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Can 64905 be used for TMR combined with Nerve Ped8ical Transfers?
Question:
I have a vascular surgeon who wants to bill CPT 64905 for the TMR a newer technique that he states is allowed with Nerve Pedicle Transfers. He did a below knee amputation. After that the op note reads:
"The Tibial Nerve was identified and isolated. The Soleus muscle was meticulously dissected until the motor nerve plexus was identified. A coaptation was created between the nerve and the motor nerve plexus using 6-0 prolene, and the vascularized muscle was closed around the nerve."
We have exhausted our appeals and are unsure if this is going to work or if a Unlisted code should be used?
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