CPT® Code 0883T

Add-On Code

Intraoperative therapeutic electrical stimulation of peripheral nerve to promote nerve regeneration, including lead placement and removal, upper extremity, minimum of 10 minutes; each additional nerve (List separately in addition to code for primary procedure)

Intraoperative therapeutic electrical stimulation of a peripheral nerve is a specialized procedure aimed at promoting nerve regeneration, which is a naturally slow process that may not result in complete functional recovery. This technique is particularly beneficial in cases of traumatic nerve injuries that necessitate nerve transfer, digital nerve transection, or nerve decompression due to conditions such as carpal tunnel syndrome, cubital tunnel syndrome, and facial palsy. The procedure involves the application of electrical stimulation to the affected nerve while the patient is under general anesthesia. A handheld electrical stimulator, equipped with a unique needle-like attachment, is utilized to deliver targeted electrical impulses directly to the peripheral nerve. This stimulation activates cyclic adenosine monophosphate (cAMP), a crucial molecule that facilitates the growth of axons, thereby enhancing the nerve's regenerative capabilities. The standard duration for this electrical stimulation is a minimum of 10 minutes, which has been determined to be the most effective time frame for promoting healing without significantly extending the duration of the surgical procedure.