64868 Fusion of facial/other nerve
Also known as: facial nerve to CN fusion, cranial nerve transfer
Surgical fusion or transfer of the facial nerve to another cranial nerve for restoration of facial function. May connect to hypoglossal, accessory, or other cranial nerve.
In Plain Language
connecting face nerve to brain nerve; cranial nerve cross-over
Clinical Context
Advanced technique for extensive facial nerve injuries where primary repair impossible. Typically hypoglossal-facial anastomosis performed for long-standing paralysis.
RVU Breakdown
| Work RVU | 14.53 |
| Total RVU | 14.53 |
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 14.53, this code ranks in the 72nd percentile among Surgery codes — 1.8x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64868?
CPT 64868 (Fusion of facial/other nerve) is a Surgery code. Surgical fusion or transfer of the facial nerve to another cranial nerve for restoration of facial function. May connect to hypoglossal, accessory, or other cranial nerve.
What is the wRVU value for CPT 64868?
The work RVU for CPT 64868 is 14.53. This code is primarily used by Neurosurgery, Otolaryngology. It has a 90-day global period.
When is CPT 64868 used?
Advanced technique for extensive facial nerve injuries where primary repair impossible. Typically hypoglossal-facial anastomosis performed for long-standing paralysis.
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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.