Summary & Overview
CPT 64783: Additional Peripheral Nerve Neuroma Excision of Hand or Foot
CPT code 64783 covers the surgical removal of an additional tumor or neuroma on a peripheral nerve of the hand or foot performed during the same operative session as an initial neuroma excision. The procedure addresses pain relief and restoration of nerve function resulting from neuromas caused by injury or trauma, and explicitly excludes digital neuromas of the fingers and toes. Nationally, this code is relevant for hand and foot surgeons, surgical practices, and payers managing post-traumatic peripheral nerve care.
Key payers included in this analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The summary discusses coverage patterns, claims handling considerations, and clinical context that affect coding and reimbursement for peripheral nerve tumor excision in ambulatory surgical centers and hospital operating rooms.
Readers will learn the clinical intent and appropriate use of the code, typical sites of service, common billing considerations, and where to look for policy updates or payer guidance. Data not available in the input is noted where applicable; the narrative focuses on code definition, clinical scope, and payer coverage landscape rather than specific state policies or proprietary benchmark values.
Billing Code Overview
CPT code 64783 describes surgical excision of an additional neuroma or mass arising from a peripheral nerve of the hand or foot performed during the same operative session as removal of an initial neuroma. The procedure is intended to relieve pain and restore nerve function lost because of neuroma formation after injury or trauma. This code specifically excludes neuromas located in the fingers or toes (digital neuromas).
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Service type: Surgical excision of peripheral nerve tumor or mass (additional neuroma) during the same session as primary neuroma removal
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Typical site of service: Ambulatory surgical center or hospital operating room for procedures on the hand or foot
Clinical & Coding Specifications
Clinical Context
A 48-year-old construction worker presents to a hand surgeon with persistent, neuropathic pain and numbness along the distribution of a peripheral digital branch in the dorsum of the foot following a crush injury two years prior. Examination identifies a tender, palpable mass along a peripheral nerve in the foot consistent with a neuroma. The surgeon elects to remove an initial symptomatic neuroma under regional or general anesthesia. During the same operative session, the surgeon identifies a second, distinct neuroma on a different peripheral nerve of the foot and elects to excise it as well. The procedure aims to relieve pain and restore function by resecting both neuromas and performing appropriate nerve repair or burying techniques.
Workflow steps:
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Preoperative evaluation and consent in clinic, documentation of history of prior injury, focal exam, and imaging or nerve conduction studies as indicated.
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Day-of-service verification, anesthesia evaluation (regional block or general), and marking of surgical site.
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Operative procedure: identification and excision of initial neuroma, then excision of additional neuroma on a different peripheral nerve in the same hand or foot during the same session. Intraoperative documentation notes nerve levels, technique used (resection, traction neurectomy, nerve repair/relocation), and estimated blood loss.
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Immediate postoperative monitoring, pain control, and discharge with wound care and activity restrictions.
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Follow-up visits to assess pain relief, wound healing, and sensory or motor recovery; therapy or orthotic referral as indicated.