2025 CPT code 64834

Suture of a single common sensory nerve in the hand or foot.

Follow all applicable CPT coding guidelines, particularly those for nerve repair procedures. Always refer to the most up-to-date CPT manual for accurate coding and billing information.

Modifiers may be applicable depending on the circumstances of the procedure.For example, modifier 51 (multiple procedures) might be used if other procedures were performed during the same operative session.Modifiers 22 (increased procedural service), 52 (reduced services), and others could be relevant based on specific clinical details. Consult the current CPT manual and payer-specific guidelines for modifier usage.

Medical necessity is established by demonstrating a significant sensory deficit that impacts the patient's function and quality of life. The repair should be justified by the severity of the nerve injury and expected improvement in sensory function. Documentation should support the diagnosis of nerve injury and the need for surgical intervention.

The surgeon's responsibilities include patient preparation and anesthesia, surgical access to the nerve, nerve identification and mobilization, wound debridement, nerve trimming and suturing, and wound closure.The use of microsurgical techniques (code +69990) should be documented and appropriately billed if applicable.

IMPORTANT For intracranial cranial nerve surgeries, consider codes 61450, 61460, and 61790.Additional nerve repairs in the hand or foot are reported using add-on code +64837 in conjunction with 64834-64836. Codes 64831, 64835, and 64836 address other types of nerve repairs in the hand or foot.

In simple words: The doctor repairs a damaged sensory nerve in your hand or foot. This fixes a nerve that's been cut or injured, restoring feeling to that area.

This CPT code, 64834, reports the surgical repair of a single common sensory nerve located in the hand or foot.The procedure involves accessing the injured nerve, often through an existing wound or a new incision.The surgeon meticulously identifies, mobilizes, and prepares the nerve ends for repair. Damaged tissue is debrided, and the healthy nerve ends are precisely trimmed and sutured together under magnification, taking care to avoid tension. The incision or wound is then closed. This code is used when only one common sensory nerve requires repair.

Example 1: A patient sustains a laceration to their hand resulting in a severed digital sensory nerve.The surgeon repairs the nerve using microsurgical techniques with an operating microscope., During a foot surgery to correct a deformity, a sensory nerve is inadvertently damaged. The surgeon immediately repairs the nerve using standard techniques., A patient presents with chronic pain and numbness in the hand after a previous injury. An examination reveals a partial severance of a common sensory nerve, and the surgeon performs a repair.

Detailed operative report including specific nerve repaired (common sensory nerve in hand or foot), techniques used (microsurgery if applicable), number of nerves repaired, and any additional procedures.Preoperative and postoperative assessments of sensory function are necessary to establish medical necessity.Imaging studies (e.g., ultrasound, MRI) might be helpful in complex cases.

** The use of an operating microscope should be documented if used during the procedure, as this may affect reimbursement. The number of sutures is not a factor in determining the appropriate code selection.Accurate documentation, including preoperative and postoperative assessments and imaging studies as needed, is crucial for accurate billing and reimbursement.

  • Revenue Code: P5E (AMBULATORY PROCEDURES - OTHER)
  • RVU: This information is not available in the provided source.Consult the current CPT codebook or other relevant payer resources for RVU data.
  • Global Days : This information is not provided and varies by payer and local policies. Consult relevant guidelines for the specific global surgical period applicable to this procedure.
  • Payment Status: Active
  • Modifier TC rule: The application of a Technical Component (TC) modifier depends on the payer and billing context.Clarification with the specific payer is recommended.
  • Fee Schedule : This information is not available in the provided source data. Consult historical fee schedules from relevant payers for specific fee data.
  • Specialties:Neurosurgery, Orthopedic Surgery, Plastic Surgery, Hand Surgery
  • Place of Service:Office, Ambulatory Surgical Center, Inpatient Hospital, Outpatient Hospital
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