2025 CPT code 64902
(Active) Effective Date: N/A Revision Date: N/A Surgery - Nerve Graft Procedures Surgical Procedures on the Nervous System Feed
Additional nerve graft; multiple strands (cable).Report in addition to the primary procedure code.
Modifiers may be applicable in certain circumstances (e.g., 51 for multiple procedures or 59 for distinct procedural service). Check payer-specific guidelines. Modifiers are generally not needed with add-on codes.
The medical necessity for additional nerve grafts (64902) is established by the presence of multiple nerve injuries requiring repair in the same surgical session, as documented in the medical record. The extent of the damage and the functional deficits must be clearly documented to support the medical necessity of the procedure.
The surgeon is responsible for harvesting the nerve graft, repairing the damaged nerve(s) using microsurgical techniques, and closing the incisions.Anesthesiologist and surgical assistance may also be involved.
- Surgical Procedures on the Nervous System
- Surgical Procedures on the Nervous System > Nerve Graft Procedures
In simple words: This code represents the extra cost for repairing additional nerves during the same surgery.The doctor uses a piece of a healthy nerve from another part of the body to repair damaged nerves. This is an extra charge added to the main surgery bill.
This CPT code, 64902, reports each additional multiple strand nerve graft used to repair a subsequent nerve in the same session as an initial nerve repair. The procedure involves harvesting a portion of an unrelated nerve (usually sensory), creating a graft, and using microsurgical techniques to repair the damaged nerve by rejoining individual nerve bundles. This code is an add-on code and should be reported in addition to the primary procedure code (e.g., 64885, 64886, 64895-64898).
Example 1: A patient presents with injuries to the median and ulnar nerves in their right arm following a motorcycle accident. The surgeon performs a neurorrhaphy with nerve graft on the median nerve (primary procedure), followed by a neurorrhaphy with an additional nerve graft on the ulnar nerve (64902). , During a carpal tunnel release, the surgeon encounters unexpected nerve damage requiring a nerve repair with an additional nerve graft.64902 is added to the initial carpal tunnel release codes., A patient sustains multiple nerve injuries in the lower extremity due to a work-related accident. The surgeon repairs the major nerve injury using a primary nerve graft procedure and utilizes additional nerve grafts (64902) for smaller nerve branches to ensure comprehensive repair.
* Operative report detailing the procedures performed, including the specific nerves repaired.* Description of the nerve graft source and technique.* Microscopic images showing repair of the nerve bundles (if applicable).* Preoperative and postoperative nerve studies (e.g., EMG, NCS) demonstrating the extent of nerve damage and functional recovery.* Documentation supporting the medical necessity for the procedures.
** Always refer to the most current CPT manual and payer-specific guidelines for accurate coding and reimbursement.
- Revenue Code: P5E (AMBULATORY PROCEDURES - OTHER)
- RVU: Information not available in provided source.RVUs vary by payer and location.
- Global Days: Global period information not available in provided source.Refer to payer-specific guidelines.
- Payment Status: Active
- Modifier TC rule: A technical component (TC) modifier is not applicable to this add-on code.
- Fee Schedule: Information not available in the provided source.
- Specialties:Neurosurgery, Plastic Surgery, Orthopedic Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center