CPT® Code 64895

The procedure described by CPT® Code 64895 involves the surgical repair of a nerve in the hand or foot using a multiple strand nerve graft. This technique is employed to facilitate a tension-free repair of an injured nerve, which is crucial for restoring proper nerve function. During the procedure, the surgeon first exposes the injured nerve and assesses the extent of the damage. If necessary, any damaged tissue is carefully removed through a process known as debridement. To evaluate the function of the nerve, additional nerve testing and monitoring may be performed, which are reported separately. The procedure also involves the use of microscopic visualization to enhance the precision of the surgery. The healthy segments of the nerve, both proximal and distal to the injury, are meticulously dissected from the surrounding tissue to prepare for the graft. The length of the required nerve graft is then determined, and the graft is harvested from a donor site. This involves exposing the donor nerve and carefully dissecting the desired length, which is then divided into multiple strands. These strands are sutured end-to-end to the severed ends of the injured nerve, ensuring a secure connection. Finally, the overlying soft tissues and skin are repaired in layers to complete the procedure. This code is specifically used when the length of the multiple strand nerve graft is 4 cm or less, while a different code (CPT® Code 64896) is used for grafts exceeding this length.