CPT® Code 64726

The procedure described by CPT® Code 64726 refers to the surgical intervention known as decompression of the plantar digital nerve. This procedure targets the plantar aspect of the foot, which is primarily innervated by two major nerves: the medial plantar nerve and the lateral plantar nerve. The medial plantar nerve is responsible for providing sensation to the first through third common digital nerves, while the lateral plantar nerve supplies the fourth common digital nerve. Decompression is indicated in cases of nerve entrapment, a condition that can arise from 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 over the affected nerve, allowing for careful dissection of the soft tissues. The surgeon identifies the nerve and meticulously removes any scar tissue or adhesions that may be constricting it. Additionally, other anatomical structures such as fascia or ligaments may be cut to alleviate pressure on the nerve. After ensuring that the nerve is completely liberated from any surrounding tissue and impinging structures, the surgeon closes the soft tissues in layers to promote proper healing.