© Copyright 2025 American Medical Association. All rights reserved.
The CPT® Code 64787 refers to the procedure of implanting a nerve end into either bone or muscle, which is performed as a separate procedure following the excision of a neuroma. A neuroma is a benign growth that occurs when nerve tissue is damaged, often leading to pain and discomfort. The implantation of the nerve end serves a dual purpose: it inhibits the formation of scar tissue, which can complicate recovery and lead to further nerve damage, and it protects the nerve end from recurrent trauma, a significant factor in the development of new neuromas. This procedure is critical in ensuring that the nerve has a better chance of healing and functioning properly after the excision. The process involves careful dissection of the nerve to free it from surrounding tissues, allowing for its relocation into nearby muscle or bone, thereby facilitating a more favorable healing environment for the nerve. This procedure is distinct and must be reported separately from the neuroma excision, highlighting its importance in the overall management of nerve injuries and conditions related to neuromas.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure described by CPT® Code 64787 is indicated for patients who have undergone excision of a neuroma. The following conditions may warrant this procedure:
The procedure for CPT® Code 64787 involves several critical steps to ensure the successful implantation of the nerve end into bone or muscle:
After the implantation procedure, patients may require specific post-operative care to ensure optimal recovery. This may include monitoring for signs of infection at the surgical site, managing pain with appropriate medications, and following up with physical therapy to promote healing and restore function. Patients should be advised on activity restrictions to prevent undue stress on the implanted nerve end, and regular follow-up appointments may be necessary to assess the healing process and the effectiveness of the nerve implantation.
| Short Descr | IMPLANT NERVE END | Medium Descr | IMPLANTATION NERVE END BONE/MUSCLE | Long Descr | Implantation of nerve end into bone or muscle (List separately in addition to neuroma excision) | 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) | 0 - 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 | 4 | 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.
| 64774 | MPFS Status: Active Code APC J1 ASC A2 Illustration for Code Excision of neuroma; cutaneous nerve, surgically identifiable | 64776 | MPFS Status: Active Code APC J1 ASC A2 Illustration for Code Excision of neuroma; digital nerve, 1 or both, same digit | 64778 | Addon Code MPFS Status: Active Code APC N ASC N1 Illustration for Code Excision of neuroma; digital nerve, each additional digit (List separately in addition to code for primary procedure) | 64782 | MPFS Status: Active Code APC J1 ASC A2 Illustration for Code Excision of neuroma; hand or foot, except digital nerve | 64783 | Addon Code MPFS Status: Active Code APC N ASC N1 Illustration for Code Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure) | 64784 | MPFS Status: Active Code APC J1 ASC A2 Illustration for Code Excision of neuroma; major peripheral nerve, except sciatic | 64786 | MPFS Status: Active Code APC J1 ASC A2 Illustration for Code Excision of neuroma; sciatic nerve |
| RT | Right side (used to identify procedures performed on the right side of the body) | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 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. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | 82 | Assistant surgeon (when qualified resident surgeon not available): the unavailability of a qualified resident surgeon is a prerequisite for use of modifier 82 appended to the usual procedure code number(s). | AQ | Physician providing a service in an unlisted health professional shortage area (hpsa) | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | CR | Catastrophe/disaster related | F1 | Left hand, second digit | F2 | Left hand, third digit | F4 | Left hand, fifth digit | F5 | Right hand, thumb | F7 | Right hand, third digit | FA | Left hand, thumb | GA | Waiver of liability statement issued as required by payer policy, individual case | GC | This service has been performed in part by a resident under the direction of a teaching physician | KX | Requirements specified in the medical policy have been met | LT | Left side (used to identify procedures performed on the left side of the body) | SG | Ambulatory surgical center (asc) facility service | T1 | Left foot, second digit | T2 | Left foot, third digit | T3 | Left foot, fourth digit | T6 | Right foot, second digit | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
|
Date
|
Action
|
Notes
|
|---|---|---|
| Pre-1990 | Added | Code added. |
Get instant expert-level medical coding assistance.