2025 CPT code 69725
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgery - Surgical Procedures on the Auditory System Surgery Feed
Decompression of the intratemporal facial nerve, including medial to the geniculate ganglion.
Modifiers may apply depending on the specific circumstances of the procedure, such as bilateral involvement (modifier 50), multiple procedures (modifier 51), or reduced services (modifier 52).Consult the CPT manual for guidance.
Medical necessity for 69725 is established by clinical findings such as facial nerve weakness or paralysis, confirmed by electrodiagnostic studies (electroneurography and electromyography), and imaging evidence of nerve compression. The procedure is medically necessary to alleviate pressure, improve nerve function, and prevent permanent facial nerve damage.
The otolaryngologist or neurosurgeon is responsible for performing the decompression procedure. This involves making an incision, exposing the temporal bone, identifying the facial nerve, carefully decompressing the nerve, and then closing the incision. Post-operative care and follow-up are also part of the clinical responsibility.
In simple words: This surgery relieves pressure on a nerve in the middle ear that controls facial muscles. The surgeon removes some bone to create more space for the nerve, helping to improve facial movement.
This procedure involves the surgical decompression of the intratemporal portion of the facial nerve, extending medially to the geniculate ganglion.The surgery is performed in the middle ear, requiring a meticulous approach to expose and release pressure on the nerve.This may involve drilling to expose the nerve, careful removal of bone constricting the nerve, and potentially using a bone flap to cover defects.
Example 1: A patient presents with Bell's palsy, experiencing significant facial weakness. Electroneurography shows evidence of nerve compression.69725 is used to code the decompression surgery to alleviate pressure on the nerve and promote recovery., A patient suffers a temporal bone fracture, resulting in facial nerve damage. Surgery is required to decompress the nerve and repair any structural damage. 69725 is utilized to bill for the decompression component of the procedure. , A patient with a tumor compressing the facial nerve undergoes surgical removal of the tumor.The facial nerve is decompressed as part of the tumor resection. Code 69725 would be used to reflect the decompression of the facial nerve.
* Preoperative and postoperative neurological examinations documenting facial nerve function.* Imaging studies (CT scan, MRI) showing the location and extent of nerve compression.* Operative report detailing the surgical technique, the extent of decompression, and any complications.* Pathology report if any tissue was removed.
** This procedure may be performed in conjunction with other procedures, such as tumor resection or middle ear surgery.Accurate coding requires meticulous documentation of all aspects of the surgical intervention.Further information on specific coding scenarios can be obtained from the iFrameAI product.
- Revenue Code: P5E (AMBULATORY PROCEDURES - OTHER)
- RVU: Not available in provided data.Refer to the iFrameAI product for accurate RVU values and reimbursement information.
- Global Days: Information regarding the global surgical period is not provided in the available data.Further research using the iFrameAI product would provide details on global days for this code.
- Payment Status: Active
- Modifier TC rule: The application of a technical component (TC) modifier would depend on whether the service is performed by a surgeon (professional component) or a technician (technical component). Refer to the CPT guidelines and payer-specific guidelines for more specific information.
- Fee Schedule: Not available in the provided data. Historical fee schedules can vary based on location, payer, and year. Refer to the iFrameAI product for fee schedule information.
- Specialties:Otolaryngology, Neurosurgery
- Place of Service:Ambulatory Surgical Center, Inpatient Hospital, Office