For example, CPT code 20550 (“Injection (s); single tendon sheath, or ligament, aponeurosis (eg, plantar “fascia”)”) describes a therapeutic musculoskeletal injection. It is a misuse of this code to report it for the injection of local anesthesia in order to perform another procedure such as a hallux valgus correction (CPT code 28292).
Injections for plantar fasciitis are addressed by 20550 and ICD-10-CM M72.2. Injections for other tendon origin/insertions by 20551. Injections to include both the plantar fascia and the area around a calcaneal spur are to be reported using a single
20526 Injection, therapeutic (eg, local anesthetic, corticosteroid), carpal tunnel 20527 Injection, enzyme (eg, collagenase), palmar fascial cord (ie, Dupuytren's contracture) 20550 Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar "fascia")
Injection CPT code 20600 and 20550 - Medical Billing and Coding - Procedure code, ICD CODE. Injection of a tendon sheath, ligament or trigger point consists of an anesthetic agent and/or steroid agent injected into an area for the management of pain. This Local Coverage Determination only addresses the injection of trigger points.
When the origin or insertion of a tendon is injected, use CPT code 20551. 20550 is used for the injection of the tendon sheath.
Rachel, Per the CPT guidelines, if multiple injections are performed into the same tendon sheath/origin, then codes 20550 or 20551 should only be reported only once. If there are multiple injections into multiple sites, then you may report codes 20550 or 20551 once per injection.
CPT code 20550 is frequently used for a trigger finger injection, where the injection is administered to the tendon sheath.
Group 1CodeDescription20551INJECTION(S); SINGLE TENDON ORIGIN/INSERTION20612ASPIRATION AND/OR INJECTION OF GANGLION CYST(S) ANY LOCATION26341MANIPULATION, PALMAR FASCIAL CORD (IE, DUPUYTREN'S CORD), POST ENZYME INJECTION (EG, COLLAGENASE), SINGLE CORD28899UNLISTED PROCEDURE, FOOT OR TOES5 more rows
Tendon sheath injections are suggested when the tissues around a tendon are painful, swollen or difficult to move. Tendon sheath injections on their own are unlikely to offer a cure, but can be helpful alongside other treatments such as physiotherapy, splinting and other longer term medicines.
Used to treat acute and overuse injuries of the tendon sheath surrounding the tendon. Common conditions include: trigger finger/thumb, bicipital tenosynovitis, DeQuervain's tenosynovitis, Achilles tenosynovitis.
20552-Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)20553-Injection(s); single or multiple trigger point(s), 3 or more muscles.
ICD-10 code M65. 30 for Trigger finger, unspecified finger is a medical classification as listed by WHO under the range - Soft tissue disorders .
CPT code 20552 is for an injection, single or multiple trigger points, 1 or 2 muscles, and the CPT code 20553- single or multiple trigger points, 3 or more muscles. So, this simple means that if you injected 3 or more muscles, you can only bill CPT 20553 as 1 unit for the procedure.
CPT® Code 64632 - Destruction by Neurolytic Agent (eg, Chemical, Thermal, Electrical or Radiofrequency) Procedures on the Somatic Nerves - Codify by AAPC.
For trigger point injections, use code 20552 for one or two muscle groups injected, or 20553 for three or more muscle groups. The number of services for either code is one (1), regardless of the number of injections at any individual site, and regardless of the number of sites.
20611. ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, MAJOR JOINT OR BURSA (EG, SHOULDER, HIP, KNEE, SUBACROMIAL BURSA); WITH ULTRASOUND GUIDANCE, WITH PERMANENT RECORDING AND REPORTING.
CPT code 20552 is for an injection, single or multiple trigger points, 1 or 2 muscles, and the CPT code 20553- single or multiple trigger points, 3 or more muscles. So, this simple means that if you injected 3 or more muscles, you can only bill CPT 20553 as 1 unit for the procedure.
**64455: Total number of injections, in any combination, is limited to three (3) injections in twelve (12) months, per neuroma. Coding notes: Per CPT guidelines: CPT code 64450 may be used to report nerve block injections for plantar fasciitis and other neuritis of the foot.
You should report 20552 and 20553 only once per session, regardless of the number of injections or muscles involved. You should also report 20550 and 20551 only once per tendon sheath, ligament, or tendon origin/insertion, regardless of the number of injections involved.
Medicare requires modifier 50 to be reported with eligible codes on a single claim line (e.g., 20550-50).
Article Text. The following billing and coding guidance is to be used with its associated Local Coverage Determination. Injection therapies for Morton's neuroma do not involve the structures described by CPT code 20550 and 20551 or direct injection into other peripheral nerves but rather the focal injection of tissue surrounding a specific focus of inflammation on the foot.
Article Text. The following billing and coding guidance is to be used with its associated Local Coverage Determination. Injection therapies for Morton's neuroma do not involve the structures described by CPT code 20550 and 20551 or direct injection into other peripheral nerves but rather the focal injection of tissue surrounding a specific focus of inflammation on the foot.
Title: Injections into Tendon Sheath, Ligament, Ganglion Cyst, Carpal and Tarsal Tunnel Policy, Professional - Reimbursement Policy - UnitedHealthcare Community Plan
Title: Injections into the Tendon Sheath and Ligament, Ganglion Cyst, Carpal and Tarsal Tunnel Policy, Professional for Louisiana - Reimbursement Policy - UnitedHealthcare Community Plan
Day 2 . Providers are instructed to bill CPT 99213 which will represent the stretching of the cord and local anesthesia or analgesia and CPT 29130 for the splint application.
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Answer: No. Code 20550, Injection (s); single tendon sheath, or ligament, aponeurosis (eg, plantar "fascia"), does not appropriately describe the injection procedure, as the injection is not made into the tendon sheath or ligament as the descriptor indicates, but rather, into the Dupuytren's cord.
OP-note in short version Using fluoroscopic guidance in the AP view, I visualized the LT hip.Subcutaneous lidocaine was injected ov the entry site. Then, a22-gauge 5- inch needle was directed toward the neck of the femur. Boney contact was made. Then, the needle was withdrawn until spread of the iliopsoas muscle was seen using radiopaque dye. Dye was injected until we found the iliopsoas tendon spread. Then, 80 mg kenalog and 2ml of 1% lidocane, 2mL0.25%bupivacaine was injected. The needle was withdrawn.
I believe you would use 20550 for injection around the tendon or tendon sheath versus using 20551 where the procedure note would have to describe injection at the tendon origin or insertion. It seems there can be some confusion if the physician is not aware of the different in these code descriptors on what is required to be documented to differ from the two codes.
Injections for plantar fasciitis are addressed by 20550 and ICD-10-CM M72.2. Injections for other tendon origin/insertions by 20551. Injections to include both the plantar fascia and the area around a calcaneal spur are to be reported using a single 20551.
Injection therapies for Morton's neuroma do not involve the structures described by CPT code 20550 and 20551 or direct injection into other peripheral nerves but rather the focal injection of tissue surrounding a specific focus of inflammation on the foot. These therapies are not to be coded using 20550, 20551, 64450, 64640 or other assigned CPT codes. Rather, the provider of these therapies must bill with CPT code 64455 or 64632 Injection(s), anesthetic agent and/or steroid, plantar common digital nerve(s) (eg, Morton's neuroma) as the correct CPT code for the service.
The HCPCS/CPT code(s) may be subject to Correct Coding Initiative (CCI) edits. This policy does not take precedence over CCI edits. Please refer to the CCI for correct coding guidelines and specific applicable code combinations prior to billing Medicare.