CPT 64907
Global 090 ActiveNerve pedicle transfer
CPT 64907 Billing & Documentation Guide
CPT code 64907 (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 19.53, a non-facility practice expense RVU of 11.31, and a malpractice RVU of 4.17, a total non-facility RVU of 35.01 and facility RVU of 35.01. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $1179.12, though rates vary from $1048.55 to $1457.54 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 64907, 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 64907 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 64907 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 64907
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 19.53 | 19.53 |
| Practice Expense RVU | 11.31 | 11.31 |
| Malpractice RVU | 4.17 | 4.17 |
| Total RVU | 35.01 | 35.01 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 64907
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 | $1198.23 | $1198.23 | $1152.09 - $1343.47 | 29 |
| Florida | $1302.48 | $1302.48 | $1222.8 - $1397.82 | 3 |
| Georgia | $1180.34 | $1180.34 | $1155.31 - $1205.36 | 2 |
| Illinois | $1285.79 | $1285.79 | $1214.92 - $1356.19 | 4 |
| Michigan | $1203.08 | $1203.08 | $1154.47 - $1251.69 | 2 |
| North Carolina | $1093.77 | $1093.77 | $1093.77 - $1093.77 | 1 |
| New York | $1294.04 | $1294.04 | $1109.11 - $1401.88 | 5 |
| Ohio | $1137.61 | $1137.61 | $1137.61 - $1137.61 | 1 |
| Pennsylvania | $1177.11 | $1177.11 | $1130.73 - $1223.48 | 2 |
| Texas | $1157.19 | $1157.19 | $1125.48 - $1224.31 | 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 64907
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 64907 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 64907
What does CPT code 64907 mean? +
CPT code 64907 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 64907? +
The 2026 Medicare national average non-facility payment for CPT 64907 is $1179.12. Rates range from $1048.55 to $1457.54 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 64907? +
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 64907? +
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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