CPT 64905
Global 090 ActiveNerve pedicle transfer
CPT 64905 Billing & Documentation Guide
CPT code 64905 (Nerve pedicle transfer) is classified under Surgery (Endocrine/Nervous/Eye/Ear) with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 14.73, a non-facility practice expense RVU of 8.91, and a malpractice RVU of 3.05, a total non-facility RVU of 26.69 and facility RVU of 26.69. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $899.84, though rates vary from $800.1 to $1111.07 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 64905, 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 64905 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
90-day global period (major surgery: 1 day pre-op + procedure + 90 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 64905 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 64905
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 14.73 | 14.73 |
| Practice Expense RVU | 8.91 | 8.91 |
| Malpractice RVU | 3.05 | 3.05 |
| Total RVU | 26.69 | 26.69 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 64905
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 | $917.02 | $917.02 | $881.13 - $1029.86 | 29 |
| Florida | $988.9 | $988.9 | $929.62 - $1059.44 | 3 |
| Georgia | $898.54 | $898.54 | $878.89 - $918.18 | 2 |
| Illinois | $975.95 | $975.95 | $922.93 - $1028.33 | 4 |
| Michigan | $914.83 | $914.83 | $878.72 - $950.94 | 2 |
| North Carolina | $834.75 | $834.75 | $834.75 - $834.75 | 1 |
| New York | $985.83 | $985.83 | $846.33 - $1066.51 | 5 |
| Ohio | $866.39 | $866.39 | $866.39 - $866.39 | 1 |
| Pennsylvania | $896.83 | $896.83 | $861.46 - $932.19 | 2 |
| Texas | $882.32 | $882.32 | $857.45 - $931.63 | 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 64905
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 64905 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 01250 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01320 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01470 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01610 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01710 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01782 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01810 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01995 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 64905
What does CPT code 64905 mean? +
CPT code 64905 represents: Nerve pedicle transfer. It's in the Surgery (Endocrine/Nervous/Eye/Ear) category with a global period of 090.
What is the Medicare reimbursement for CPT 64905? +
The 2026 Medicare national average non-facility payment for CPT 64905 is $899.84. Rates range from $800.1 to $1111.07 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 64905? +
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 64905? +
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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