Surgery: Nervous System (Q&A) (December 2013)

December 2013 page 14a Surgery: Nervous System 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. Code 64721 does not include nerve wrapping. If nerve wrapping is performed, it would be separately reported with code 64999 , Unlisted procedure, nervous system. Question: The "Impression" documented on the procedure report was: Fluoroscopy guided lumbar puncture with intrathecal catheter placement. Under fluoroscopic guidance, a spinal needle was advanced into the lumbar subarachnoid space at the L3-L4 level. An intraspinal catheter was threaded through the needle...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews two coding questions from the nervous system surgery section of CPT Assistant. It discusses how the source treats a carpal tunnel nerve procedure with additional nerve wrapping work, and it also covers fluoroscopy-guided lumbar puncture with intrathecal catheter placement and related imaging guidance reporting. The content is aimed at coding professionals who need to understand the scope of the guidance and the code sets involved.

Why This Topic Matters

Nervous system procedures often involve closely related services that may be reported together or separately. This article helps readers identify the coding topics discussed in a specific monthly Q&A format and understand which CPT-related issues are addressed without relying on the full premium text.

Article Sections

  1. December 2013 page 14a

    A brief Q&A section covering nervous system surgery coding topics from a December 2013 CPT Assistant page. It focuses on procedural reporting questions involving surgical and imaging-related services.

What You Will Learn

  • How the article frames a nerve surgery coding question from a December 2013 Q&A format.
  • What general types of nervous system procedure reporting issues are discussed.
  • How the article addresses a fluoroscopy-guided spinal access scenario in relation to CPT guidance.
  • Which code sets and related identifiers are explicitly mentioned in the article.

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing specialists
  • Physician documentation staff
  • Compliance teams

Codes Discussed


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