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Billing for a nerve tube with CTS

  1. #1
    Location
    Columbus, Ohio
    Posts
    106
    Question Billing for a nerve tube with CTS
    Medical Coding Books
    Hello coders, I have a bundling question about a carpal tunnel release with neurolysis and application of a Integra NeuaGen nerve tube. In my cpt book under decompression and/or transposition of nerve, it states neurplasty with nerve wrapping is included in the cpt code. Is nerve wrapping considered the same as a nerve tube. Or is the nerve tube billed under the 64910 code? Also, he did a local tissue rearrangment with adipose fat grafting around the nerve. So, should I also bill the 20926? Thanks so much, Paula in Dublin, OH

  2. #2
    Location
    Greater Pittsburgh
    Posts
    390
    Default
    I would use 64910 for the nerve tube(conduit) is synthetic and the local tissue rearrangement=included....... with fat grafting....the adipose fat grafting has to be from a separate incision, was it?
    jdemar, CPC, CMA

  3. #3
    Location
    Columbus, Ohio
    Posts
    106
    Default
    Thanks for responding about the nerve tube. I just didn't know if nerve wrapping was the same as using the tube. There was not a separate incision for the fat graft. So would that be included in the 64721 or the 64910? Thanks, Paula

  4. #4
    Location
    Greater Pittsburgh
    Posts
    390
    Default
    Included with the 64721.
    jdemar, CPC, CMA

  5. #5
    Location
    Columbus, Ohio
    Posts
    106
    Default
    Thanks again for your help and have a good holiday week-end.

  6. #6
    Default Integra Neuro tube
    Actually the CTR is included in 64910(nerve repair). A little backwads from what we would think logical.

  7. #7
    Default Update from CPT Assistant Dec 2013
    64721 does NOT include nerve wrapping ... report separately with 64999

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