How To Use CPT Code 64734

CPT 64734 describes a procedure in which the provider transects or forcibly tears the infraorbital nerve to provide relief from facial pain by reducing sensation. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 64734?

CPT 64734 is a code that represents a procedure in which the provider transects or forcibly tears the infraorbital nerve. This procedure is performed to alleviate facial pain by diminishing sensation in the affected area.

2. Official Description

The official description of CPT code 64734 is: ‘Transection or avulsion of infraorbital nerve.’

3. Procedure

1. The provider begins by preparing and anesthetizing the patient appropriately.
2. An incision is made just below the eyeball, below the lower eyelid.
3. The provider retracts the skin edge and locates the infraorbital nerve.
4. The provider may also choose to access the nerve through an intraoral approach by cutting the mucosa above the upper gums.
5. Once the nerve is located, the provider either cuts it with a sharp object or forcibly separates it from its point of emergence.
6. After the procedure, the provider closes the incision with sutures.

4. Qualifying circumstances

This procedure is typically performed on patients who are experiencing facial pain and have not found relief from other treatments. The infraorbital nerve is targeted specifically to reduce sensation in the affected area and alleviate the pain. It is important to note that this procedure should only be performed by a qualified healthcare professional with the necessary expertise.

5. When to use CPT code 64734

CPT code 64734 should be used when the provider performs a transection or avulsion of the infraorbital nerve to relieve facial pain. It is important to ensure that this procedure is medically necessary and appropriate for the patient’s condition before using this code.

6. Documentation requirements

To support a claim for CPT 64734, the provider must document the following information:

• Patient’s diagnosis and the need for the procedure
• Details of the procedure performed, including the approach used
• Date of the procedure
• Any complications or unexpected findings
• Post-procedure instructions or recommendations
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 64734, it is important to ensure that the procedure was performed by a qualified healthcare professional and that it meets the necessary criteria for reimbursement. It is also important to follow any specific billing guidelines provided by the payer. Additionally, it is important to note that CPT code 64734 should not be reported with other codes that describe similar procedures.

8. Historical information

CPT 64734 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 patient with chronic facial pain undergoes a transection of the infraorbital nerve to alleviate their symptoms.
2. A provider performs an avulsion of the infraorbital nerve for a patient who has not found relief from other treatments for their facial pain.
3. A patient with a specific facial condition undergoes a transection of the infraorbital nerve as part of their treatment plan.
4. A provider performs a forcible tear of the infraorbital nerve to provide relief from facial pain for a patient with a specific medical condition.
5. A patient with a history of facial trauma undergoes a transection of the infraorbital nerve to alleviate their pain and improve their quality of life.
6. A provider performs an avulsion of the infraorbital nerve for a patient who has exhausted other treatment options for their facial pain.
7. A patient with a rare facial condition undergoes a transection of the infraorbital nerve as a last resort to alleviate their chronic pain.
8. A provider performs a forcible tear of the infraorbital nerve for a patient who has not responded well to other pain management techniques.
9. A patient with a specific medical condition undergoes a transection of the infraorbital nerve to improve their overall quality of life and reduce their facial pain.
10. A provider performs an avulsion of the infraorbital nerve for a patient who has been suffering from severe facial pain for an extended period.