How To Use CPT Code 64776
CPT 64776 describes the excision of a neuroma on a digital nerve in a finger or toe. 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 64776?
CPT 64776 is used to describe the surgical removal of a tumor or mass that is growing on a digital nerve in a finger or toe. This procedure is performed to relieve pain and restore nerve function that may have been lost due to trauma.
2. Official Description
The official description of CPT code 64776 is the “Excision of neuroma; digital nerve, 1 or both, same digit.” This code specifically refers to the removal of a neuroma, which is a tumor or mass that develops on a nerve. In this case, the neuroma is located on a digital nerve in a finger or toe.
3. Procedure
- The provider begins by preparing and anesthetizing the patient appropriately.
- An incision is made in the skin over the location of the digital neuroma.
- The provider carefully removes the neuroma from the digital nerve.
- The tissue and skin are then closed to complete the procedure.
4. Qualifying circumstances
CPT 64776 is performed on patients who have a neuroma on a digital nerve in a finger or toe. This procedure is typically indicated when the patient is experiencing pain and has lost nerve function due to trauma. The provider must assess the patient’s condition and determine that the excision of the neuroma is necessary to relieve symptoms and restore nerve function.
5. When to use CPT code 64776
CPT code 64776 should be used when a provider performs the excision of a neuroma on a digital nerve in a finger or toe. This code is appropriate when the procedure is performed on the same digit. It is important to note that this code should not be used for excisions on different digits or for other types of nerve excisions.
6. Documentation requirements
To support a claim for CPT 64776, the provider must document the following information:
- The patient’s diagnosis and the presence of a neuroma on a digital nerve
- A detailed description of the procedure, including the location of the incision and the method used to remove the neuroma
- The date of the procedure
- Any complications or unexpected findings during the procedure
- Post-operative care instructions and any follow-up appointments scheduled
- The provider’s signature
7. Billing guidelines
When billing for CPT 64776, ensure that the procedure meets the specific criteria outlined in the code description. It is important to accurately document the procedure and provide the necessary supporting documentation. Additionally, be aware of any specific billing guidelines or modifiers that may be required by the payer. It is also important to review any applicable coding guidelines or policies to ensure accurate and appropriate billing.
8. Historical information
CPT 64776 was added to the Current Procedural Terminology system on January 1, 1990. The code was later changed on January 1, 2009 to its current description, which specifies the excision of a neuroma on a digital nerve in a finger or toe.
9. Examples
- A patient presents with a painful neuroma on the digital nerve of their index finger. The provider performs an excision of the neuroma using CPT code 64776.
- A patient has a neuroma on the digital nerve of their big toe, causing significant pain and loss of sensation. The provider performs an excision of the neuroma using CPT code 64776.
- A patient has a neuroma on the digital nerve of their middle finger due to a previous injury. The provider performs an excision of the neuroma using CPT code 64776.
- A patient has a neuroma on the digital nerve of their ring finger, resulting in chronic pain and limited mobility. The provider performs an excision of the neuroma using CPT code 64776.
- A patient has a neuroma on the digital nerve of their little toe, causing discomfort and difficulty walking. The provider performs an excision of the neuroma using CPT code 64776.
