How To Use CPT Code 64832

CPT 64832 describes the additional suture of a digital nerve in the hand or foot after the repair of an initial nerve. 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 64832?

CPT 64832 can be used to describe the additional suture of a digital nerve in the hand or foot after the repair of an initial nerve. This code is used when the provider restores sensory and/or motor functions by suturing another digital nerve that has become damaged or severed due to injury or trauma.

2. Official Description

The official description of CPT code 64832 is: ‘Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure).’ This code should be used in conjunction with CPT code 64831, which represents the primary procedure of nerve repair.

3. Procedure

  1. Following the repair of an initial nerve in a finger or toe, the provider accesses another digital nerve through the open wound or incision.
  2. The provider identifies the injured structure and removes any damaged tissue.
  3. Using high-power magnification, the provider carefully dissects the area, taking care not to damage surrounding structures.
  4. The provider trims the damaged ends of the nerve to expose healthy tissue.
  5. The provider sutures the healthy nerve ends together without creating tension.
  6. If the damaged nerve has both motor and sensory functions, the provider may gather a group of nerve fibers and suture them together.
  7. The provider then closes the wound or incision.

4. Qualifying circumstances

CPT 64832 is used when the provider sutures an additional digital nerve in the hand or foot after the repair of an initial nerve. This procedure is performed to restore sensory and/or motor functions in patients who have experienced nerve damage or severing due to injury or trauma.

5. When to use CPT code 64832

CPT code 64832 should be used when the provider performs an additional suture of a digital nerve in the hand or foot after the repair of an initial nerve. This code should only be reported in conjunction with CPT code 64831, which represents the primary procedure of nerve repair.

6. Documentation requirements

To support a claim for CPT 64832, the provider must document the following information:

  • Identification of the initial nerve repair procedure (CPT code 64831)
  • Description of the additional digital nerve sutured
  • Date of the procedure
  • Details of the surgical approach and technique used
  • Any complications or unexpected findings
  • Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 64832, it is important to report it in conjunction with CPT code 64831, which represents the primary procedure of nerve repair. CPT code 64832 should only be reported for each additional digital nerve that is sutured. It is important to note that CPT code 64832 should not be reported without first reporting CPT code 64831. Additionally, it is important to follow any specific guidelines or requirements set forth by the payer when billing for this procedure.

8. Historical information

CPT code 64832 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 surgeon sutures an additional digital nerve in the hand after repairing the initial nerve in a patient who suffered a laceration.
  2. A podiatrist sutures an additional digital nerve in the foot after repairing the initial nerve in a patient who experienced trauma.
  3. An orthopedic surgeon sutures an additional digital nerve in the hand after repairing the initial nerve in a patient who had a crush injury.
  4. A plastic surgeon sutures an additional digital nerve in the foot after repairing the initial nerve in a patient who underwent foot reconstruction surgery.
  5. A hand surgeon sutures an additional digital nerve in the hand after repairing the initial nerve in a patient who had a sports-related injury.
  6. A reconstructive surgeon sutures an additional digital nerve in the foot after repairing the initial nerve in a patient who had a severe burn.
  7. An orthopedic surgeon sutures an additional digital nerve in the hand after repairing the initial nerve in a patient who had a workplace accident.
  8. A plastic surgeon sutures an additional digital nerve in the foot after repairing the initial nerve in a patient who had a car accident.
  9. A hand surgeon sutures an additional digital nerve in the hand after repairing the initial nerve in a patient who had a machinery-related injury.
  10. A reconstructive surgeon sutures an additional digital nerve in the foot after repairing the initial nerve in a patient who had a fall.

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