How To Use CPT Code 64726

CPT 64726 describes a procedure known as decompression of the plantar digital nerve. This article will cover the official description, procedure details, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 64726?

CPT 64726 is used to describe a specific procedure called decompression of the plantar digital nerve. This procedure involves freeing the nerve from surrounding ligaments that are exerting pressure on it. By performing this decompression, the provider aims to alleviate any symptoms or discomfort caused by the compressed nerve.

2. Official Description

The official description of CPT code 64726 is: ‘Decompression; plantar digital nerve.’

3. Procedure

  1. To perform the decompression of the plantar digital nerve, the provider begins by making an incision near the web space between two toes, either dorsally or on the sole of the foot.
  2. After making the incision, the provider deepens it below the subcutaneous tissues to expose the ligament where the nerve is compressed.
  3. Using a sharp instrument, the provider carefully dissects the ligament tissue to create space for the nerve.
  4. Once the decompression is confirmed, the provider closes the incision by suturing the skin and subcutaneous layer.

4. Qualifying circumstances

CPT 64726 is performed on patients who have a compressed plantar digital nerve due to overgrowth or shrinking of surrounding ligament tissue. This procedure is appropriate for patients experiencing symptoms or discomfort related to the compressed nerve. It is important to note that CPT 64726 should not be reported in conjunction with CPT code 11960.

5. When to use CPT code 64726

CPT code 64726 should be used when a provider performs the decompression of the plantar digital nerve. This code is appropriate when the provider frees the nerve from surrounding ligaments to alleviate symptoms or discomfort caused by the compression. It is important to ensure that the documentation supports the performance of this specific procedure.

6. Documentation requirements

To support a claim for CPT 64726, the provider must document the following information:

  • Patient’s symptoms or discomfort related to the compressed plantar digital nerve
  • Details of the procedure, including the incision location, depth, and exposure of the ligament
  • Description of the decompression technique used
  • Confirmation of decompression of the nerve
  • Method of closure for the incision

7. Billing guidelines

When billing for CPT 64726, ensure that the documentation supports the performance of the decompression of the plantar digital nerve. It is important to follow the specific guidelines provided by the payer and use the appropriate modifiers if necessary. Additionally, be aware of any bundling or unbundling rules that may apply to this procedure.

8. Historical information

CPT 64726 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

  1. A provider performs decompression of the plantar digital nerve for a patient experiencing severe pain and numbness in their toes.
  2. During the procedure, the provider frees the compressed nerve, relieving the patient’s symptoms and improving their mobility.
  3. Another patient undergoes decompression of the plantar digital nerve to alleviate chronic discomfort and tingling sensations in their foot.
  4. The provider successfully decompresses the nerve, resulting in significant improvement in the patient’s quality of life.
  5. In a different case, a patient with a compressed plantar digital nerve undergoes decompression to relieve persistent pain and burning sensations.
  6. The provider carefully performs the procedure, ensuring the nerve is freed from the surrounding ligaments.
  7. Yet another patient presents with symptoms of a compressed plantar digital nerve, and the provider recommends decompression as a treatment option.
  8. The patient undergoes the procedure, and post-decompression, experiences relief from their symptoms.
  9. A provider performs decompression of the plantar digital nerve for a patient with limited mobility and discomfort in their foot.
  10. The decompression procedure successfully alleviates the patient’s symptoms, allowing them to regain mobility and function.

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