How To Use CPT Code 64714

CPT 64714 describes a procedure known as neuroplasty, which involves the open exploration and decompression of the lumbar plexus, a network of nerves in the lower abdomen, pelvis, and upper leg. This article will provide an overview of CPT code 64714, 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 64714?

CPT 64714 is a code used to describe a specific surgical procedure called neuroplasty. This procedure involves the open exploration and decompression of the lumbar plexus, which is a network of nerves that innervate the upper leg and other areas. During the procedure, the provider makes an incision into the target site where the nerve is present and locates the compressed nerve. The provider then performs external neurolysis, which involves removing the surrounding scar tissue and soft tissues without entering into the nerve. Additionally, the provider may remove any bone spur or damaged muscle that is putting pressure on the nerve. The incision is closed in layers after the nerve is freed.

2. Official Description

The official description of CPT code 64714 is: ‘Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus.’ This code specifically refers to the open exploration and decompression of the lumbar plexus using an open approach.

3. Procedure

1. When performing CPT code 64714, the provider begins by appropriately prepping and anesthetizing the patient.
2. An incision is made into the target site where the nerve is located.
3. The provider then identifies the compressed nerve within the lumbar plexus.
4. External neurolysis is performed, which involves removing the surrounding scar tissue and soft tissues without entering into the nerve.
5. If necessary, the provider may also remove any bone spur or damaged muscle that is putting pressure on the nerve.
6. The incision is closed in layers after the nerve has been freed.

4. Qualifying circumstances

CPT code 64714 is typically used for patients who require the open exploration and decompression of the lumbar plexus. This procedure is performed to relieve tension on the nerves in the upper leg and other areas. It is important to note that CPT code 64714 should not be reported in conjunction with CPT code 11960.

5. When to use CPT code 64714

CPT code 64714 should be used when a provider performs the open exploration and decompression of the lumbar plexus. This code is specifically for the major peripheral nerve in the arm or leg. It is important to ensure that the procedure meets the criteria outlined in the official description of the code.

6. Documentation requirements

When documenting a claim for CPT code 64714, the provider should include the following information:

• Patient’s diagnosis and the need for neuroplasty
• Details of the procedure, including the specific nerve explored and decompressed
• Date of the procedure
• Incision site and size
• Any additional procedures performed, such as removal of bone spurs or damaged muscle
• Details of the closure of the incision
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT code 64714, it is important to ensure that the procedure meets the criteria outlined in the official description. Additionally, it is important to note that CPT code 64714 should not be reported in conjunction with CPT code 11960. Providers should also be aware of any specific guidelines or requirements from the payer when submitting claims for this procedure.

8. Historical information

CPT code 64714 was added to the Current Procedural Terminology system on January 1, 1990. The code underwent a change on January 1, 2011, with the description being updated to specify the lumbar plexus as the major peripheral nerve being explored and decompressed.

9. Examples

1. A provider performs CPT code 64714 to explore and decompress the lumbar plexus in a patient experiencing chronic leg pain.
2. During a surgical procedure, a provider uses CPT code 64714 to relieve tension on the nerves in the upper leg caused by scar tissue.
3. A patient with a history of trauma undergoes CPT code 64714 to address nerve compression in the lumbar plexus.
4. A provider performs CPT code 64714 to decompress the lumbar plexus in a patient with symptoms of nerve entrapment.
5. During a surgical intervention, a provider utilizes CPT code 64714 to explore and decompress the lumbar plexus in a patient with radiating leg pain.
6. A patient with a known nerve injury undergoes CPT code 64714 to relieve pressure on the lumbar plexus and improve symptoms.
7. A provider performs CPT code 64714 to address nerve compression in the lumbar plexus caused by a herniated disc.
8. During a surgical procedure, a provider utilizes CPT code 64714 to explore and decompress the lumbar plexus in a patient with neuropathic leg pain.
9. A patient with a history of previous lumbar surgery undergoes CPT code 64714 to address nerve compression and improve symptoms.
10. A provider performs CPT code 64714 to relieve tension on the nerves in the upper leg caused by a tumor.