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The procedure described by CPT® Code 64895 involves the surgical repair of a nerve in the hand or foot using a multiple strand nerve graft. This technique is employed to facilitate a tension-free repair of an injured nerve, which is crucial for restoring proper nerve function. During the procedure, the surgeon first exposes the injured nerve and assesses the extent of the damage. If necessary, any damaged tissue is carefully removed through a process known as debridement. To evaluate the function of the nerve, additional nerve testing and monitoring may be performed, which are reported separately. The procedure also involves the use of microscopic visualization to enhance the precision of the surgery. The healthy segments of the nerve, both proximal and distal to the injury, are meticulously dissected from the surrounding tissue to prepare for the graft. The length of the required nerve graft is then determined, and the graft is harvested from a donor site. This involves exposing the donor nerve and carefully dissecting the desired length, which is then divided into multiple strands. These strands are sutured end-to-end to the severed ends of the injured nerve, ensuring a secure connection. Finally, the overlying soft tissues and skin are repaired in layers to complete the procedure. This code is specifically used when the length of the multiple strand nerve graft is 4 cm or less, while a different code (CPT® Code 64896) is used for grafts exceeding this length.
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The procedure associated with CPT® Code 64895 is indicated for the repair of nerve injuries in the hand or foot. The following conditions may warrant the use of this procedure:
The procedure for CPT® Code 64895 involves several critical steps to ensure effective nerve repair:
Post-procedure care following the nerve grafting involves monitoring the surgical site for signs of infection and ensuring proper healing. Patients may be advised to limit movement in the affected area to promote recovery. Follow-up appointments are essential to assess nerve function and healing progress. Rehabilitation may be necessary to restore full function and strength to the hand or foot, and this may include physical therapy tailored to the patient's specific needs. The expected recovery time can vary based on the extent of the injury and the individual’s overall health.
| Short Descr | NRV GRF MLTST HND/FOOT <4 CM | Medium Descr | NERVE GRAFT MLT STRANDS HAND/FOOT <4 CM | Long Descr | Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard 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) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | 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 a primary code that can be used with these additional add-on codes.
| 0882T | New Code for 2024 Add on code MPFS Status: Carrier Priced APC N ASC N1 Intraoperative therapeutic electrical stimulation of peripheral nerve to promote nerve regeneration, including lead placement and removal, upper extremity, minimum of 10 minutes; initial nerve (List separately in addition to code for primary procedure) | 64902 | Addon Code MPFS Status: Active Code APC N ASC N1 CPT Assistant Article Illustration for Code Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure) |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 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.) | 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) |
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| 2024-01-01 | Changed | Short and Medium Descriptions changed. |
| 2013-01-01 | Changed | Description Changed |
| 2011-01-01 | Changed | Short description changed. |
| Pre-1990 | Added | Code added. |
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