CPT® Code 64876

Add-On Code

The CPT® Code 64876 refers to the surgical procedure involving the suture of a nerve that necessitates the shortening of the bone in an extremity. This procedure is typically required when a nerve injury is so severe that it cannot be repaired without addressing the surrounding bony structures. The process begins with the exposure of the affected nerve, which may involve additional procedures to ensure that the nerve is adequately freed from any surrounding adhesions or scar tissue. This is crucial for achieving a successful nerve repair. The shortening of the bone is performed through an osteoplasty, where a segment of the bone is excised to allow for proper alignment and tension-free suturing of the nerve. The remaining portions of the bone are then stabilized using internal fixation methods or, in some cases, an external fixation device. This code is reported separately in addition to the primary nerve suture code, reflecting the complexity and additional surgical intervention required to facilitate the nerve repair.