CPT 64910
Global 090 ActiveNerve repair w/allograft
CPT 64910 Billing & Documentation Guide
CPT code 64910 (Nerve repair w/allograft) 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 10.26, a non-facility practice expense RVU of 8.85, and a malpractice RVU of 1.76, a total non-facility RVU of 20.87 and facility RVU of 20.87. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $708.51, though rates vary from $626.89 to $861.24 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 64910, 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 64910 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 3 units of 64910 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 64910
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 10.26 | 10.26 |
| Practice Expense RVU | 8.85 | 8.85 |
| Malpractice RVU | 1.76 | 1.76 |
| Total RVU | 20.87 | 20.87 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 64910
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 | $736.63 | $736.63 | $704 - $838.15 | 29 |
| Florida | $753.71 | $753.71 | $713.64 - $799.08 | 3 |
| Georgia | $695.55 | $695.55 | $676.44 - $714.65 | 2 |
| Illinois | $741.86 | $741.86 | $704.46 - $777.08 | 4 |
| Michigan | $703 | $703 | $678.94 - $727.06 | 2 |
| North Carolina | $656.05 | $656.05 | $656.05 - $656.05 | 1 |
| New York | $768.63 | $768.63 | $664.84 - $825.26 | 5 |
| Ohio | $671.83 | $671.83 | $671.83 - $671.83 | 1 |
| Pennsylvania | $698.16 | $698.16 | $669.6 - $726.71 | 2 |
| Texas | $690.2 | $690.2 | $666.3 - $719.85 | 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 64910
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 64910 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 |
| 01810 | 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 |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 64910
What does CPT code 64910 mean? +
CPT code 64910 represents: Nerve repair w/allograft. It's in the Surgery (Endocrine/Nervous/Eye/Ear) category with a global period of 090.
What is the Medicare reimbursement for CPT 64910? +
The 2026 Medicare national average non-facility payment for CPT 64910 is $708.51. Rates range from $626.89 to $861.24 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 64910? +
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 64910? +
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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