2025 CPT code 64895
(Active) Effective Date: N/A Surgery - Surgical Procedures on the Nervous System Feed
Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length
Modifiers may be applicable to further specify the circumstances of the procedure.Commonly used modifiers include 51 (Multiple Procedures) if performed with other procedures, or 59 (Distinct Procedural Service) under specific scenarios where the same surgeon performs distinct services on the same day.
Medical necessity for nerve grafting must be established by documenting the functional deficits caused by the nerve injury, and how the procedure is expected to improve the patient's condition.
The surgeon performs the entire procedure, including harvesting the nerve graft, preparing it, and implanting it to repair the damaged nerve. The sural nerve, superficial radial sensory nerve, or medial antebrachial cutaneous nerve are common donor sites.
In simple words: A damaged nerve in your hand or foot is repaired using a piece of healthy nerve tissue from another part of your body, usually your leg. The healthy nerve tissue is like a cable made of several strands and is used to connect the ends of the damaged nerve so it can heal.
This procedure involves the repair of a damaged nerve in the hand or foot using a multiple-strand nerve graft (cable graft) up to 4 cm in length. The surgeon harvests a sensory nerve graft, commonly the sural nerve from the leg, prepares it into a cable-like structure, and uses it to bridge the gap in the damaged nerve. The procedure includes obtaining the graft.
Example 1: A patient sustained a deep laceration to the hand, severing a nerve and resulting in loss of sensation and function. A multiple-strand nerve graft (cable graft) measuring 3 cm was used to repair the damaged nerve., A patient with a non-healing foot ulcer and nerve damage requires a nerve graft to improve sensation and promote healing. A 2.5 cm multiple-strand nerve graft is harvested and implanted., A patient injured their foot in a motorcycle accident, causing nerve damage. Surgical repair involves a multiple-strand nerve graft, up to 4cm in length, to restore function.
Documentation should include details of the nerve injury, the location and length of the nerve graft, the donor site, and the surgical technique used.
- Revenue Code: P5E - AMBULATORY PROCEDURES - OTHER
- Payment Status: Active
- Specialties:Plastic Surgery, Orthopedic Surgery, Neurosurgery, Hand Surgery
- Place of Service:Ambulatory Surgical Center, Hospital (Inpatient or Outpatient), Physician's Office