CPT Code 64868 | Description & Clinical Information

CPT 64868 describes the surgical procedure in which the provider creates an artificial connection between the facial nerve and the hypoglossal nerve, which are not naturally connected, to restore facial motor function in cases of facial nerve loss resulting from paralysis caused by a tumor or injury.

Official Description

The CPT book defines CPT code 64868 as: “Anastomosis; facial-hypoglossal”.

Clinical Information

The procedure describes by CPT code 64868 is a delicate operation that involves accessing the facial and hypoglossal nerves. This is an essential surgical intervention that is done when there is damage to the facial and hypoglossal nerves.

To begin the operation, the patient is prepped and anesthetized appropriately. The surgical provider makes an incision on the side of the neck, providing access to the nerves. The provider then isolates the hypoglossal nerve and may confirm its location and integrity by stimulating the nerve to observe the contraction of the tongue muscles.

To ensure that the nerves are in optimal functioning condition, the provider carefully trims the outermost layer of the hypoglossal nerve. This is done meticulously by using high-power magnification and taking great care not to damage the surrounding structures. The same procedure is undertaken for the facial nerve.

The provider aims to expose the fine nerve filaments of both the hypoglossal and facial nerves. However, while meticulously maneuvering around the facial nerve, they try not to divide it. The objective is to keep it intact to aid in nerve repair.

The next step is suturing the hypoglossal nerve to the facial nerve without generating tension. This will facilitate the faster and easier regeneration of the damaged nerve fibers.

After the surgery is completed, the provider closes the wound or incision. The wound is carefully monitored and dressed in the initial days following surgery, ensuring that there is no infection or discharge.

In conclusion, the CPT code 64868 procedure is a substantial surgical intervention that requires great surgical skill, experience, and concentration to perform. Surgical interventions of this nature aid in the restoration of body functions and allow patients to regain their normal lives. If you suspect damage to the facial and hypoglossal nerves, it is essential to consult with a qualified and experienced surgical provider to ensure you receive the proper treatment.

Return to all the CPT codes for neurorrhaphy procedures.

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