How To Use CPT Code 64907

CPT 64907 describes the process of reversing a nerve pedicle transfer in a second stage procedure. 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 64907?

CPT 64907 can be used to describe the reversal of a nerve pedicle transfer in a second stage procedure. This code is used when a provider restores the portion of the donor nerve to its original location and reconnects the restored damaged nerve. It is typically performed for complex injuries such as brachial plexus injuries or when a nerve root has been torn from the spinal cord.

2. Official Description

The official description of CPT code 64907 is: ‘Nerve pedicle transfer; second stage.’

3. Procedure

1. In the second stage procedure, the provider restores the portion of the donor nerve to its original location and reconnects the restored damaged nerve.
2. After the patient is appropriately prepped and anesthetized, the provider reincises the original surgical location and continues dissecting to expose the nerve.
3. Using loupe magnification or an operating microscope, the provider locates and frees the nerve.
4. The provider then resects the donor nerve from the recipient nerve and reconnects it to its distal end.
5. Finally, the provider reanastomoses the recipient nerve and closes the wound by suturing the skin layers together.

4. Qualifying circumstances

CPT 64907 is typically performed for complex injuries such as brachial plexus injuries that cause irreparable nerve lacerations or compressions. It may also be performed when a nerve root has been torn from the spinal cord. This procedure requires a skilled provider who is experienced in nerve pedicle transfers.

5. When to use CPT code 64907

CPT code 64907 should be used when a provider is reversing a nerve pedicle transfer in a second stage procedure. It is important to ensure that the procedure meets the specific criteria outlined in the code description.

6. Documentation requirements

To support a claim for CPT 64907, the provider must document the following information:

• Patient’s diagnosis and the need for the nerve pedicle transfer reversal
• Details of the procedure, including the specific nerves involved
• Date and duration of the procedure
• Any complications or additional procedures performed
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 64907, ensure that the procedure meets the specific criteria outlined in the code description. It is important to follow the appropriate coding guidelines and modifiers, if applicable. Additionally, be aware of any bundling or unbundling issues that may affect the billing of this code.

8. Historical information

CPT 64907 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 provider reverses a nerve pedicle transfer in a second stage procedure for a patient with a brachial plexus injury.
2. A surgeon restores a damaged nerve by reconnecting the donor nerve to its original location in a second stage procedure.
3. A patient undergoes a nerve pedicle transfer reversal to repair a torn nerve root from the spinal cord.
4. A provider performs a second stage procedure to reverse a nerve pedicle transfer for a patient with a complex nerve injury.
5. A surgeon reconnects a restored damaged nerve to its distal end in a second stage procedure.
6. A patient undergoes a nerve pedicle transfer reversal to address compression on a nerve.
7. A provider performs a second stage procedure to reverse a nerve pedicle transfer for a patient with a severe nerve laceration.
8. A surgeon restores a damaged nerve by reanastomosing the recipient nerve in a second stage procedure.
9. A patient undergoes a nerve pedicle transfer reversal to improve nerve function and restore sensation.
10. A provider performs a second stage procedure to reverse a nerve pedicle transfer for a patient with a complex nerve injury.