2025 CPT code 64726
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Nervous System Surgery Feed
Decompression of the plantar digital nerve.
Modifiers may be applied as clinically indicated (e.g., 51 for multiple procedures, 59 for distinct procedural services, location modifiers).Consult the CPT manual for appropriate modifier use.
Medical necessity is established when a patient experiences clinically significant symptoms (pain, numbness, paresthesia) due to compression of a plantar digital nerve that are not responding to conservative management.The procedure is considered medically necessary to improve nerve function and alleviate patient symptoms.
The surgeon is responsible for prepping the patient, making the incision, exposing and dissecting the constricting ligament, ensuring nerve decompression, and closing the incision.
In simple words: The doctor surgically releases pressure on a nerve in your foot that runs between your toes. This is done by making a small cut to expose the nerve and carefully freeing it from tight tissues causing the pressure. The cut is then stitched closed.
This procedure involves the surgical decompression of a plantar digital nerve, freeing it from constricting ligaments or scar tissue.The surgeon makes an incision, either dorsally or on the sole of the foot near the affected web space between toes. Subcutaneous tissues are incised to expose the compressed nerve.The constricting ligament is dissected to create space around the nerve, relieving the compression. The incision is then closed with sutures.
Example 1: A patient presents with Morton's neuroma in the second and third toes, causing pain and numbness.A plantar digital nerve decompression is performed to alleviate the symptoms., A patient experiences persistent pain and tingling in the fourth toe due to scar tissue compressing the plantar digital nerve following a previous injury.Neuroplasty is performed to decompress the nerve and improve function., During bunion surgery, the surgeon notes compression of the medial plantar nerve.A neurolysis is performed to free the nerve from the surrounding tissues to prevent ongoing nerve damage or dysfunction.
* Preoperative diagnosis clearly indicating nerve compression.* Detailed operative report outlining the surgical technique, including the location and extent of the decompression.* Postoperative notes documenting the patient's recovery and any complications.* Imaging studies (if performed) supporting the diagnosis.
** This code describes the decompression of a plantar digital nerve.Additional codes may be necessary to describe associated procedures (e.g., nerve repair, nerve grafting).
- Revenue Code: P5E (AMBULATORY PROCEDURES - OTHER)
- Payment Status: Active
- Modifier TC rule: A technical component (TC) modifier is not applicable to this code.
- Specialties:Podiatric Surgery, Neurosurgery
- Place of Service:Office, Ambulatory Surgical Center, Inpatient Hospital