CPT 69955: Facial Nerve Repair or Decompression
CPT code 69955 represents surgical repair or decompression of the facial nerve, with the option to perform a nerve graft when indicated. This procedure addresses facial nerve injury or compression that impairs facial movement and can be performed in an operating room or specialized surgical center. Nationally, procedures involving cranial nerve repair carry implications for surgical specialty coding, perioperative care, and reimbursement across both commercial and public payers.
Key payers included in this analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The content outlines clinical context for when 69955 is used, common sites of service, and the elements affecting coding and coverage decisions. Readers will find a concise clinical description, payer coverage scope, and what documentation elements typically support the use of this code. The summary also highlights where data was unavailable and directs readers to seek payer-specific policies for details on prior authorization, bundling, and medical necessity criteria. This publication is intended to inform clinicians, coding professionals, and policy analysts about the code's clinical role and payer landscape at a national level.
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Billing Code Overview
CPT code 69955 describes a surgical procedure to repair or decompress the facial nerve, and may include a nerve graft when clinically necessary. This procedure is focused on restoring facial nerve function by releasing compression, repairing damaged nerve fibers, or bridging nerve gaps using graft material.
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Service type: Surgical nerve repair / decompression of the facial nerve
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Typical site of service: Hospital operating room or specialized surgical center