Cpt code for neurolysis of digital nerve finger. He showed me a small laceration that occurred.
Cpt code for neurolysis of digital nerve finger. In this procedure, the provider uses an open approach to incise scar tissue or other sources of pressure to relieve tension on one or both digital nerves in a single finger or toe. Both the neuroplasty and internal neurolysis are documented, and CPT 64727 is reported in addition to the primary neuroplasty code. Right index finger radial digital nerve Comprehensive list of CPT codes for nerve procedures and related medical coding information. Below is a list summarizing the CPT codes for neuroplasty (exploration, neurolysis, or nerve decompression) procedures on the extracranial, peripheral, and autonomic nervous systems. This Guide is not intended to be a complete listing of available coding options. The description of the codes sound straight forward but this op note is making me second guess myself as to what the correct code is. Neurolysis is used to release scar tissue Links to CPT 64831 The codes in this Guide are representative of common neuroplasty and tendon repair procedures. As in Sarah’s case, this code encompasses the “neuroplasty; digital, 1 or both, same digit”, and applies to any finger in this case, John’s ring finger. Jul 2, 2022 · Following surgery to address the nerve compression, John’s doctor would use CPT code 64702. The Current Procedural Terminology (CPT ®) code 64704 as maintained by American Medical Association, is a medical procedural code under the range - Neuroplasty (Exploration, Neurolysis or Nerve Decompression) Procedures on the Extracranial Nerves, Peripheral Nerves, and Autonomic Nervous System. Common Mistake Jul 2, 2022 · Doctor: “It will be an “open” surgery where we will make an incision to address the pressure on the nerve. He showed me a small laceration that occurred. This procedure aims to relieve pressure on the nerve. CPT Code 64708 CPT 64708 describes Coding & Hand Surgery Devaluation of Hand Surgery codes within O rth opaedi c Surgery Complex variety of upper extremity procedures Variability in interpretation of procedures Case Examples Nerve Procedures CPT Codes 64832 Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure) (Use 64832 in conjunction with code 64831) Jul 27, 2020 · Hey my coding family! I need some help with the difference between CPT 64831 and 64834. CPT code 64702 is used when a provider performs an open neuroplasty procedure on the digital nerves of a finger or toe. ” For this procedure, Susan’s doctor will report using CPT code 64702, which again, is applicable to “neuroplasty; digital, 1 or both, same digit”, as her surgery concerns a single toe, in this case, her big toe. Period. Mar 15, 2012 · Question: Does code 64721, Neuroplasty and/or transposition; median nerve at carpal tunnel, include the work of wrapping the median nerve with a nerve conduit? Answer: No. If the doctor did a release and transposition of a digital nerve (IDCN), then the coding would be CPT 64702 (neuroplasty; digital, one or both, same Oct 3, 2025 · AHA Coding Clinic ® for HCPCS - 2015 Issue 3; ASK THE EDITOR Complete neurolysis Complete neurolysis of the nerve was carried out from the flexor carpi ulnaris (FCU) fascia, through the previous transposition zone to the triceps. Exploration and primary nerve repair are indicated for complete lacerations and transections. The Current Procedural Terminology (CPT ®) code 64727 as maintained by American Medical Association, is a medical procedural code under the range - Neuroplasty (Exploration, Neurolysis or Nerve Decompression) Procedures on the Extracranial Nerves, Peripheral Nerves, and Autonomic Nervous System. Neuroplasty (Exploration, Neurolysis or Nerve Decompression) Neuroplasty is the surgical decompression or freeing of intact nerve from scar tissue, including external neurolysis and/or transposition to repair or restore the nerve. CPT is trademark of the American Medical Association. Clinical Scenario A surgeon performs neuroplasty on a patient with ulnar nerve entrapment and utilizes an operating microscope for internal neurolysis of the nerve. CMS has Aug 19, 2024 · The Current Procedural Terminology (CPT) code range for Neuroplasty (Exploration, Neurolysis or Nerve Decompression) Procedures on the Extracranial Nerves, Peripheral Nerves, and Autonomic Nervous System 64702-64727 is a medical code set maintained by the American Medical Association. Other neuroplasty and tendon repair procedures and applicable codes may apply. Oct 30, 2020 · 2. Coding and Reimbursement Guide for Integra® NeuraWrapTM Nerve Protector - For Use In Neuroplasty and/or Nerve Wrapping Procedures – 2019 Effective October 1, 2015, the Centers for Medicare & Medicaid Services (CMS) is implementing International Classification of Diseases, 10th Revision (ICD-10) Procedure Coding System (PCS) in place of the 9th Revision (ICD-9) procedure codes. CPT Code 64704 CPT 64704 describes neuroplasty of a nerve of the hand or foot. ANESTHESIA: Bier block. CPT Code 64702 CPT 64702 describes the neuroplasty of one or both digital nerves of the same digit. If nerve wrapping is performed, it would be separately reported with code 64999, Unlisted procedure, nervous system. Neuroplasty: A surgical procedure designed to repair or relieve pressure on a nerve, often involving the removal of obstructions that hinder nerve function. INDICATION: Patient is a 29-year-old male, who suffered an injury to his left index finger with a hammer. It is essential to report this code when the procedure is the primary intervention for nerve repair. The previous anastomosis site was taken down; the previous neural tube graft was resected, and a new cadaveric graft (Avance human nerve tissue allograft) was Digital nerve lesions in the handPreoperative splinting is used to immobilize the injured digit to prevent further nerve retraction and promote healing. This code is applicable when the provider has determined that the patient’s symptoms are due to external compression of the nerve and that surgical intervention is warranted. . Sep 15, 2011 · Can you get paid for a neurolysis of the digital nerve when done in conjunction with 26116, excision tumor finger? Nikki Mitchell, Office of Andrew Lowy, DPM, Phoenix, AZ Response: Neuroplasty is the decompression or freeing of intact nerve from scar tissue, including external neurolysis and/or transposition. This surgical technique is employed when a patient experiences nerve compression, often resulting in pain, numbness, or weakness in the affected digit. CPT 64727 refers to internal neurolysis, a specialized surgical procedure that involves the excision of scar tissue from within and between nerve fibers using an operating microscope. This technique is crucial in the context of nerve repair, particularly when addressing nerve compression injuries. External neurolysis: A surgical technique that involves removing surrounding scar tissue from a nerve without entering the nerve itself. He was very tender over the area where the hammer hit him and my working diagnosis was an extensor CPT code 64831 is used when a provider performs a suture of a single digital nerve in the hand or foot. External neurolysis, dorsal sensory nerve, left index finger. Dec 16, 2010 · 64702, 64704, perhaps? (With either F3 or F8 modifier, depending on RT or LT hand) That's a guess on my partthere's a good chance I'm wrong. PREOPERATIVE DIAGNOSES: 1. Associated fractures and dislocations should be addressed before the management of the nerve lesion. By meticulously removing scar tissue, the procedure aims to enhance nerve regeneration and CPT code 64776 represents a surgical procedure focused on the excision of a neuroma from a digital nerve in either a finger or a toe. 7. Neuromas are benign tumors that arise from nerve tissue, often resulting from nerve injury or irritation. CPT code 64702 represents a neuroplasty procedure specifically targeting the digital nerves of one or both fingers or toes. Click to Finger Nerve Injuries Codes The Current Procedural Terminology (CPT ®) code 64708 as maintained by American Medical Association, is a medical procedural code under the range - Neuroplasty (Exploration, Neurolysis or Nerve Decompression) Procedures on the Extracranial Nerves, Peripheral Nerves, and Autonomic Nervous System. Code 64721 does not include nerve wrapping. eh5mk5gs5lgcowic9pludmnjfoqitri9gjauwwmeuuy