64831 Repair of digit nerve
What 64831 is
CMS fee schedule short descriptor: Repair of digit nerve.
Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.
Medicare payment for 64831 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 8.93 | 8.64 | 1.70 | 19.27 | $643.64 |
| Facility (hospital, ASC) | 8.93 | 8.64 | 1.70 | 19.27 | $643.64 |
National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.
Status: Active - payable under the Physician Fee Schedule. Global period: 90-day global period.
Medically Unlikely Edit (MUE)
Medicare caps 64831 at 1 unit per date of service for practitioner claims (MAI 2 - date of service edit (absolute): units above the MUE never pay), rationale: CMS Policy. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 64831? These codes are bundled into it
64831 is a Column 1 code in 280 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
01250 | Anes all px nrv musc upr leg | 0 - no modifier bypass | Check pair |
01320 | Anes all px nrv msc kne&/pop | 0 - no modifier bypass | Check pair |
01470 | Anes px nrv msc lw l/a/f nos | 0 - no modifier bypass | Check pair |
01610 | Anes all px nrv musc sho&ax | 0 - no modifier bypass | Check pair |
01710 | Anes px nrv musc upr a&e nos | 0 - no modifier bypass | Check pair |
01782 | Anes vn upr arm&elbw phlbrpy | 0 - no modifier bypass | Check pair |
01810 | Anes px nrv musc f/arm wrst | 0 - no modifier bypass | Check pair |
0213T | Njx paravert w/us cer/thor | 0 - no modifier bypass | Check pair |
0216T | Njx paravert w/us lumb/sac | 0 - no modifier bypass | Check pair |
0333T | Visual ep scr acuity auto | 0 - no modifier bypass | Check pair |
0464T | Visual ep test for glaucoma | 0 - no modifier bypass | Check pair |
0490T | Regn cell tx scldr h mlt inj | 1 - modifier may bypass | Check pair |
0596T | Temp fml iu vlv-pmp 1st insj | 1 - modifier may bypass | Check pair |
0597T | Temp fml iu valve-pmp rplcmt | 1 - modifier may bypass | Check pair |
0708T | Id ca immntx prep & 1st njx | 1 - modifier may bypass | Check pair |
0709T | Id ca immntx each addl njx | 1 - modifier may bypass | Check pair |
0718T | Adrc ther prtl rc tear njx | 1 - modifier may bypass | Check pair |
0903T | Ecg alg 12 lead reduced i&r | 1 - modifier may bypass | Check pair |
0904T | Ecg alg 12 ld rdcd trcg only | 1 - modifier may bypass | Check pair |
0905T | Ecg alg 12 ld rdcd i&r only | 1 - modifier may bypass | Check pair |
12001 | Rpr s/n/ax/gen/trnk 2.5cm/< | 1 - modifier may bypass | Check pair |
12002 | Rpr s/n/ax/gen/trnk2.6-7.5cm | 1 - modifier may bypass | Check pair |
12004 | Rpr s/n/ax/gen/trk7.6-12.5cm | 1 - modifier may bypass | Check pair |
12005 | Rpr s/n/a/gen/trk12.6-20.0cm | 1 - modifier may bypass | Check pair |
12006 | Rpr s/n/a/gen/trk20.1-30.0cm | 1 - modifier may bypass | Check pair |
12007 | Rpr s/n/ax/gen/trnk >30.0 cm | 1 - modifier may bypass | Check pair |
12011 | Rpr f/e/e/n/l/m 2.5 cm/< | 1 - modifier may bypass | Check pair |
12013 | Rpr f/e/e/n/l/m 2.6-5.0 cm | 1 - modifier may bypass | Check pair |
12014 | Rpr f/e/e/n/l/m 5.1-7.5 cm | 1 - modifier may bypass | Check pair |
12015 | Rpr f/e/e/n/l/m 7.6-12.5 cm | 1 - modifier may bypass | Check pair |
Showing 30 of 280 column 2 codes. Use the pair checker for any specific combination.
64831 is bundled into these codes
64831 appears as a Column 2 code in 28 active edits. Reported with one of these Column 1 codes on the same date of service, 64831 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
20808 | Replantation hand complete | 1 | Check pair |
20816 | Replantation digit complete | 1 | Check pair |
20822 | Replantation digit complete | 1 | Check pair |
20824 | Replantation thumb complete | 1 | Check pair |
20827 | Replantation thumb complete | 1 | Check pair |
20838 | Replantation foot complete | 1 | Check pair |
20973 | Bone/skin graft great toe | 1 | Check pair |
28360 | Reconstruct cleft foot | 1 | Check pair |
63005 | Remove spine lamina 1/2 lmbr | 1 | Check pair |
63012 | Remove lamina/facets lumbar | 1 | Check pair |
63017 | Remove spine lamina >2 lmbr | 1 | Check pair |
63042 | Laminotomy single lumbar | 1 | Check pair |
63047 | Lam facetec & foramot lumbar | 1 | Check pair |
64820 | Sympathectomy digital artery | 1 | Check pair |
64890 | Nrv grf 1strnd hnd/foot <4cm | 1 | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.