CPT 64721 is a surgical procedure code that refers to neuroplasty and/or transposition of the median nerve at the carpal tunnel. This procedure is typically used to treat carpal tunnel syndrome, a condition caused by compression of the median nerve within the carpal tunnel in the wrist.
The official description for CPT code 64721 is: “Neuroplasty and/or transposition; median nerve at carpal tunnel.”
Short description: Neuroplasty/transposition of the median nerve at carpal tunnel.
Procedure for CPT Code 64721
The 64721 procedure begins with a small incision made over the carpal tunnel in the palm and wrist. The healthcare provider cuts through the palmar fascia to expose the carpal ligament, which is then surgically divided to release the pressure on median nerve. The medical practitioner takes utmost care to ensure that the median nerve and the tendons around it are safe. Lastly, a layered closure of the incision is performed.
Qualifying circumstances CPT Code 64721
Patients diagnosed with carpal tunnel syndrome typically qualify for services under CPT code 64721. Carpal tunnel syndrome, characterized by numbness, tingling, and weakness in the hand, occurs due to the compression of the median nerve within the carpal tunnel. Underlying medical conditions like rheumatoid arthritis, acromegaly, hypothyroidism, and amyloidosis, or work-related factors that require repetitive finger movements constitute common causes for this syndrome.
When to use CPT Code 64721
Healthcare providers bill the CPT code 64721 when a patient diagnosed with carpal tunnel syndrome undergoes a surgical procedure involving neuroplasty and/or transposition of the median nerve at the carpal tunnel. This procedure is typically performed when conservative treatments, such as anti-inflammatory medications, or corticosteroid injections, have failed.
Documentation to support a claim for CPT 64721 should include precise diagnosis of carpal tunnel syndrome, including severity and impacts on daily activities. The report should also document a detailed description of the surgical procedure, conservative treatments attempted before surgery, their duration and outcomes. Additionally, post-operative care instructions and follow-up appointments should be roadmapped.
Billing guidelines CPT Code 64721
When billing for CPT code 64721, following appropriate guidelines and rules is essential. The codes 64716, 64718, 64719, or 64721 should not be reported in conjunction with 11960. For endoscopic procedures, CPT code 29848 should be used. Proper documentation is key for avoiding potential reimbursement denials or delays.
Historical Information and Similar codes to CPT Code 64721
CPT code 64721 was added to the Current Procedural Terminology (CPT) system on January 1, 1990 and has not been updated since it’s addition. It shares similarities with multiple other codes like CPT 64716, 64718, 64719, 64722, 29848, all of which differ in terms of the specific nerves and locations involved in the surgical procedures.