CPT® Code 64868

The procedure described by CPT® Code 64868 refers to the surgical technique of facial-hypoglossal anastomosis, which is a method used to reconstruct the facial nerve. This procedure is typically indicated for patients who have suffered facial nerve damage, often due to trauma, tumors, or other pathological conditions that impair facial function. The goal of the surgery is to restore facial movement by connecting the hypoglossal nerve, which controls tongue movement, to the facial nerve, thereby allowing for reinnervation of the facial muscles. The surgical approach involves making an incision near the ear, carefully dissecting through various anatomical structures, and identifying the facial nerve at the stylomastoid foramen. The hypoglossal nerve is then located and prepared for anastomosis to the facial nerve, utilizing microsurgical techniques to ensure precision and minimize complications. This procedure is critical for improving the quality of life for patients with facial nerve deficits, as it aims to restore both aesthetic and functional aspects of facial movement.