64721

Carpal Tunnel Release

Code Description

CPT code 64721 is used to report surgical decompression of the median nerve through release of the transverse carpal ligament. The procedure relieves pressure on the median nerve to reduce pain, numbness, and weakness caused by carpal tunnel syndrome.

Carpal tunnel release is one of the most commonly performed peripheral nerve surgeries.

When to Use 64721

Common examples include:

  • carpal tunnel syndrome

  • persistent hand numbness

  • median nerve compression

  • hand weakness

  • failed conservative treatment

Documentation Requirements

Documentation should include:

  • diagnosis

  • surgical approach

  • median nerve decompression

  • operative findings

  • patient tolerance

Common Billing Mistakes

Common billing mistakes include:

  • incorrect nerve procedure coding

  • insufficient operative documentation

  • failure to document decompression

  • incomplete surgical reports

  • incorrect laterality reporting

Related CPT Codes
64719

Neuroplasty of Upper Extremity

64718

Ulnar Nerve Transposition

64708

Peripheral Nerve Repair

FAQ
What causes carpal tunnel syndrome?

It develops when the median nerve becomes compressed within the carpal tunnel at the wrist.

When is surgery recommended?

Surgery is commonly recommended when symptoms persist despite conservative treatment.

Is carpal tunnel release an outpatient procedure?

Yes. Most procedures are performed on an outpatient basis.

What structure is released during surgery?

The transverse carpal ligament is divided to relieve pressure on the median nerve.

Procedure Type

Nerve Decompression

Body Area

Technique

Wrist

Open Carpal Tunnel Release