2025 CPT code 64856
Effective Date: N/A Surgery of the Nervous System - Peripheral Nerves Surgery Feed
Repair of a major peripheral nerve (other than sciatic) with transposition.
Modifiers may be applicable depending on the specific circumstances of the procedure.
Medical necessity should be supported by documentation of the nerve injury, the functional deficits caused by the injury, and the rationale for surgical repair and transposition.
The surgeon is responsible for prepping and anesthetizing the patient, locating the damaged nerve, cleaning and aligning the nerve endings, suturing the epineurium, transposing the nerve, and closing the wound.
In simple words: The doctor fixes a damaged major nerve in the arm or leg (not the sciatic nerve) by stitching it back together and moving it to a better spot nearby.
The surgeon repairs a major peripheral nerve in the arm or leg (excluding the sciatic nerve) by suturing and transposes the nerve to a new location.This includes cleaning and aligning the nerve endings, suturing the epineurium, and repositioning the nerve.
Example 1: A patient sustains a deep laceration to their forearm, severing the median nerve. The surgeon repairs the nerve and transposes it to a new location to promote healing and prevent further damage., A patient experiences persistent pain and numbness in their hand due to ulnar nerve entrapment. The surgeon performs a procedure to release the entrapped nerve and transposes it to prevent recurrence., A patient with a femoral nerve injury from a traumatic accident requires surgical repair and transposition of the nerve to restore function.
Documentation should include details of the injury, the specific nerve involved, the surgical technique used for repair and transposition, and any complications encountered.
- Specialties:Neurosurgery, Plastic Surgery, Orthopedic Surgery
- Place of Service:Ambulatory Surgical Center, Hospital, Outpatient Hospital