CPT Update

Good news, the AAHS CPT/RUC committee, working together with the related committees from the ASPS and ASSH, successfully navigated the CPT/RUC process to produce two (2) new nerve codes for the coding of nerve repair utilizing vein grafts or synthetic conduits.

64910 Nerve repair; with synthetic conduit or vein allograft (eg: nerve tube), each nerve

64911 Nerve repair; with autologous vein graft (includes harvest of vein graft), each nerve

If multiple fasciles are clustered into a single graft, then use 64910 or 64911 only once. If, however, more than one graft is used to repair multiple fasciles of the same nerve (eg: 2 conduit repair of ulnar nerve), then use the appropriate conduit code for each graft used. Append the -59 modifier to each subsequent graft code to indicate that each conduit was a distinct individual procedure. Note that 64911 includes harvesting of the vein graft and this may not be coded separately.