Surgery: Nervous System (Q&A) (August 2015)

August 2015 page 8bb Surgery: Nervous System Question: What is the appropriate code to report for hand digital nerve repair/reconstruction with 2-cm nerve allograft? A nerve graft is used but not harvested. Answer: The correct code to report is 64999, Unlisted procedure, nervous system. Code 64890, Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length, would not be appropriate to report as this code refers to a nerve autograft and not a commercially available allograft. In addition, code 64890 includes harvesting the nerve graft, which is significantly more work than using a commercial...

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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 explains a nervous system surgery coding question from CPT Assistant and focuses on reporting for a hand digital nerve repair or reconstruction scenario involving a graft that was not harvested. It is relevant to coders, auditors, and billing staff who work with CPT nervous system procedures and unlisted procedure reporting. The discussion also touches on documentation expectations when an unlisted code is used.

Why This Topic Matters

It helps readers understand how a specific surgical coding scenario is discussed in a professional coding reference and highlights the type of documentation commonly associated with unlisted procedure reporting.

What You Will Learn

  • The general coding context for a hand digital nerve repair or reconstruction scenario.
  • How the article frames the use of an unlisted nervous system procedure code.
  • What kinds of supporting documentation may be associated with unlisted procedure reporting.
  • The article’s discussion of related CPT nervous system codes and graft-related terminology.

Who Should Read This

  • Medical coders
  • Billing staff
  • Coding auditors
  • Compliance professionals
  • Orthopedic or hand surgery coding specialists
  • Neurosurgery coding specialists

Codes Discussed


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