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CPT 64716: Cranial Nerve Decompression with Possible Transposition
CPT code 64716 represents surgical decompression of a cranial nerve, often including incision of scar tissue and possible transposition of the nerve to a less compressive location. This procedure addresses symptomatic nerve compression that can cause pain, sensory disturbance, or functional deficits and is performed in operative settings by specialists trained in cranial nerve surgery. Nationally, accurate coding of this procedure affects surgical quality measurement, provider reimbursement, and care coordination for patients undergoing complex cranial nerve interventions.
Key payers addressed in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context, typical sites of service, and the service type associated with the code. The publication presents benchmark considerations, common billing modifiers, and policy and coverage elements relevant to payers listed above. It also summarizes documentation themes that commonly accompany surgical cranial nerve decompression claims.
This resource is intended to inform billing, coding, and clinical staff about the clinical intent of CPT code 64716, the settings where the procedure is typically performed, and the payer landscape for national audiences. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 64716 describes a surgical procedure to relieve pressure on a cranial nerve by incising scar tissue or other compressive structures. The procedure may include transposition of the nerve to a nearby location to place it in a less compressive environment. This service is typically performed by a neurosurgeon or an otolaryngologist with expertise in cranial nerve surgery.
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Service type: Surgical decompression and possible nerve transposition
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Typical site of service: Hospital operating room or ambulatory surgical center