2025 CPT code 64912
(Active) Effective Date: N/A Revision Date: N/A Surgery - Neurorrhaphy With Nerve Graft, Vein Graft or Conduit Procedures Surgical Procedures on the Nervous System Feed
Nerve repair using a nerve allograft; first strand of each nerve.
Modifiers -22 (Increased Procedural Services), -51 (Multiple Procedures), -59 (Distinct Procedural Service) may be applicable depending on the circumstances.Refer to the CPT guidelines for appropriate modifier application.
Medical necessity is established by the presence of a significant peripheral nerve injury that impairs function and requires surgical repair. The use of a nerve allograft should be medically necessary due to the extent of the nerve defect.
The surgeon's responsibilities include patient preparation, anesthesia, incision, nerve exposure and dissection, resection of damaged nerve tissue, measurement of the nerve gap and diameter, selection and placement of the allograft, microsurgical repair, and wound closure.
- Surgical Procedures on the Nervous System
- Surgical Procedures on the Extracranial Nerves, Peripheral Nerves, and Autonomic Nervous System
In simple words: The doctor fixes a damaged nerve using a piece of nerve tissue from a donor. This is for the first part of the repair; additional parts are billed separately.
This procedure involves repairing a damaged nerve using a nerve tissue graft from a cadaver or living donor.The surgeon makes an incision, exposes the damaged nerve, resects the damaged portion, measures the gap, selects an appropriately sized allograft, and sutures the proximal and distal nerve ends within the graft using microsurgical techniques. The wound is then closed. This code is for the first strand of each nerve repaired.
Example 1: A patient sustains a peripheral nerve injury in a motor vehicle accident. The surgeon performs a nerve repair using a nerve allograft, requiring the use of 64912 for the initial strand and 64913 for additional strands., A patient undergoes surgery for a traumatic nerve injury. During the operation, the surgeon uses a nerve allograft to bridge a significant nerve gap, requiring the use of code 64912, along with multiple units of 64913 to account for additional strands. , In a surgical setting, a patient presents with a severed median nerve.The surgeon utilizes a nerve allograft to reconnect the nerve. Code 64912 is used, along with several units of code 64913, to reflect the multiple strands used in the repair.
* Operative report detailing the procedure, including the type of allograft used, the number of strands repaired, and specific nerve involved.* Preoperative and postoperative neurological assessments.* Imaging studies (if applicable) demonstrating the nerve injury and the outcome of the repair.* Donor information for the allograft.
** Multiple nerve sites can be treated on a single date of service, up to a maximum of three units of 64912 and 64913 each due to MUE limits.Careful documentation is crucial to ensure proper reimbursement.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- RVU: The provided sources give varying RVU values from different years (2022 and 2024) and from different payers (Medicare and commercial).Consult current payer-specific fee schedules for the most accurate RVU and payment information.
- Global Days: The global period is not specified in the provided data.Refer to payer-specific guidelines for the applicable global surgical period.
- Payment Status: Active
- Modifier TC rule: The information on the application of a Technical Component (TC) modifier is not specified. Refer to the CPT manual and payer specific guidelines.
- Fee Schedule: The provided sources list varying payment amounts from different years (2022 and 2024) and payers.Consult payer-specific fee schedules for the most accurate historical and current fee information.
- Specialties:Neurosurgery, Plastic Surgery, Orthopedic Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center