CPT Code 64721 | Carpal Tunnel Median Nerve Release
CPT 64721 is a surgical procedure performed on the carpal tunnel to relieve pressure on the median nerve by making a small incision in the palmar fascia, dividing the carpal ligament, and closing the incision in multiple layers.
Description
The CPT book defines CPT code 64721 as: “Neuroplasty and/or transposition; median nerve at the carpal tunnel.”
Procedure
A surgical procedure is performed on the carpal tunnel, which is located over the palm and wrist.
During this procedure, a small incision is made through the palmar fascia to access the carpal ligament. The purpose of this incision is to release the pressure that has built up on the median nerve.
The surgeon will then proceed to carefully divide the carpal ligament in order to relieve the pressure on the median nerve.
It is imperative that the surgeon takes great care to ensure the safety of the median nerve and the tendons that are situated in close proximity to it.
After the procedure, the incision is then closed in multiple layers to ensure that the wound is properly sealed.
Billing Guidelines
CPT 64721 should not be used in conjunction with code 11960 when reporting endoscopic procedures. You may use CPT 29848 for endoscopic procedures.