CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 64859 RVU and Medicare Payment (2026)
Nerve surgery — 4.14 work RVU, about $212.1 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 4.14
- PE RVU (non-facility)
- 1.32
- PE RVU (facility)
- 1.32
- MP RVU
- 0.89
- Office payment
- $212.1
- Facility payment
- $212.1
How the payment is calculated
Total RVU is work plus practice expense plus malpractice, each adjusted by its GPCI factor, then multiplied by the conversion factor. For 64859 in a non-facility setting with national GPCI: (4.14 + 1.32 + 0.89) × $33.4009 ≈ $212.1. The same code in a facility setting pays about $212.1 because facility PE RVU (1.32) replaces office PE RVU.
What changes by locality
GPCI moves 64859 non-facility payment from $189.67 to $270.75 across CMS localities — from Wisconsin to Alaska. Check your exact locality in the GPCI calculator rather than using a state average.
Related codes
Checking a different code or locality? Open the full RVU calculator to run any of the 7,790 CPT/HCPCS codes with your own GPCI factors.
Frequently asked questions
What is the 2026 work RVU for CPT 64859?
4.14. Work RVU measures physician time, skill, and intensity — it does not change by setting or locality. Total payment adds practice expense and malpractice RVUs plus the conversion factor.
How much does Medicare pay for CPT 64859 in 2026?
About $212.1 non-facility ($212.1 facility) at national GPCI with the 2026 $33.4009 conversion factor. Your locality GPCI moves the number — see the range above.
Does the work RVU change between office and facility?
No. Work RVU (4.14) and malpractice RVU stay fixed; only practice expense changes (1.32 office vs 1.32 facility). That is the entire office-vs-facility payment gap.