CPT® Code 64704

Neuroplasty, as described by CPT® Code 64704, is a surgical procedure aimed at alleviating nerve entrapment in the hand or foot. This condition can arise due to various factors, including inflammation of the surrounding tissues, the presence of a tumor or mass, or the formation of scar tissue and adhesions that can compress the nerve. During the procedure, an incision is made in the skin overlying the affected nerve, allowing the surgeon to access the underlying soft tissues. The surgeon meticulously dissects these tissues to identify the nerve and any associated scar tissue or adhesions that may be restricting its function. The goal of neuroplasty is to free the nerve from these constricting elements, which may involve dividing other anatomical structures such as fascia or ligaments that contribute to the pressure on the nerve. Once the nerve is adequately liberated from surrounding tissues and any impinging structures, the surgeon closes the soft tissues in layers to promote healing. This procedure is specifically indicated for nerves in the hand or foot, distinguishing it from similar procedures that may target digital nerves in a single digit.