64890 Nrv grf 1strnd hnd/foot <4cm
What 64890 is
CMS fee schedule short descriptor: Nrv grf 1strnd hnd/foot <4cm.
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 64890 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 15.83 | 10.13 | 3.37 | 29.33 | $979.65 |
| Facility (hospital, ASC) | 15.83 | 10.13 | 3.37 | 29.33 | $979.65 |
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 64890 at 2 units per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Code Descriptor / CPT Instruction. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 64890? These codes are bundled into it
64890 is a Column 1 code in 301 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 301 column 2 codes. Use the pair checker for any specific combination.
64890 is bundled into these codes
64890 appears as a Column 2 code in 13 active edits. Reported with one of these Column 1 codes on the same date of service, 64890 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
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 |
64892 | Nrv grf 1strnd arm/leg <4cm | 1 | Check pair |
64895 | Nrv grf mltst hnd/foot <4 cm | 1 | Check pair |
64896 | Nrv grf mltst hnd/foot >4 cm | 1 | Check pair |
64897 | Nrv grf mltst arm/leg <4 cm | 1 | Check pair |
64898 | Nrv grf mltst arm/leg >4 cm | 1 | Check pair |
64905 | Nerve pedicle transfer | 1 | Check pair |
64912 | Nrv rpr w/nrv algrft 1st | 1 | Check pair |
64913 | Nrv rpr w/nrv algrft ea addl | 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.