How To Use CPT Code 64783

CPT 64783 describes the excision of an additional neuroma on a different peripheral nerve in the hand or foot, following the removal of an initial neuroma during the same session. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 64783?

CPT 64783 can be used to describe the excision of an additional neuroma on a different peripheral nerve in the hand or foot, after the removal of an initial neuroma during the same session. This code is used when the provider removes another tumor or mass growing on a separate nerve, relieving pain and restoring nerve function lost from a neuroma caused by injury or trauma.

2. Official Description

The official description of CPT code 64783 is: ‘Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure).’ This code should be used in conjunction with CPT code 64782, which describes the excision of the primary neuroma.

3. Procedure

1. Following the removal of the primary neuroma, the provider incises the skin over the location of an additional neuroma in the hand or foot.
2. The provider exposes the neuroma and carefully dissects it free of surrounding tissue.
3. The provider then excises the neuroma, ensuring complete removal.
4. The provider closes the tissue and skin using appropriate sutures or closure techniques.

4. Qualifying circumstances

CPT 64783 is used when there is a need to remove an additional neuroma on a different peripheral nerve in the hand or foot, following the removal of an initial neuroma during the same session. This code does not include neuromas found in the fingers or toes, which are known as digital neuromas.

5. When to use CPT code 64783

CPT code 64783 should be used when the provider is performing the excision of an additional neuroma on a different peripheral nerve in the hand or foot, after the removal of an initial neuroma during the same session. It is important to note that this code should only be reported in conjunction with the primary procedure code, CPT code 64782.

6. Documentation requirements

To support a claim for CPT 64783, the provider must document the following information:

• Identification of the primary neuroma and the need for its excision
• Identification of the additional neuroma and the need for its excision
• Date of the procedure
• Details of the procedure, including the incision, dissection, excision, and closure
• Any complications or additional procedures performed
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 64783, ensure that the procedure involves the excision of an additional neuroma on a different peripheral nerve in the hand or foot, following the removal of an initial neuroma during the same session. This code should be reported in addition to the primary procedure code, CPT 64782. It is important to note that this code does not include digital neuromas, which have their own specific codes.

8. Historical information

CPT 64783 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

1. A surgeon performs the excision of an additional neuroma on a different peripheral nerve in the hand, following the removal of an initial neuroma during the same session.
2. A podiatrist performs the excision of an additional neuroma on a different peripheral nerve in the foot, after the removal of an initial neuroma during the same session.
3. An orthopedic surgeon performs the excision of an additional neuroma on a different peripheral nerve in the hand, relieving pain and restoring nerve function.
4. A plastic surgeon performs the excision of an additional neuroma on a different peripheral nerve in the foot, improving the patient’s quality of life.
5. A neurosurgeon performs the excision of an additional neuroma on a different peripheral nerve in the hand, addressing the patient’s symptoms and restoring nerve function.
6. An orthopedic surgeon performs the excision of an additional neuroma on a different peripheral nerve in the foot, allowing the patient to regain normal foot function.
7. A hand surgeon performs the excision of an additional neuroma on a different peripheral nerve in the hand, relieving the patient’s pain and improving hand function.
8. A podiatrist performs the excision of an additional neuroma on a different peripheral nerve in the foot, restoring sensation and function.
9. An orthopedic surgeon performs the excision of an additional neuroma on a different peripheral nerve in the hand, improving the patient’s hand dexterity.
10. A plastic surgeon performs the excision of an additional neuroma on a different peripheral nerve in the foot, addressing the patient’s symptoms and improving foot function.