Cpt digital nerve repair

64912B Nerve repair; with nerve allograft, each nerve, first strand (cable) 26.31 $910 +64913 Nerve repair; with nerve allograft, each additional strand (List separately in …

Cpt digital nerve repair. Table 3. Common CPT Codes in Peripheral Nerve Surgery. Nerve decompression: Most nerve decompression procedures fall in the 64702–64727 Nervous System CPT codes section. The tendon lengthening code (24305) is added to ulnar nerve decompression and transposition (64718) at the elbow, if the pronator-flexor tendon origin is step-lengthened.

The patient underwent asceptic digital block using 3cc 1% lidocaine split 1/2 into each radial and ulnar side digital nerve at base of 4th finger proximal phalanx. After 10 minutes she reported complete resolution of all hand and finger pain. eed a cpt code for a digital nerve block. This was done in the Dr's (not anesthesiologist) office.

In today’s fast-paced digital world, maintaining the health and performance of your PC is crucial. With numerous software options available in the market, it can be overwhelming to...According to Walton et al. , Chiu et al. , and Mackinnon et al. , the results of digital nerve reconstruction with nerve grafts were comparable to those of nerve defects repaired by a vein conduit for defects <3.0 cm [14, 30, 54]. These results and the small sample size for nerve gaps above 3 cm in our data (4 %) could explain why we found no ...Individual Current Procedural Terminology codes are available online for free through the CPT Code/Relative Value Search, according to the American Medical Association. It is possi...When it comes to taking care of our footwear, finding a reliable and convenient shoe repair shop is essential. In this digital age, online directories have become an invaluable res...Repair - Hand Flexor Tendon CPT Codes. Excision of tendon, finger, flexor separate procedure (26180) Flexor tendon repair or advancement, single, not in no mans land; primary or secondary without free graft, each tendon (26350) Flexor tendon repair or advancement, single, not in no mans land; secondary with free graft (includes obtaining …CPT1 Code CPT Code Description RVUsA 20222 Payment 64910 Nerve repair; with synthetic conduit or vein allograft (e.g., nerve tube), each nerve 22.82 $790 64999 Unlisted procedure, nervous system 0.00 Carrier Determined CPT/HCPCS Modifier Options ModifierB Description -22 Increased Procedural Service -50 Bilateral Procedure

The existing clinical evidence regarding the man-agement of nerve gaps is voluminous but confusing and often conflicting. For lesions of a single proper or common digital nerve, the litera-ture supports repair with autografts, processed al-lografts, or conduits, with acceptable and roughly equivalent rates of recovery.CPT ® 64912, Under Neurorrhaphy With Nerve Graft, ... In this procedure, the provider uses a nerve tissue graft, harvested from a cadaveric or a living donor, to repair a nerve. This code is for the first strand of each nerve graft repair. ... 1. left thumb ulnar digital nerve laceration with segmental loss of nerve, 4 weeks old 2. left thumb ...There has been some confusion regarding appropriate coding practice for the use of HANA. About half of respondents (49%) who stated that they would repair the nerve with HANA would use CPT code 64910 (nerve repair with synthetic conduit or vein allograft). Twenty-seven percentage would use CPT code 64890 (nerve graft, single strand, hand, < 4 cm).Repair - Hand Flexor Tendon CPT Codes. Excision of tendon, finger, flexor separate procedure (26180) Flexor tendon repair or advancement, single, not in no mans land; primary or secondary without free graft, each tendon (26350) Flexor tendon repair or advancement, single, not in no mans land; secondary with free graft (includes obtaining …Suture of digital nerve, hand or foot; one nerve (64831) Suture of digital nerve, hand or foot; each additional (64832) Suture of one nerve, hand or foot; common sensory nerve (64834) Suture of one nerve, hand or foot; median motor thenar (64835) Suture of one nerve, hand or foot; ulnar motor (64836) Suture of each additional nerve, hand or ...suture needs to be monofilament on an atraumatic needle to minimize the trauma to the nerve ends suture size in the arm is usually 8-0 is used in the arm, 9-0 in the fingers repair with larger suture does not add strength to the repair

A surgeon uses specific criteria to evaluate whether a nerve graft is the right approach to nerve damage repair: When the injury happened. All methods of nerve repair, including nerve grafting, should be done in a timely manner. If too much time passes after an injury, a nerve graft may no longer be an option to restore function. Type of injury.In today’s digital age, cameras have become an essential tool for capturing precious moments and expressing creativity. However, like any other electronic device, cameras are prone...Due to the distal nature of the nerve repair in the index digit distal to the trifurcation, the distal end of the nerve graft was connected to multiple small nerve ends. Dermal substitute was placed to achieve distal coverage of the affected digits. Results: At 6-month follow-up, the patient demonstrated improved strength, normal sensation, and ...Digital blocks are useful in many scenarios in which local infiltration of an anesthetic would require several injections into the already painful site of injury. Furthermore, local infiltration around the wound may create increased swelling, making the repair more difficult. Several techniques are available for performing digital blocks.What happens during surgery (digital nerve repair)? The nerve is like a tiny electric cable, with an outer tube and thousands of thin fibres running through it. The surgeon will repair the outer tube, but the tiny fibres inside will die off from the level of the cut to the fingertip. If the nerve is not repaired, it will not recover, and may ...CPT ® HCPCS; CDT ® (dental) ICD-10-PCS; LOINC; SNOMED CT; APC; ASC; ABC (alt med) ICD-9 v3; supplies. HCPCS; DMEPOS Search; drugs & vaccines. …

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Adverse outcomes. Eight studies documented the neuroma incidence after digital nerve repair ( table 4) and one further study mentioned neuroma without giving the incidence. Neuroma was reported in 22 out of 475 patients across these eight studies, giving an incidence of 4.6%. The range was from 0% to 20%.In today’s digital age, our computers have become an essential part of our daily lives. Whether it’s for work, entertainment, or communication, we rely heavily on our PCs to keep u...CPT codes not covered for indications listed in the CPB: Sural nerve, cavernous, or genitofemoral grafts-No specific code: ... Babovic and co-workers (2018) noted that outcomes following digital nerve repair are sub-optimal despite much research and various methods of repair.Peripheral Nerve Injuries are one of the most common causes of hand dysfunction caused by upper limb trauma but still current management has remained suboptimal. This review aims to explain the traditional view of pathophysiology of nerve repair and also describe why surgical management is still inadequate in using the new biological research ...Answer: Generally, you cannot. The anesthetic administration is bundled into laceration repair (12001-13160), CPT states. The surgical package clearly delineates the kind of anesthesia included in the surgery code. The definition states that local infiltration, metacarpal/metatarsal/digital block or topical anesthesia is always included in the ... 64702 Neuroplasty; digital, 1 or both, same digit 6.26 $521.49 64704 Neuroplasty; nerve of hand or foot 4.69 $332.64 64708 Neuroplasty, major peripheral nerve, arm or leg, open; other than specified 6.36 $519.68 64712 Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve 8.07 $605.10

Repair of digital nerve 231070009; Neuroplasty of nerve of hand 32887005; hierarchies: a selection of possible paths. SNOMED CT Concept 138875005 Procedure 71388002 ... Rules-based maps relating CPT® codes to …In today’s fast-paced digital world, businesses heavily rely on technology to communicate and stay connected with their clients and customers. One of the primary reasons why AT&T L... Can CPT code 64704 be reported for each nerve. The surgeon performed decompressed both medial and lateral nerves during a tarsal tunnel repair 28035. Would I report 28035 64704-59 64704-59? Look at 64890 (Nerve graft, includes obtaining graft, single strand hand or foot, up to 4 cm in length) for the repair or the nerve. The excision of the neuroma would be 64776, per …The Current Procedural Terminology (CPT) code range for Neuroplasty (Exploration, Neurolysis or Nerve Decompression) Procedures on the Extracranial Nerves, Peripheral Nerves, and Autonomic Nervous System 64702-64727 is a medical code set maintained by the American Medical Association.Apr 26, 2024 · For CPT 2018, two new codes (64912, 64913) have been added to report nerve repairs using nerve allografts. Previously, nerve repairs with nerve allografts were reported with unlisted code 64999, Unlisted procedure, nervous system. This article provides guidance on the appropriate use of these two new codes. Neurorrhaphy With Nerve Graft, Vein ... To report reconstruction of proper digital nerve (PDN) defects using a nerve transfer from the dorsal branch of the uninjured PDN and compare the results with those of nerve grafting. Methods A retrospective study was conducted with 17 consecutive patients who had PDN defects treated with a nerve transfer from the dorsal branch of the PDN from May 2007 …For payers following CPT guidelines, this service, code 64450 (Injection, anesthetic agent and/or steroid; other peripheral nerve or branch) or any other type of nerve block is not separately coded when performed as a component of a surgical procedure (e.g., laceration repair). In this instance, a digital nerve block is clearly bundled as part ...Vascularizes and remodels into the patient’s own tissue. 1. Available in a variety of lengths and diameters for intra-operative versatility. learn more. to order, obtain more information or report adverse events. contact axogen customer care: Phone. 888.axogen1 (888.296.4361) Email. [email protected] finger vessels (903.5) CPT Codes. Repair blood vessel, direct; hand, finger (35207) Ligation, major artery eg, post-traumatic, rupture); extremity (37618) Sympathectomy, digital arteries, with magnification, each digit (64820) Periarterial sympathectomy, radial artery (64821) Periarterial sympathectomy, ulnar artery (64822) Overview. This microsurgical procedure is used to reconnect the severed ends of a nerve in the hand to allow the nerve to heal and to reduce the possibility that a neuroma will form. Nerve repair can help restore sensation and muscle function, however, in many cases normal sensation and function is not fully restored. Avance Nerve Graft is a processed, decedecellularized nerve allograft, used as an alternative to nerve conduits for nerve repair procedures. In a case report and review of the literature, Gunn et al (2010) presented a rare case of facial nerve paraganglioma and novel use of a processed allograft for facial nerve reconstruction.

To report reconstruction of proper digital nerve (PDN) defects using a nerve transfer from the dorsal branch of the uninjured PDN and compare the results with those of nerve grafting. Methods A retrospective study was conducted with 17 consecutive patients who had PDN defects treated with a nerve transfer from the dorsal branch of the PDN from May 2007 …

CPT ® Code Set. 64831 - CPT® Code in category: Suture of digital nerve, hand or foot... CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. CPT code information is copyright by the AMA. Access to this feature is available in the following products:64910 Nerve repair with synthetic conduit or vein allograft (e.g. nerve tube), each nerve 5432 58.8483 $4,627.59 $2,033.05 Physician Fee Schedule CPT Code Code Description Relative Value Unit 2018 Medicare National Payment Rates- Facility 64910 Nerve repair with synthetic conduit or vein allograft (e.g. nerve tube), each nerveCompanies in the Healthcare sector have received a lot of coverage today as analysts weigh in on Altimmune (ALT – Research Report), Minerva Ne... Companies in the Healthcare sect...In the published literature, there were many ways to repair digital nerve injury. However, the clinical practice of digital nerve repair has been lack of consensus. Thus, we analyzed the published literature on finger nerve injury . Excision of neuroma Reconstruction of radial digital nerve and autograft. Look at 64890 (Nerve graft, includes obtaining graft, single strand hand or foot, up to 4 cm in length) for the repair or the nerve. The excision of the neuroma would be 64776, per NCCI edits this is... [ Read More ] 64912B Nerve repair; with nerve allograft, each nerve, first strand (cable) 26.31 $910 +64913 Nerve repair; with nerve allograft, each additional strand (List separately in …Microsurgical repair, ulnar digital nerve. A patient is seen at our facility to undergo a microsurgical repair of the right ulnar digital nerve with 1 cm Avance allograft, and repair of the right radial digital nerve. Upon review of coding guidance, we have found conflicting instructions and so we are not really sure what the appropriate code ...Best answers. 0. Feb 12, 2010. #4. Well you said repair/suture of both brachial and ulnar motor nerves so that would be two separate codes. There are no edits also. Also, I don't think that add on code 64782 would work, (without reading the op note), because that is for suture of the proximal and distal nerves where repair was delayed because ...Can CPT code 64704 be reported for each nerve. The surgeon performed decompressed both medial and lateral nerves during a tarsal tunnel repair 28035. Would I report 28035 64704-59 64704-59?In a recent meta-analysis on digital nerve repair, Paprottka et al. (2013) collected data from 87 publications, with a total of 2,997 nerve repairs. With nerve graft the proportion of good sensory recovery outcome was 42% (95% confidence interval: 33–52%) and excellent in 25% (95% confidence interval: 15–37%).

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Irish Journal of Medical Science (1971 -) - There are very few studies comparing patients with and without repair after digital nerve injury. It is still controversial …A digital nerve block is a simple procedure that can be performed to provide immediate anesthesia for a multitude of injuries and procedures, such as fractures, dislocations, laceration repair, fingernail removal, or drainage of infections. It is one of the most commonly performed nerve blocks performed in the emergency department due to its wide variety of uses and efficacy.[1] The digital ...Files related to Suture of digital nerve, hand or foot; one nerve (64831) Find Window. X. Type in text to find: Nerve Procedure CPT Codes. Hand Surgery CPT Codes, sorted by number. Finger Nerve Injuries Codes. American.Request an Appointment. 410-955-5810 Maryland. 855-695-4872 Outside of Maryland. +1-410-502-7683 International. Nerve repair surgery aims to restore function and sensation that was partially or completely lost due to nerve damage.There are basically 3 types of nerve repair. Go to: When continuity defects are present in the injured nerve or created in preparation of the nerve for repair, a nerve graft procedure may be indicated. The 2 most common donor nerves for TN repair are the sural and the great auricular nerves.Introduction. Peripheral nerve injuries (PNIs) often produce impairments leading to long-term disabilities (Ruijs et al., 2005).Continued advances in surgical devices and procedures for nerve repair have had marginal success with patient satisfaction in motor recovery as low as 51.6% (Ruijs et al., 2005).Although limited data are available …Introduction. Lacerations of the digital nerves are the most frequently seen of all the peripheral nerves in the upper extremity. Most of these are seen in the proper digital …Oct 2, 2023 · The Current Procedural Terminology (CPT) code range for Neuroplasty (Exploration, Neurolysis or Nerve Decompression) Procedures on the Extracranial Nerves, Peripheral Nerves, and Autonomic Nervous System 64702-64727 is a medical code set maintained by the American Medical Association. ….

Potassium is good for health because it helps in the functioning of the heart, muscle contractions, transmission of nerve impulses and kidney functions. Potassium helps in metaboli...Recovery of mechanical detection thresholds after direct digital nerve repair versus conduit implantation. J Hand Surg Eur Vol. 2017 Apr 1. 1753193417699777. [QxMD MEDLINE Link]. Isaacs J, Nydick JA, Means KR, et al. A Multicenter Prospective Randomized Comparison of Conduits Versus Decellularized Nerve Allograft for Digital Nerve Repairs.They most commonly occur in the working age population and are 2–5 times more common in men compared with women. 1–6 Standard practice following digital nerve injury is …HELP! anterior interosseous nerve to motor branch of ulnar nerve transfer hand coding help nerve transfer orthopaedic I want to code 64718, 64719, and 69990, but my doc wants another CPT code for the anterior interosseous nerve transfer.CPT Code 64704, Surgical Procedures on the Extracranial Nerves, Peripheral Nerves, and Autonomic Nervous System, Neuroplasty (Exploration, Neurolysis ... Can CPT code 64704 be reported for each nerve. The surgeon performed decompressed both medial and lateral nerves during a tarsal tunnel repair 28035. Would I report 28035 64704-59 64704 …2022 Medicare National Average Payments. CPT1 Code*. CPT Code Descriptors. RVUsA. 2022 Payment2. Nerve Procedure Coding Options. 64999 Or -22 modifier. Unlisted procedure, nervous system or Append -22 modifier (increased procedural services) to the CPT code used to describe the surgical amputation or excision of neuroma.The nerve was then followed mentioned above, there was one point where the thick Dupuytren's tissue had a small branch of the digital nerve going right into it and it could not and there was 1 location where the artery was severed. 7-0 Prolene was used under loupe magnification to repair this. Once the nerve was repaired, the wound was ...In today’s fast-paced digital world, businesses heavily rely on technology to communicate and stay connected with their clients and customers. One of the primary reasons why AT&T L... Cpt digital nerve repair, American Society for Surgery of the Hand assh.org The Best Resource For Your Hands, Period., 2022 Medicare National Average Payments. CPT1 Code*. CPT Code Descriptors. RVUsA. 2022 Payment2. Nerve Procedure Coding Options. 64999 Or -22 modifier. Unlisted procedure, nervous system or Append -22 modifier (increased procedural services) to the CPT code used to describe the surgical amputation or excision of neuroma., A tension-free coaptation is a key factor for the successful outcome of any nerve repair. A variety of host factors influence the outcome of digital nerve repair more than the type of repair per se. Although autologous graft remains the reference standard for reconstruction of any critical digital nerve defect, allografts and conduits have assumed an increasing …, Similarly, you report the tendon repair of FDP and FDS in ring finger with 26356 x2. For partial laceration repair of middle finger radial digital nerve, you report 64910 (Nerve repair; with synthetic conduit or vein allograft [e.g., nerve tube], each nerve)., Peripheral nerve injury continues to be a major clinical challenge despite numerous recent advances, and successful outcomes are too often out of reach. Reconstruction of nerve defects not amenable to primary repair is particularly vexing and to date the use of nerve autograft has been the gold standard. Unfortunately, the shortcomings of nerve ..., 24910= nerve repair with conduit 64911= neurorrhaphy w/veingraft American Academy of Professional Coders 69990 is inclusive to above nerve repairs, not allowable Session 1A, 10-11:30 AM Friday, October 26th, 2012 Other newer CPT codes 24910= nerve repair with conduit 69990 is inclusive to above nerve repairs,, CPT® Knowledge Base is a compendium of real life coding questions asked by the coding community and answered by CPT® coding experts. Over 2900 questions and authoritative answers from the CPT® professionals at the AMA. Get specific answers to challenging coding questions, and search the knowledge base of others' real world questions., Use of an operating microscope, reported with Current Procedural Terminology (CPT®) codes 64727 and 69990, is a reimbursable service in specified instances: CPT code 64727 will only be reimbursed when submitted with internal neurolysis codes on the "Services Allowed with CPT 64627" list., A digital nerve block is a simple procedure that can be performed to provide immediate anesthesia for a multitude of injuries and procedures, such as fractures, dislocations, laceration repair, fingernail removal, or drainage of infections. It is one of the most commonly performed nerve blocks performed in the emergency department due to its wide variety of uses and efficacy.[1] The digital ..., suture needs to be monofilament on an atraumatic needle to minimize the trauma to the nerve ends suture size in the arm is usually 8-0 is used in the arm, 9-0 in the fingers repair with larger suture does not add strength to the repair, Dec 10, 2018. #1. Hello Fellow Coders, Does anyone know if cpt 64702 can be used for exploration only. Pt has dist finger closed fractures and developed absent sensation so the MD wants to confirm the digital nerve was not lacerated as well. Surgeon incised middle aspect of the finger with exploration and closure., Study with Quizlet and memorize flashcards containing terms like Mr. smith is seen in his primary care physicians office for his annual physical examination. He has a digital rectal examination and is given three small cards to take home and return with fecal samples to screen for colorectal cancer. Assign the cpt code to report this occult blood sampling. a. 82270 b. 82271 c. 82273 d. 82274 ..., Repair - Hand Flexor Tendon CPT Codes. Excision of tendon, finger, flexor separate procedure (26180) Flexor tendon repair or advancement, single, not in no mans land; primary or secondary without free graft, each tendon (26350) Flexor tendon repair or advancement, single, not in no mans land; secondary with free graft (includes obtaining …, 64902 Nerve graft, each additional nerve; multiple strands (cable) 64905 Nerve pedicle transfer; first stage 64910 Nerve repair with synthetic conduit, each Nerve Repair CPT 64831 Suture of digital nerve, hand or foot; one nerve 64832 Suture of digital nerve, hand or foot; each additional 64834 Suture of one nerve, hand or foot; common sensory ..., The patient underwent asceptic digital block using 3cc 1% lidocaine split 1/2 into each radial and ulnar side digital nerve at base of 4th finger proximal phalanx. After 10 minutes she reported complete resolution of all hand and finger pain. eed a cpt code for a digital nerve block. This was done in the Dr's (not anesthesiologist) office., AMA CPT ® Assistant - 2012 Issue 6 (June) Neurolysis and Neuroplasty (62263-62264, 62280-62282, 64708-64714) (June 2012) June 2012 pages 12-13 Neurolysis and Neuroplasty (62263-62264, 62280-62282, 64708-64714) The term neuroplasty, defined as "surgery to repair or restore nerve tissue" applies to the open neuroplasty …, They most commonly occur in the working age population and are 2–5 times more common in men compared with women. 1–6 Standard practice following digital nerve injury is direct end-to-end surgical repair of the nerve using microsutures, with alternative techniques described if a nerve gap prevents direct repair. 7–11, Casio is a renowned brand that offers a wide range of electronic products, including watches, calculators, and digital cameras. If you own any Casio device and encounter issues or ..., How much is the reimbursement for a digital block? The Medicare Physician Fee Schedule for CPT code 64450 is $81, so document your digital block well. There is also a code for trigeminal nerve block for dental pain (CPT code 64400, $130 on the Medicare Physician Fee Schedule). This includes blocks for the infraorbital and inferior alveolar nerves., Oct 2, 2023 · The Current Procedural Terminology (CPT) code range for Neuroplasty (Exploration, Neurolysis or Nerve Decompression) Procedures on the Extracranial Nerves, Peripheral Nerves, and Autonomic Nervous System 64702-64727 is a medical code set maintained by the American Medical Association. , AMA CPT ® Assistant - 2012 Issue 6 (June) Neurolysis and Neuroplasty (62263-62264, 62280-62282, 64708-64714) (June 2012) June 2012 pages 12-13 Neurolysis and Neuroplasty (62263-62264, 62280-62282, 64708-64714) The term neuroplasty, defined as "surgery to repair or restore nerve tissue" applies to the open neuroplasty …, Oct 2, 2023 · The Current Procedural Terminology (CPT) code range for Neuroplasty (Exploration, Neurolysis or Nerve Decompression) Procedures on the Extracranial Nerves, Peripheral Nerves, and Autonomic Nervous System 64702-64727 is a medical code set maintained by the American Medical Association. , Apr 26, 2024 · For CPT 2018, two new codes (64912, 64913) have been added to report nerve repairs using nerve allografts. Previously, nerve repairs with nerve allografts were reported with unlisted code 64999, Unlisted procedure, nervous system. This article provides guidance on the appropriate use of these two new codes. Neurorrhaphy With Nerve Graft, Vein ... , The Wall Street Journal reports one type of chronic pain suffered after hernia surgery is a sharp, stabbing pain as a result of nerves getting caught in the mesh used to repair the..., Digital nerve repair is a microsurgical procedure to reconnect the severed ends of a nerve in the finger or hand. In this intricate procedure, the surgeon matches up the nerve fibers and uses tiny stitches to sew together the outer layer of tissue that insulates and protects the nerve. Repairing this outer cover enables the nerve fibers to grow ..., Flexor Pollicis Longus (FPL) Repair Protocol (all zones) Thumb MP in full extension. 2. Separate dorsal gutter thumb IP splint blocking IP in 30 degrees flexion, to be worn with above splint. Passive composite thumb flexion/active extension to limits of splint. Passive IP flexion/active extension to limit of splint., Apr 26, 2024 · For CPT 2018, two new codes (64912, 64913) have been added to report nerve repairs using nerve allografts. Previously, nerve repairs with nerve allografts were reported with unlisted code 64999, Unlisted procedure, nervous system. This article provides guidance on the appropriate use of these two new codes. Neurorrhaphy With Nerve Graft, Vein ... , AMA CPT ® Assistant - 2012 Issue 6 (June) Neurolysis and Neuroplasty (62263-62264, 62280-62282, 64708-64714) (June 2012) June 2012 pages 12-13 Neurolysis and Neuroplasty (62263-62264, 62280-62282, 64708-64714) The term neuroplasty, defined as "surgery to repair or restore nerve tissue" applies to the open neuroplasty …, American Society for Surgery of the Hand assh.org The Best Resource For Your Hands, Period. , Formation of a clinically problematic neuroma is often quoted by surgeons to justify digital nerve repair yet the incidence of neuroma and cold intolerance was …, A surgeon uses specific criteria to evaluate whether a nerve graft is the right approach to nerve damage repair: When the injury happened. All methods of nerve repair, including nerve grafting, should be done in a timely manner. If too much time passes after an injury, a nerve graft may no longer be an option to restore function. Type of injury., 1. Axogen Avance nerve allograft 2mm diameter. 2. Axogen Axoguard nerve protector wrap 3.5 mm diameter. 64912 ( ulnar digital nerve reconstruction with Axogen Avance nerve allograft. 64910x2 ( Axogen nerve protector for left thumb ulnar digital and radial digital nerve wrap) Or. 64912. 64702 - Neuroplasty, digital, 1 or both, same digital., In a recent meta-analysis on digital nerve repair, Paprottka et al. (2013) collected data from 87 publications, with a total of 2,997 nerve repairs. With nerve graft the proportion of good sensory recovery outcome was 42% (95% confidence interval: 33–52%) and excellent in 25% (95% confidence interval: 15–37%).