How To Use CPT Code 64632

CPT 64632 describes the destruction of somatic nerves using a neurolytic agent, such as chemical, thermal, electrical, or radiofrequency techniques. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 64632?

CPT 64632 is used to describe the destruction of somatic nerves using a neurolytic agent. This procedure involves the use of chemical, thermal, electrical, or radiofrequency techniques to destroy the nerves responsible for carrying pain. It is typically performed in cases of neuroma, pain, or mononeuritis.

2. Official Description

The official description of CPT code 64632 is: ‘Destruction by neurolytic agent; plantar common digital nerve.’ This code specifically refers to the destruction of the plantar common digital nerve using a neurolytic agent. It is important to note that CPT code 64632 should not be reported in conjunction with CPT code 64455.

3. Procedure

1. The procedure begins by injecting local anesthesia in a dorsal to proximal direction.
2. Once the anesthesia has taken effect, a neurolytic agent, such as ethanol, is administered to destroy the plantar common digital nerve.
3. Fluoroscopic guidance may be used during the procedure to ensure accurate placement of the neurolytic agent.

4. Qualifying circumstances

CPT code 64632 is typically performed in cases where there is a need to destroy the plantar common digital nerve. This may be necessary in situations such as neuroma, pain, or mononeuritis. It is important to note that CPT code 64632 should not be reported in conjunction with CPT code 64455.

5. When to use CPT code 64632

CPT code 64632 should be used when there is a need to destroy the plantar common digital nerve using a neurolytic agent. It is important to ensure that the procedure is performed specifically on the plantar common digital nerve and not in conjunction with any other nerve destruction procedures.

6. Documentation requirements

To support a claim for CPT code 64632, the following documentation is required:

• Documentation of the patient’s diagnosis and the need for nerve destruction
• Details of the specific neurolytic agent used
• Date and time of the procedure
• Documentation of the use of fluoroscopic guidance, if applicable
• Signature of the healthcare professional performing the procedure

7. Billing guidelines

When billing for CPT code 64632, it is important to ensure that the procedure is performed specifically on the plantar common digital nerve. This code should not be reported in conjunction with CPT code 64455. Additionally, it is important to report any fluoroscopic guidance separately.

8. Historical information

CPT code 64632 was added to the Current Procedural Terminology system on January 1, 2009. There have been no updates to the code since its addition.

9. Examples

1. A patient with neuroma in the plantar common digital nerve undergoes destruction of the nerve using a neurolytic agent.
2. A patient with chronic pain in the foot receives treatment through the destruction of the plantar common digital nerve using a neurolytic agent.
3. A patient with mononeuritis in the plantar common digital nerve undergoes nerve destruction using a neurolytic agent.
4. A patient with severe pain in the foot due to nerve damage receives relief through the destruction of the plantar common digital nerve using a neurolytic agent.
5. A patient with a history of foot pain undergoes the destruction of the plantar common digital nerve using a neurolytic agent to alleviate their symptoms.
6. A patient with a neuroma in the plantar common digital nerve undergoes nerve destruction using a neurolytic agent to relieve their pain.
7. A patient with chronic foot pain receives treatment through the destruction of the plantar common digital nerve using a neurolytic agent.
8. A patient with mononeuritis in the plantar common digital nerve undergoes nerve destruction using a neurolytic agent to alleviate their symptoms.
9. A patient with severe pain in the foot due to nerve damage receives relief through the destruction of the plantar common digital nerve using a neurolytic agent.
10. A patient with a history of foot pain undergoes the destruction of the plantar common digital nerve using a neurolytic agent to alleviate their symptoms.