CPT® Code 64714

The procedure described by CPT® Code 64714 refers to neuroplasty of a major peripheral nerve, specifically targeting the lumbar plexus, which is a critical network of nerves formed from the L1 to L4 nerve roots. This plexus is responsible for transmitting signals to various regions, including the back, abdomen, groin, thighs, knees, and calves. Injuries to the lumbar plexus can arise from various causes, such as blunt force trauma commonly seen in contact sports, automobile accidents, or falls. Additionally, conditions such as inflammation or the presence of tumors can lead to nerve damage. Such injuries or pathological processes may result in the formation of scar tissue and adhesions, which can entrap and compress the nerves within the lumbar plexus, leading to significant pain and functional impairment. The neuroplasty procedure involves making an incision in the lower back over the affected area, allowing for the division of soft tissues to expose the lumbar plexus. During the procedure, electrophysiological tests may be conducted to evaluate the function of the exposed nerves and nerve roots, helping to identify which nerves are under compression. The surgeon then meticulously dissects the compressed nerves free from the surrounding scar tissue and other obstructive structures. Once the affected nerves are adequately liberated, the soft tissues are carefully closed in layers to promote healing and restore function.