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


