64728 Dcmprn median nerve carpl tunl
Also known as: median nerve carpal tunnel decompression, open carpal tunnel release, endoscopic carpal tunnel release
Surgical decompression of the median nerve within the carpal tunnel region. Performed under local or regional anesthesia to relieve nerve compression.
In Plain Language
opening up the carpal tunnel; median nerve pressure relief
Clinical Context
Definitive surgical treatment for symptomatic carpal tunnel syndrome. Indicated when conservative treatments fail or symptoms are severe with significant median nerve compression on electrodiagnostic testing.
RVU Breakdown
| Work RVU | 2.70 |
| Total RVU | 2.70 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 2.70, this code ranks in the 19th percentile among Surgery codes — 3.0x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64728?
CPT 64728 (Dcmprn median nerve carpl tunl) is a Surgery code. Surgical decompression of the median nerve within the carpal tunnel region. Performed under local or regional anesthesia to relieve nerve compression.
What is the wRVU value for CPT 64728?
The work RVU for CPT 64728 is 2.70. This code is primarily used by Hand Surgery, Orthopedic Surgery, General Surgery.
When is CPT 64728 used?
Definitive surgical treatment for symptomatic carpal tunnel syndrome. Indicated when conservative treatments fail or symptoms are severe with significant median nerve compression on electrodiagnostic testing.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.