CPT Code 64722: Decompression of Unspecified Peripheral Nerve

No. CPT Code 64718 should be used for ulnar nerve transposition, as it is a named nerve procedure. CPT 64722 is reserved for unspecified peripheral nerves where no specific code applies. Using it in place of a named nerve code may result in the claim being denied due to incorrect coding initiative (CCI) rules.

Yes. Although the code refers to an unspecified peripheral nerve, the operative report must identify the exact nerve decompressed (e.g., posterior tibial nerve, plantar digital nerve), the anatomical site, and the clinical rationale. This supports medical necessity, proper coding, and compliance with LCD and NCD processes and policies.

Yes, but only if the microsurgical technique was used during the procedure and proper documentation exists. The use of an operating microscope must be medically necessary and clearly stated in the surgical report. Also, check for CCI edits and payer-specific rules, as some payers or Medicaid services may bundle 69990 with certain procedures.