2025 CPT code 64892
(Active) Effective Date: N/A Surgery - Surgical Procedures on the Nervous System Surgery Feed
Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length.
Modifiers may be applicable to indicate specific circumstances, such as increased procedural services (modifier 22) or multiple procedures (modifier 51).
Medical necessity for this procedure should be established by documenting the functional impairment caused by the nerve injury, and how the nerve graft is expected to restore function.
The surgeon performs the entire procedure, from harvesting the nerve graft to suturing it to the damaged nerve. This includes prepping the patient, administering anesthesia, making incisions, locating the damaged nerve, and closing the wounds.
In simple words: This procedure repairs a damaged nerve in your arm or leg using a small piece of healthy nerve tissue from another part of your body.The surgeon takes a nerve graft, less than 4cmlong,and attaches it to the ends of the damaged nerve to help it heal and regain function.Getting the piece of healthy nerve is included in this procedure.
This code represents a surgical procedure involving a single strand nerve graft, up to 4 cm long, to repair a damaged nerve in the arm or leg. The procedure includes obtaining the graft, typically from a sensory nerve like the sural nerve, and suturing it to the damaged nerve's proximal and distal ends. The harvesting of the nerve graft is included in this code.
Example 1: A patient lacerated their forearm, severing a sensory nerve. A 4cm single strand nerve graft was used to repair the damaged nerve., A patient sustained a deep leg injury from an animal bite, resulting in nerve damage.A single strand nerve graft less than 4 cm in length was used for repair., A patient with a fractured humerus also suffered peripheral nerve damage. The surgeon performed a nerve graft, utilizing a single strand graft measuring 3 cm obtained from the sural nerve.
Documentation should include details of the nerve injury, the location and length of the nerve graft, the method of obtaining the graft, the repair technique, and any complications.
- Specialties:Plastic Surgery, Orthopedic Surgery, Neurosurgery, Hand Surgery
- Place of Service:Ambulatory Surgical Center, Hospital - Inpatient, Hospital - Outpatient