2025 CPT code 64716
(Active) Effective Date: N/A Revision Date: N/A Surgical Procedures on the Nervous System - Neuroplasty Procedures Surgery Feed
Neuroplasty and/or transposition of a cranial nerve; specify the nerve.
Modifiers may be applicable depending on the circumstances of the procedure (e.g., 51 for multiple procedures, 59 for distinct procedural service, etc.).Consult the CPT manual and local payer guidelines.
Medical necessity for this procedure is established by evidence of cranial nerve compression causing symptoms such as pain, weakness, numbness, or sensory deficits. Pre-operative imaging studies should demonstrate the compression. Conservative treatment options should be considered and documented before proceeding with surgery.
The neurosurgeon or qualified physician is responsible for the pre-operative assessment, surgical procedure (including incision, nerve release, transposition if indicated, and closure), and post-operative care.
In simple words: This surgery fixes a problem with a cranial nerve (a nerve in the head). The doctor will either repair the nerve or move it to a less restricted location to relieve pressure. The specific nerve treated needs to be clearly stated.
This code reports a surgical procedure involving neuroplasty (repair of a nerve) and/or transposition (moving a nerve to a new location) of a specified cranial nerve.The procedure aims to relieve pressure on the nerve, often caused by scar tissue or other compressing structures.The surgeon makes an incision to access the nerve, releases it from the compressing tissue, and may reposition it for optimal function. The specific cranial nerve involved must be documented.
Example 1: A patient presents with trigeminal neuralgia due to compression of the trigeminal nerve by scar tissue from a previous surgery.The surgeon performs a neuroplasty of the trigeminal nerve (CN V) to relieve compression., A patient experiences facial nerve palsy due to compression of the facial nerve (CN VII) by a bone spur.The surgeon performs a neuroplasty and transposition of the facial nerve to restore function., A patient suffers from hearing loss secondary to compression of the vestibulocochlear nerve (CN VIII) by a tumor.The surgeon performs a neuroplasty of the vestibulocochlear nerve to improve nerve conduction and potentially alleviate hearing loss (Note: This may require additional codes depending on the specifics of the procedure).
Detailed operative notes specifying the cranial nerve involved, the type of procedure (neuroplasty, transposition, or both), the findings during surgery, and the post-operative course.Pre-operative imaging studies (such as MRI or CT scans) demonstrating nerve compression.Consent form for the surgical procedure.Post-operative neurological examination.
** This code requires precise documentation of the cranial nerve treated to ensure accurate coding.Any additional procedures performed during the same surgical session should be coded separately with appropriate modifiers.
- Revenue Code: P5E (Ambulatory Procedures - Other)
- RVU: Refer to the current Medicare Physician Fee Schedule for RVU values.These values can vary based on geographic location and other factors.
- Global Days: The global period for this procedure is dependent on the complexity of the case and the surgeon’s individual practice guidelines.Documentation is crucial for reimbursement.
- Payment Status: Active
- Modifier TC rule: This code doesn't have a specific TC modifier. The entire service is reported using code 64716.
- Fee Schedule: Historical fee schedule data is available through various sources such as CMS and private payers.This data is subject to change and should be checked annually.
- Specialties:Neurosurgery, Otolaryngology, Ophthalmology
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center, Office