2025 CPT code 64911

Nerve repair with autogenous vein graft (includes harvest of vein graft), each nerve.

Refer to CPT guidelines for intracranial surgery on cranial nerves (61450, 61460, 61790).

Modifiers may be applicable. Refer to modifier guidelines for specific scenarios.

Medical necessity for this procedure must be established by documenting the functional impairment resulting from the nerve injury and the expectation of improved function following nerve repair.

The surgeon performs the entire procedure, from harvesting the vein graft to repairing the nerve and closing the surgical sites.

IMPORTANT Use 64910 for nerve repair using synthetic or allograft vein graft.

In simple words: This procedure fixes a damaged nerve using a piece of vein from your own body. The surgeon takes a vein from another area and uses it to connect the ends of the damaged nerve, helping it to heal.

This procedure involves the repair of a damaged nerve using a vein graft taken from the patient's own body. The surgeon first harvests the vein graft from a donor site, then prepares the damaged nerve and sutures the graft to bridge the gap in the nerve.Over time, the nerve endings regenerate new tissue across the grafted area.

Example 1: A patient with a severed nerve in their hand due to a deep laceration requires nerve repair with an autogenous vein graft to restore function., Following trauma to the lower leg, a patient has a damaged peroneal nerve, necessitating repair using a vein graft from the saphenous vein., A patient with a nerve injury in their arm due to a gunshot wound undergoes nerve repair using an autogenous vein graft to facilitate nerve regeneration and functional recovery.

Documentation should include details of the nerve injury, the location and length of the nerve defect, the source of the vein graft, the surgical technique used, and any complications encountered.

  • Revenue Code: P1G
  • Specialties:Plastic Surgery, Neurosurgery, Orthopedic Surgery, Hand Surgery
  • Place of Service:Ambulatory Surgical Center, Hospital - Inpatient, Hospital - Outpatient
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