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The procedure described by CPT® Code 64832 involves the surgical suture of a digital nerve in the hand or foot, specifically addressing each additional digital nerve beyond the primary one. This procedure is typically indicated when a digital nerve has been severed, necessitating repair to restore function and sensation. The repair process, often referred to as end-to-end closure, can be performed using various surgical techniques, with epineural closure being the most common method employed. During this procedure, the two ends of the transected nerve are carefully exposed, allowing for direct access to the nerve fibers. Surgeons place multiple sutures in the epineurium, which is the outermost layer of the nerve, ensuring that the nerve ends are brought together without tension. This meticulous approach is crucial for promoting optimal healing and recovery of nerve function. It is important to note that CPT® Code 64832 should be used in conjunction with CPT® Code 64831, which is designated for the suture repair of a single digital nerve in the hand or foot, thereby allowing for accurate coding and billing of multiple nerve repairs performed during the same surgical session.
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The procedure coded by CPT® 64832 is indicated for the repair of additional severed digital nerves in the hand or foot. This procedure is typically performed when there is a need to restore nerve function and sensation following trauma or injury that has resulted in the transection of multiple digital nerves. The specific indications for this procedure include:
The procedure for suturing additional digital nerves, as described by CPT® 64832, involves several critical steps to ensure effective repair. The following procedural steps outline the process:
Following the procedure coded by CPT® 64832, patients typically require specific post-operative care to ensure proper healing and recovery. This may include monitoring for signs of infection, managing pain, and following up with physical therapy to regain function in the affected digit. Patients are often advised to keep the surgical site clean and dry, and to follow any specific instructions provided by the surgeon regarding activity restrictions. The expected recovery time can vary depending on the extent of the nerve injury and the individual patient's healing process. Regular follow-up appointments may be necessary to assess the healing of the nerve and the restoration of function.
| Short Descr | REPAIR NERVE ADD-ON | Medium Descr | SUTR DIGITAL NRV HAND/FOOT EA DGTAL NRV | Long Descr | Suture of digital nerve, hand or foot; each additional digital nerve (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) | 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 | 3 | 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.
| 64831 | MPFS Status: Active Code APC J1 ASC A2 CPT Assistant Article Illustration for Code Suture of digital nerve, hand or foot; 1 nerve | 64872 | Addon Code MPFS Status: Active Code APC N ASC N1 Illustration for Code Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy) | 64874 | Addon Code MPFS Status: Active Code APC N ASC N1 Illustration for Code Suture of nerve; requiring extensive mobilization, or transposition of nerve (List separately in addition to code for nerve suture) | 64876 | Addon Code MPFS Status: Active Code APC N ASC N1 CPT Assistant Article Illustration for Code Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture) |
| F1 | Left hand, second digit | F2 | Left hand, third digit | 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. | 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.) | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | CR | Catastrophe/disaster related | F3 | Left hand, fourth digit | F4 | Left hand, fifth digit | F5 | Right hand, thumb | F6 | Right hand, second digit | F7 | Right hand, third digit | F8 | Right hand, fourth digit | F9 | Right hand, fifth digit | FA | Left hand, thumb | 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 | 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 |
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| Pre-1990 | Added | Code added. |
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