2025 CPT code 64896
(Active) Effective Date: N/A Surgery - Surgical Procedures on the Nervous System Feed
Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length.
Modifiers may be applicable to indicate specific circumstances, such as increased procedural services (22), multiple procedures (51), or distinct procedural services (59).
Medical necessity must be established by documenting the functional deficit caused by the nerve injury and the expectation of improved function following the nerve graft.
The surgeon performs the entire procedure, including harvesting the nerve graft, preparing it, and implanting it to repair the damaged nerve.
In simple words: A surgery to repair a damaged nerve in the hand or foot using a piece of healthy nerve from another part of your body. The healthy nerve piece is like a cable made of several strands and is longer than 4 centimeters.The surgeon takes the healthy nerve, usually from your leg, and carefully attaches it to the ends of the damaged nerve to help it heal and regain function.
This procedure involves repairing a damaged nerve in the hand or foot using a multiple-strand nerve graft (cable graft) longer than 4 cm. The surgeon harvests a nerve graft, typically 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 severed a nerve in their hand during a deep laceration. The surgeon performs a nerve graft using a cable graft greater than 4cm to repair the damaged nerve and restore function., A patient has a non-healing neuroma in their foot following a traumatic injury. The surgeon removes the neuroma and performs a nerve graft using a cable graft longer than 4cm to bridge the resulting nerve gap., A patient with a nerve injury in their hand experiences persistent numbness and weakness. To restore function and sensation, the surgeon performs a nerve graft using a multiple-strand cable graft that is 5 cm in length.
Documentation should include details of the nerve injury, the location and length of the nerve graft, the method of graft preparation, and the repair technique.
- Revenue Code: P5E - AMBULATORY PROCEDURES - OTHER
- Specialties:Plastic Surgery, Orthopedic Surgery, Hand Surgery, Neurosurgery
- Place of Service:Ambulatory Surgical Center, Hospital - Inpatient, Hospital - Outpatient