Results 1 to 2 of 2

64704 - multiple use? Help!!

  1. #1
    Default 64704 - multiple use? Help!!
    New Call-to-action

    I saw this question on the forum but no one answered it. I was hoping for better results this time. I have a physician that is doing a plantar medial and lateral nerve release. Can code 64704 be billed out twice in the same setting with a mod 59?

    PROCEDURE #6: Release of the medial and lateral plantar nerves. A 6 cm incision was extended to the medial aspect of the foot over the abductor hallucis muscle. Sharp dissection was carried down to the abductor hallucis muscle, which was carefully teased away. Atrophy of the muscle was noted with a fatty ingrowth noted to the muscle. Therefore, the abductor hallucis muscle was retracted and the fascia around the abductor hallucis muscle and a point of compression of the medial and lateral plantar nerve was released. Next, the septum between the medial and lateral plantar tunnels was identified and the medial plantar tunnel was released. The medial and lateral plantar nerves at this point were released all the way into the mid aspect of the foot and no further impingement was appreciated. Copious irrigation with normal saline was performed and some varicosities were noted over the medial plantar nerves were cauterized. Next, at this point subQ closure and skin closure performed with deep closure over the fascia was made.

    Thanks in advance!

  2. #2
    Salt Lake North
    Default I'm going to vote yes
    I have never coded this myself yet. But in looking at the nerves and especially how they branch out I would vote yes. There is an MUE of 4 which would indicate that they are allowing two per side.

Similar Threads

  1. Multiple Veins vs. Multiple Branches of same vein
    By AGerber1986 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 04-17-2018, 02:31 PM
  2. CPT code 64704
    By hammonds77 in forum Orthopaedics
    Replies: 0
    Last Post: 03-24-2015, 06:49 AM
  3. Modifiers with multiple specimens with multiple IHC stains
    By ColqPath in forum Pathology & Clinical Laboratory
    Replies: 10
    Last Post: 05-09-2014, 02:43 PM
  4. Coding Multiple Procedures on Multiple Digits
    By in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 01-01-2014, 11:34 AM
  5. 28288 and 64704
    By bettybutler in forum Orthopaedics
    Replies: 2
    Last Post: 09-22-2009, 11:07 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.