How To Use CPT Code 64784

CPT 64784 describes the excision of a neuroma on one of the major peripheral nerves of the body, excluding the sciatic nerve. 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 64784?

CPT 64784 can be used to describe the excision of a neuroma on one of the major peripheral nerves of the body, with the exception of the sciatic nerve. This code is used when a healthcare provider removes a tumor or mass growing on one of these nerves to relieve pain and restore lost nerve function caused by the neuroma.

2. Official Description

The official description of CPT code 64784 is: ‘Excision of neuroma; major peripheral nerve, except sciatic.’

3. Procedure

1. After appropriate preparation and anesthesia, the healthcare provider makes an incision over the location of the neuroma on one of the major peripheral nerves, excluding the sciatic nerve.
2. The provider exposes the neuroma and carefully dissects it free from the surrounding tissue.
3. Once the neuroma is freed, the provider excises it completely.
4. The provider then closes the tissue and skin.

4. Qualifying circumstances

CPT 64784 is used when a patient has a neuroma on one of the major peripheral nerves, such as the phrenic, radial, median, ulnar, intercostal, or femoral nerves. The procedure is performed to relieve pain and restore nerve function lost due to the neuroma. The sciatic nerve is excluded from this code, as it has its own specific code for neuroma excision.

5. When to use CPT code 64784

CPT code 64784 should be used when a healthcare provider performs the excision of a neuroma on one of the major peripheral nerves, excluding the sciatic nerve. It is important to ensure that the procedure is performed on the appropriate nerve and that the neuroma is causing pain and loss of nerve function.

6. Documentation requirements

To support a claim for CPT 64784, the healthcare provider must document the following information:

• The specific major peripheral nerve on which the neuroma is located
• The reason for the excision, including the patient’s symptoms and the impact on nerve function
• The date of the procedure
• A detailed description of the procedure, including the incision, dissection, excision, and closure
• Any complications or additional procedures performed
• The provider’s signature

7. Billing guidelines

When billing for CPT 64784, ensure that the excision is performed on one of the major peripheral nerves, excluding the sciatic nerve. It is important to accurately document the procedure and provide the necessary supporting documentation. There are no specific guidelines regarding reporting CPT 64784 with other codes.

8. Historical information

CPT 64784 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 healthcare provider performs the excision of a neuroma on the radial nerve to relieve pain and restore nerve function.
2. A patient presents with a neuroma on the ulnar nerve, and the healthcare provider performs the excision to alleviate symptoms and improve nerve function.
3. During a surgical procedure, a healthcare provider identifies a neuroma on the intercostal nerve and proceeds to excise it to relieve pain and restore nerve function.
4. A patient with a neuroma on the median nerve undergoes an excision procedure to alleviate symptoms and improve nerve function.
5. A healthcare provider performs the excision of a neuroma on the femoral nerve to relieve pain and restore nerve function.
6. After diagnosing a patient with a neuroma on the phrenic nerve, a healthcare provider performs the excision to alleviate symptoms and improve nerve function.
7. A patient presents with a neuroma on the intercostal nerve, and the healthcare provider performs the excision to relieve pain and restore nerve function.
8. During a surgical procedure, a healthcare provider identifies a neuroma on the radial nerve and proceeds to excise it to alleviate symptoms and improve nerve function.
9. A patient with a neuroma on the ulnar nerve undergoes an excision procedure to relieve pain and restore nerve function.
10. A healthcare provider performs the excision of a neuroma on the median nerve to relieve pain and restore nerve function.