How To Use CPT Code 64713

CPT 64713 describes a procedure known as neuroplasty, which involves the open exploration and decompression of the brachial plexus, a network of peripheral nerves in the arm or leg. This article will provide an overview of CPT code 64713, including its official description, the procedure itself, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and similar codes.

1. What is CPT Code 64713?

CPT 64713 is used to describe a surgical procedure called neuroplasty, which involves the open exploration and decompression of the brachial plexus. This procedure is performed to relieve tension on the peripheral nerves in the arm or leg by incising scar tissue or other sources of pressure. The provider makes an incision into the target site where the nerve is present and locates the compressed nerve. External neurolysis is then performed, which involves removing the surrounding scar and soft tissues without entering into the nerve. The provider may also remove any bone spur or damaged muscle that is putting pressure on the nerve. After freeing the nerve, the incision is closed in layers.

2. Official Description

The official description of CPT code 64713 is: ‘Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus.’

3. Procedure

1. When performing CPT 64713, the provider begins by appropriately prepping and anesthetizing the patient.
2. An incision is made into the target site where the brachial plexus is located.
3. The provider then locates the compressed nerve and performs external neurolysis, which involves removing the surrounding scar and soft tissues without entering into the nerve.
4. If necessary, the provider may also remove any bone spur or damaged muscle that is putting pressure on the nerve.
5. After freeing the nerve, the provider closes the incision in layers.

4. Qualifying circumstances

CPT 64713 is typically performed on patients who are experiencing compression or tension on the brachial plexus, a network of peripheral nerves in the arm or leg. This procedure is used to relieve the pressure on the nerves and restore proper function. It is important to note that CPT 64713 should only be performed by a qualified healthcare professional who has the necessary training and expertise in neuroplasty procedures.

5. When to use CPT code 64713

CPT code 64713 should be used when a provider performs an open neuroplasty procedure on the brachial plexus in the arm or leg. This code is specifically for the exploration and decompression of the major peripheral nerve in the brachial plexus. It is important to ensure that the procedure meets the criteria outlined in the official description of CPT code 64713.

6. Documentation requirements

When documenting a claim for CPT code 64713, the healthcare provider must include the following information:

• Patient’s diagnosis and the need for neuroplasty
• Details of the procedure performed, including the location of the incision and any additional steps taken
• Date of the procedure
• Any complications or unexpected findings during the procedure
• Post-procedure instructions or recommendations
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT code 64713, it is important to ensure that the procedure meets the criteria outlined in the official description. The provider should also follow any specific billing guidelines provided by the payer. It is important to note that CPT code 64713 should not be reported with other codes unless they are specifically indicated as being appropriate to report together. Additionally, there may be specific modifiers or additional documentation required for accurate billing, so it is important to review the payer’s guidelines and requirements.

8. Historical information

CPT code 64713 was added to the Current Procedural Terminology system on January 1, 1990. It underwent a code change on January 1, 2011, with the updated description reflecting the specific nerve being addressed in the procedure.

9. Examples

1. A surgeon performing an open neuroplasty procedure on the brachial plexus to relieve tension and restore function in a patient with peripheral nerve compression.
2. An orthopedic specialist performing an exploration and decompression of the brachial plexus in a patient with chronic arm pain and limited mobility.
3. A neurosurgeon performing an open neuroplasty procedure on the brachial plexus to address nerve compression caused by a bone spur in a patient with arm weakness and numbness.
4. A plastic surgeon performing an open neuroplasty procedure on the brachial plexus to relieve tension and improve sensation in a patient with a history of trauma to the arm.
5. An interventional radiologist performing an open neuroplasty procedure on the brachial plexus to address nerve compression caused by scar tissue in a patient with chronic arm pain.
6. A hand surgeon performing an exploration and decompression of the brachial plexus in a patient with carpal tunnel syndrome and persistent symptoms despite conservative treatment.
7. An orthopedic surgeon performing an open neuroplasty procedure on the brachial plexus to address nerve compression caused by a muscle impingement in a patient with arm weakness and limited range of motion.
8. A neurologist performing an exploration and decompression of the brachial plexus in a patient with unexplained arm pain and sensory disturbances.
9. A vascular surgeon performing an open neuroplasty procedure on the brachial plexus to address nerve compression caused by a vascular anomaly in a patient with arm weakness and paresthesia.