64823 Sympathectomy superficial palmar
Also known as: superficial palmar sympathectomy, palmar plexus sympathectomy
Surgical sympathectomy of the superficial palmar arterial plexus in the hand. Removes sympathetic innervation to improve blood flow to the entire hand.
In Plain Language
palm nerve surgery; hand palm blood flow surgery
Clinical Context
Indicated for severe Raynaud's phenomenon or critical hand ischemia affecting the palm. Comprehensive approach to sympathetic denervation of the hand.
RVU Breakdown
| Work RVU | 10.67 |
| Total RVU | 10.67 |
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 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 10.67, this code ranks in the 61st percentile among Surgery codes — 1.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64823?
CPT 64823 (Sympathectomy superficial palmar) is a Surgery code. Surgical sympathectomy of the superficial palmar arterial plexus in the hand. Removes sympathetic innervation to improve blood flow to the entire hand.
What is the wRVU value for CPT 64823?
The work RVU for CPT 64823 is 10.67. This code is primarily used by Vascular Surgery, Hand Surgery, Plastic Surgery. It has a 90-day global period.
When is CPT 64823 used?
Indicated for severe Raynaud's phenomenon or critical hand ischemia affecting the palm. Comprehensive approach to sympathetic denervation of the hand.
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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.