Wiki Interosseous Neurectomy Wrist

[nina.pedemonte@gmail.com]

Good Morning,
Looking for a hand Guru.
Procedure performed: Right wrist denervation with 1) posterior interosseous neurectomy, 2) anterior interosseous neurectomy, 3) articular branch of the superficial radial nerve neurectomy, 4) articular branch of the dorsal ulnar sensory branch neurectomy, 5) articular branch of the lateral antrebrachial cutaneous neurectomy, and 6) articular branch of the palmar cutaneous branch of the median nerve neurectomy

64772 has MUE of 2

What is the correct coding for this case?

Thank you,
Nina

 

[MYAEKEL]

I have a similar situation, just wondering if you ever got an answer to this.
Thanks!

 

[MYAEKEL]

FYI if anyone is having the same issue.. I was never able to find formal info on this but I have been billing as 64772 x2 units w/64772-XU x2 units to all payers. On the original submission insurances are either paying only the first 2 units or denying all units but all 4 units are being paid on appeal by all payers I've billed so far including BCBSM/BCN/Priority Health/Priority Health Medicare/Medicare.

 

[Dgiannetto]

I'm looking for guidance on this. We have a doc that avulses several spinal nerves. I will try x2 and XU x2. Thanks!

 

[stwilley]

What documentation are you using for the appeals? We are really having a hard time with this code and getting it paid.

 

[NRaizman]

We have been working with the NCCI contractor to increase the MUE for 64772, as hand and peripheral nerve surgeons routinely denervate joints and areas that require the excision of numerous nerves and the MUE remains lower than it should. Still, with good documentation and a non-CMS payor, -59 modifiers and appeal should get these appropriately paid.
N.