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The procedure described by CPT® Code 64783 pertains to the excision of a neuroma located in the hand or foot, specifically addressing each additional nerve involved, excluding those in the same digit. A neuroma is a benign growth that can develop on nerves, often resulting in pain and discomfort. The surgical process begins with making a skin incision directly over the neuroma's location. Once the incision is made, the surgeon carefully exposes the neuroma, ensuring to dissect it free from the surrounding tissue to minimize damage to adjacent structures. After the neuroma is fully excised, the incision is then closed, completing the procedure. It is important to note that this code is used in conjunction with CPT® Code 64782, which is designated for the excision of a neuroma affecting a single nerve other than the digital nerve in the hand or foot. Therefore, CPT® Code 64783 is specifically utilized for cases where multiple nerves are involved, allowing for accurate coding and billing of the additional procedures performed during the surgical intervention.
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The excision of a neuroma in the hand or foot, as described by CPT® Code 64783, is indicated for patients experiencing pain or discomfort due to the presence of a neuroma on multiple nerves. The following conditions may warrant this procedure:
The procedure for excising a neuroma, as outlined by CPT® Code 64783, involves several critical steps to ensure successful removal and patient safety. The following procedural steps are performed:
Following the excision of a neuroma, patients may require specific post-procedure care to ensure proper healing and recovery. It is common for patients to experience some swelling and discomfort at the surgical site, which can be managed with prescribed pain relief medications. Patients are typically advised to keep the area clean and dry, and to follow any specific instructions regarding wound care. Follow-up appointments may be scheduled to monitor the healing process and to address any concerns that may arise. Additionally, patients should be informed about signs of infection or complications that would necessitate immediate medical attention.
| Short Descr | LIMB NERVE SURGERY ADD-ON | Medium Descr | EXC NEUROMA HAND/FOOT EA NRV XCP SM DGT | Long Descr | Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure) | Status Code | Active Code | Global Days | ZZZ - Code Related to Another Service | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Items and Services Packaged into APC Rates | ASC Payment Indicator | Packaged service/item; no separate payment made. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P5E - Ambulatory procedures - other | MUE | 2 | CCS Clinical Classification | 9 - Other OR therapeutic nervous system procedures |
This is an add-on code that must be used in conjunction with one of these primary codes.
| 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | GC | This service has been performed in part by a resident under the direction of a teaching physician | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) | SG | Ambulatory surgical center (asc) facility service | T2 | Left foot, third digit | XP | Separate practitioner, a service that is distinct because it was performed by a different practitioner | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
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| Pre-1990 | Added | Code added. |
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