CPT^® 64907, Under Neurorrhaphy With Nerve Graft, Vein Graft or Conduit Procedures

The Current Procedural Terminology (CPT^®) code 64907 as maintained by American Medical Association, is a medical procedural code under the range - Neurorrhaphy With Nerve Graft, Vein Graft or Conduit Procedures.

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Summary

The provider reverses the transfer of a donor nerve to a damaged recipient nerve after restoration of the damaged nerve. This procedure is often done for complex injuries such as a brachial plexus injury that causes an irreparable nerve laceration, or compression, or when the nerve root has been torn from the spinal cord.

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Use of microscope

Medicare rules don't allow billing for the operating microscope with this code. Commercial payers may have other rules, but all of the payers I've worked with generally follow these same guidelines. ... [ Read More ]

Neurology add on

CMS: [B][U]F. Operating Microscope[/U][/B] 1. The Internet-Only Manuals (IOM), Medicare Claims Processing Manual, Publication 100-04, Chapter 12, Section 20.4.5 (Allowable Adjustments) limits the re... [ Read More ]

Assistant Surgeon Payable on Particular CPTs?

[QUOTE="RVOSKANI, post: 228787, member: 97244"]Hello! I am using the CMS Physician Fee Schedule Search on the CMS website to look up if an assistant surgeon is allowed for certain CPT codes. Any... [ Read More ]

69990 with 63030

[QUOTE="scar5901, post: 162989, member: 61106"]I am confused, I have many tools to utilize for research the above - per AMA CPT Professional 2011 the above codes are allowed together, as the list unde... [ Read More ]

69990-operating microscope - Did anyone ever get

69990 is allowed with 63081. Many carriers follow CMS' policy... [B][U]F. Operating Microscope[/U][/B] 1. The Internet-Only Manuals (IOM), Medicare Claims Processing Manual, Publication 100-04, Chap... [ Read More ]

Neuro

My neuro surgeon does radial nerve (x2) to axillary nerve transfer (neurotization) and we are coding 64907 and 69990. However, he explains that he actually does both Stage I and II in one surgical se... [ Read More ]

Help with spine surgery

Option #3-I agree that this would be inclusive. You can charge for 69990, also. [B]Operating Microscope[/B] 1. The Internet-Only Manuals (IOM), Medicare Claims Processing Manual, Publication 100-04,... [ Read More ]

69990-operating microscope - Did anyone ever get

[QUOTE="trent123, post: 112561, member: 56977"]thanks jena, hope you went to french quarter also the list of codes are in the cpt code at the end of cpt code 69990 are those that the codes can be used... [ Read More ]

Question about microscope billing

[QUOTE="bettze1947, post: 101316, member: 57156"]If the op report states the Dr used a loupe w/magnification, does this indicate use of a microscope? What procedures would always require the use of t... [ Read More ]

69990 Edit

Medicare guidelines....... Effective January 1, 2000, the replacement code (CPT 69990) for modifier -20 - microsurgical techniques requiring the use of operating microscopes may be paid separately on... [ Read More ]

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