How To Use CPT Code 64772

CPT 64772 describes the transection or avulsion of other spinal nerves that are not identified in other codes within the Current Procedural Terminology (CPT) system. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 64772?

CPT 64772 is used to describe a procedure in which the provider severs or removes other spinal nerves that are not identified in other codes within the CPT system. This code is used when the provider incises the location of the other spinal nerve, dissects the tissue, and divides or removes the nerve, destroying it. The incision is then closed in layers.

2. Official Description

The official description of CPT code 64772 is: ‘Transection or avulsion of other spinal nerve, extradural.’

3. Procedure

1. When performing CPT 64772, the provider begins by appropriately prepping and anesthetizing the patient.
2. Next, the provider makes an incision at the location of the other spinal nerve, which can be anywhere from C1 to S4.
3. She then carefully dissects the tissue to locate and identify the other spinal nerve.
4. Once the nerve is identified, the provider proceeds to divide or remove it, effectively destroying it.
5. Finally, the provider closes the incision in layers to complete the procedure.

4. Qualifying circumstances

CPT 64772 is performed when there is a need to transect or avulse other spinal nerves that are not specifically identified in other codes within the CPT system. This procedure is typically performed in cases where other treatment options have been exhausted or are not suitable for the patient’s condition. It is important to note that this code is specific to extradural procedures, meaning it is performed outside the dura, the tough outer membrane surrounding the brain and central nervous system.

5. When to use CPT code 64772

CPT code 64772 should be used when the provider is performing a transection or avulsion of other spinal nerves that are not identified in other codes within the CPT system. It is important to ensure that this code is not used for procedures involving identified spinal nerves that have their own specific codes. Additionally, this code is specific to extradural procedures, so it should not be used for intradural or intraspinal procedures.

6. Documentation requirements

To support a claim for CPT 64772, the provider must document the following information:

• Patient’s diagnosis and the need for transection or avulsion of other spinal nerves
• Specific location of the other spinal nerve
• Date of the procedure
• Details of the procedure, including the incision, dissection, division or removal of the nerve, and closure of the incision
• Any complications or additional procedures performed
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 64772, ensure that the procedure meets the criteria for transection or avulsion of other spinal nerves that are not identified in other codes within the CPT system. It is important to accurately document the details of the procedure and any associated complications or additional procedures performed. CPT 64772 should not be reported with other codes that specifically identify spinal nerves. Additionally, it is crucial to follow any specific billing guidelines provided by the payer or insurance company.

8. Historical information

CPT 64772 was added to the CPT system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A provider performing CPT 64772 to transect or avulse an unidentified spinal nerve in the lumbar region of a patient with chronic back pain.
2. A surgeon using CPT 64772 to remove an other spinal nerve in the cervical region of a patient with radiculopathy.
3. A neurologist performing CPT 64772 to avulse an unidentified spinal nerve in the thoracic region of a patient with intractable neuropathic pain.
4. An orthopedic surgeon using CPT 64772 to transect an other spinal nerve in the sacral region of a patient with failed back surgery syndrome.
5. A pain management specialist performing CPT 64772 to remove an unidentified spinal nerve in the lumbar region of a patient with complex regional pain syndrome.
6. A neurosurgeon using CPT 64772 to avulse an other spinal nerve in the thoracic region of a patient with spinal cord injury.
7. An interventional radiologist performing CPT 64772 to transect an unidentified spinal nerve in the cervical region of a patient with cervical radiculopathy.
8. A neurologist using CPT 64772 to remove an other spinal nerve in the lumbar region of a patient with diabetic neuropathy.
9. An orthopedic surgeon performing CPT 64772 to avulse an unidentified spinal nerve in the thoracic region of a patient with vertebral compression fracture.
10. A pain management specialist using CPT 64772 to transect an other spinal nerve in the sacral region of a patient with coccydynia.