How To Use CPT Code 64868

CPT 64868 describes a surgical procedure that involves the creation of a connection between the facial nerve and the hypoglossal nerve. This article will provide an overview of CPT code 64868, including its official description, the procedure itself, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 64868?

CPT 64868 is a code used to describe a surgical procedure in which a connection is made between the facial nerve and the hypoglossal nerve. This procedure is performed to restore facial motor function in patients who have experienced facial nerve loss due to conditions such as tumors or injuries that result in paralysis.

2. Official Description

The official description of CPT code 64868 is: ‘Anastomosis; facial-hypoglossal.’

3. Procedure

1. The provider begins by accessing the facial and hypoglossal nerves through an incision in the side of the neck.
2. Using high-power magnification, the provider carefully trims back the outermost layer of the hypoglossal nerve, taking care not to damage surrounding structures.
3. The same process is repeated for the facial nerve, exposing the fine nerve filaments of both nerves.
4. The provider sutures the hypoglossal nerve to the facial nerve, ensuring that there is no tension.
5. Finally, the incision or wound is closed.

4. Qualifying circumstances

CPT 64868 is performed in cases where a patient has experienced facial nerve loss and requires the restoration of facial motor function. This loss may be due to conditions such as tumors or injuries. The procedure is typically performed by a qualified healthcare provider who has the necessary expertise in surgical techniques.

5. When to use CPT code 64868

CPT code 64868 should be used when a surgical anastomosis is performed between the facial nerve and the hypoglossal nerve to restore facial motor function. It is important to note that this code should only be used for the specific procedure described and not for any other similar procedures.

6. Documentation requirements

When reporting CPT code 64868, the healthcare provider must ensure that the following documentation is included:

• Patient’s medical history and diagnosis
• Details of the surgical procedure performed
• Any complications or additional procedures performed
• Post-operative care instructions
• Provider’s signature and credentials

7. Billing guidelines

When billing for CPT code 64868, it is important to follow the appropriate guidelines. This includes ensuring that the procedure is performed by a qualified healthcare provider and that the documentation supports the medical necessity of the procedure. It is also important to review any specific billing requirements from insurance providers or government payers to ensure accurate and timely reimbursement.

8. Historical information

CPT code 64868 was added to the Current Procedural Terminology system on January 1, 1990. It was later added to the Inpatient Only (IPO) list for Medicare in 2017.

9. Examples

1. A patient undergoes CPT code 64868 to restore facial motor function after experiencing facial nerve loss due to a tumor.
2. A provider performs CPT code 64868 on a patient who has suffered facial nerve paralysis as a result of an injury.
3. CPT code 64868 is used to restore facial motor function in a patient who has undergone surgery to remove a facial tumor.
4. A provider performs CPT code 64868 on a patient who has experienced facial nerve loss following a traumatic accident.
5. A patient undergoes CPT code 64868 to restore facial motor function after facial nerve damage caused by a medical procedure.
6. CPT code 64868 is used to restore facial motor function in a patient who has experienced facial nerve loss due to a congenital condition.
7. A provider performs CPT code 64868 on a patient who has suffered facial nerve paralysis as a result of a viral infection.
8. A patient undergoes CPT code 64868 to restore facial motor function after facial nerve damage caused by radiation therapy.
9. CPT code 64868 is used to restore facial motor function in a patient who has experienced facial nerve loss due to a neurological disorder.
10. A provider performs CPT code 64868 on a patient who has suffered facial nerve paralysis as a result of a stroke.