Question

A 41 year-old female has carpal tunnel syndrome in her left hand. the patient underwent release of the carpal ligament with internal neurolysis. an incision was made directly over the carpal ligament through the skin to the carpal ligament. under direct vision the carpal ligament was divided then internal neurolysis of the median nerve was performed using a magnifying loupes. what cpt® code is reported?

Answer 1

This is a case of carpal tunnel syndrome of the left hand wherein the patient underwent release of the flexor retinaculum or the carpal ligament relieving the pressure on the median nerve. Neurolysis was done to block some fibers of the median nerve to alleviate the pain. The CPT code reported is CPT 64721 which is under neuroplasty and/or transposition; median nerve at carpal tunnel.