on. It's in the Surgery (Endocrine/Nervous/Eye/Ear) category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 64902? +
The 2026 Medicare national average non-facility payment for CPT 64902 is $590.56. Rates range from $527.18 to $752.49 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 64902? +
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 64902? +
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 April 17, 2026.
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