Neurosurgery Coding Alert

Reader Question:

Turn To Unlisted For Urethral Plexus Anastomosis

Question: We need help for the right code for the harvest of a sural nerve graft which was anastomosed to the nerve bundle extended towards the proximal urethra.  Two doctors were involved in the case, one was our neurosurgeon and one was a general surgeon who did the prostatectomy. 


Ohio Subscriber

Answer: While there is a series of codes describing neurorrhaphy including harvest of nerve graft (64885-64911), these codes apply to other body regions including the head, neck, arm, hand, leg and foot. In this circumstance, the unlisted code 64999 (Unlisted procedure, nervous system) would be appropriate. 

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