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CPT 64721: Carpal Tunnel Release Billing, 2026 Rates, and Modifiers

CPT 64721 open carpal tunnel release billing 2026 hero banner: a peer-reviewed ASSH survey finding 15.4 percent of hand surgeons wrongly add their own local anesthesia code 01810 or microscope charge 69990, both blocked by NCCI with no override modifier, the endoscopic-converted-to-open rule reporting 64721 alone, bilateral billing splitting into a single 64721-50 line on physician claims versus separate RT and LT lines on ASC claims, the new 2026 percutaneous code 64728 excluded by Anthem and Premera, and the 2026 fee schedule shift cutting facility payment 3 percent while raising office payment 8.8 percent, from ClaimMax RCM.

CPT 64721 is the open carpal tunnel release CPT code: the surgeon frees (neuroplasty) or moves (transposition) the median nerve at the carpal tunnel through an open incision that divides the transverse carpal ligament. It’s a unilateral code. The American Medical Association (AMA) added a third release code, 64728, on January 1, 2026. On the […]