Endoscopic Cubital Tunnel Release

Endoscopic Cubital Tunnel Release

May 23, 2019

Question:
If a cubital tunnel release is performed by endoscopy how should it be reported? We report 64718 when it’s performed as an open procedure. Just not sure how to report it when it is done by endoscope.

Answer:
Thanks for your submission.  There is currently no Category I CPT code for endoscopic cubital tunnel release.  The March 2009 edition of CPT Assistant advised that it would be correct to report the procedure using code 29999 (Unlisted procedure, arthroscopy).

You could use the open procedure code for comparison, 64718 (Neuroplasty and or/transposition; ulnar nerve at elbow), or the endoscopic carpal tunnel release code 29848 (Endoscopy, wrist, surgical, with release of transverse carpal ligament).

*This response is based on the best information available as of 5/23/19.

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