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Carolyn Posted 6 Year(s) ago

operative report states "The posterior interosseous nerve was tracked proximally. It was cauterized and then transected. A portion of the nerve was sent for permanent specimen. The remainder of the nerve was buried prozimally in the musculature" Which code is appropriate and also can you provide a diagnosis for this as well.

SuperCoder Posted 6 Year(s) ago

Posterior interosseous neurectomy (PIN) is reported with CPT code 64772, “Transection or avulsion of other spinal nerve, extradural.”

Carolyn Posted 6 Year(s) ago

This procedure was performed in the wrist... I do not think 64772 would be correct.

SuperCoder Posted 6 Year(s) ago

The posterior interosseous nerve travels along the posterior aspect of the forearm between the ulna and the radius. The posterior interosseous has its roots in the cervical spine (C6, C7, C8) and arises as a branch from the radial nerve.CPT has several codes (64732-64772) relating to the excision or transection of the nerves. The origin of the nerve root must be known to reference the proper CPT code. You must also check to see whether the excision/transection is being performed for postoperative pain control. The Centers for Medicare and Medicaid Services has stated that the global surgical package includes postoperative pain management by the surgeon (see 100-04 Claims Processing Section 40). The documentation must clearly show why the nerve is being excised/transected. The recommended code for these excisions is 64772.
Please refer Excision interosseous nerve

Posted by Carolyn, 6 Year(s). There are 4 posts. The latest reply is from SuperCoder.

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