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AHA Coding Clinic® for HCPCS - 2014 Issue 4; Ask the Editor

Neuroplasty, multiple nerves

An 18-month-old patient presents with a brachial plexus birth palsy. Based on other symptoms the patient presents for nerve transfer surgery to improve elbow flexion and shoulder function. Neuroplasty was performed on multiple nerves, which included transposition and also the use of sutures, Integra or the actual nerve as a conduit for repair. However, a conduit was not utilized on each nerve that was repaired. We would like to assign CPT codes 64910 and 64708 but they produce an edit when reported together. Some coders think the nerve conduits and the transposition would not be captured. What would be the appropriate codes for the procedures performed? ...

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