Cpt code joint injection

The acromioclavicular (AC) joint is a common pain generator in patients presenting with shoulder pain. The incidence of AC joint pain is reported to be roughly 0.5 per 1000/year in primary care.[1] Pain in the AC joint can be traumatic or non-traumatic. Traumatic AC joint pain is typically the result of a direct blow to the superior or lateral …

One medial branch block is counted as 2 facet joint injections. Regions: An anatomic spinal region for paravertebral facet joint block (diagnostic or therapeutic), is defined as cervical\thoracic (CPT ® codes 64490, 64491, 64492) or lumbar\sacral (CPT ® codes 64493, 64494, 64495) per the AMA CPT ® Manual. Levels:A sacroiliac joint injection is a good way to find out whether your pain is from a problem in the sacroiliac joint. The procedure can also help to treat pain from that area. For this procedure, your healthcare provider injects numbing medicine (local anesthetic) into the joint. He or she may use X-rays (fluoroscopy) to show where to place the ...B. Diagnostic Facet Joint Injection Procedures ... CPT code 77003 has been removed from the policy due to the 2017 Annual CPT code update which changed the code descriptor. Creation of Uniform LCDs Within a MAC Jurisdiction; Revisions Due To CPT/HCPCS Code Changes; 01/01/2017 R7 LCD revised and published on 01/12/2017 effective for dates of ...Do not use this modifier for the first injection of each series. A series is defined as the set of injections for each joint and each treatment. Injection of the left knee or shoulder is a separate series from injection of the right knee or shoulder. ... CPT code 20611 has been added to the "Coding Information" section guidelines 1 and 2. 04/01 ...A5790. Sacroiliac joint injection under image guidance (and bilateral) Pre Sept 2014. A7350. Local anaesthetic blockade of named major nerve or plexus. Pre Sept 2014. T6450. Tenodesis of biceps tendon (as sole procedure) 26/01/2017.Without imaging, opt for 20552-20553 for trigger point injections. Add-on codes +64491, +64492, +64494, and +64495 are not reported with modifier 50, but are billed twice for bilateral procedures. Coding and Billing Facet Joint Injections. Codes 64490-64495 describe unilateral procedures. If the provider addresses both the left and right side ...

AAPC has highlighted the following coding guidelines when reporting facet joint interventions -. Codes 64490-64495 are unilateral procedures. Use CPT® codes 64490 and 64493 to report all of the nerves that innervate the first level paravertebral facet joint and not each nerve. Use CPT® add-on codes 64491, 64492 and 64494, 64495 to report ...Best answers. 0. Dec 15, 2010. #2. 150.1 - Treatment of Temporomandibular Joint (TMJ) Syndrome. (Rev. 1, 10-01-03) PASS memo Read.014. There are a wide variety of conditions that can be characterized as TMJ, and an equally wide variety of methods for treating these conditions. Many of the procedures fall within the Medicare program‟s ...Success Rates of Facet Joint Injections and Medial Branch Blocks. The success rates of facet joint injections and medial branch blocks vary. Studies show that up to 92% of patients may experience pain-relief for a short duration, typically 1 to 4 weeks after the injection. 1 Peh W. Image-guided facet jointA medial branch nerve block is a minimally invasive injection procedure that involves injecting a small amount of a local anesthetic, with or without a corticosteroid, near the medial branch nerves – the small nerves near the facet joints of the spine that carry pain signals from the joints to the brain. 1 Said N, Amrhein TJ, Joshi AB, N NCN, Kranz …CPT Codes CPT codes: Code Description 27096 Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed 27279 Arthrodesis, sacroiliac joint, percutaneous or minimally invasive (indirectEffective March 1, 2017, Any combination of trigger point injections, CPT codes 20552 (Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)) ...In the complex world of medical billing and coding, accurate documentation is crucial for maximizing revenue and ensuring efficiency. One tool that can greatly aid in this process ...

If a unilateral joint injection (CPT 27096) is performed and a unilateral sacral nerve block (CPT 64451) is performed on the contralateral side do not report modifier 50 with either code. Do not report a sacroiliac joint injection (CPT 27096) and a block of the nerves innervating the sacroiliac joint (CPT 64451) for the same side, per the policy.Critical Access Hospitals (TOB 85X) should report sacroiliac joint injection with CPT 27096 and a sacral nerve block with CPT 64451. Bilateral injections should …The official description of CPT code 27096 is: “Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed.”. 3. Procedure. The 27096 procedure involves the following steps: The patient is appropriately prepped and the area is anesthetized.Proximal tibiofibular joint (PTFJ) pathology is an uncommon but perhaps underappreciated cause of lateral knee pain. While imaging guided therapeutic injections for diagnosis and management of joint related symptoms are now commonplace and numerous techniques for accessing most joints in the body have been documented, a …Best answers. 0. May 23, 2018. #5. the correct code for SI injections. littlelora said: Since he says he injected in the joint, I'd look at your 20605, 20610 codes. We bill 20610 for SI joint injections, so that may be the best route to take. the correct code for a SI injection is 27096 not 20610.

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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.Aug 24, 2017 · 20552 Injection (s), single to multiple trigger point (s) one or two muscle (s) 20553 Injection (s), single to multiple trigger point (s) three or more muscle (s) 20612 Aspiration and/or injection of ganglion (s) cyst any location. New CPT codes for joint injections that became effective January 2015 do not require the use of 76942: 20604 ... Nov 20, 2023 · Without imaging, opt for 20552-20553 for trigger point injections. Add-on codes +64491, +64492, +64494, and +64495 are not reported with modifier 50, but are billed twice for bilateral procedures. Coding and Billing Facet Joint Injections. Codes 64490-64495 describe unilateral procedures. If the provider addresses both the left and right side ... Codes. HCPCS. HCPCS Codes. Procedures / Professional Services G0008-G9987. Miscellaneous Diagnostic and Therapeutic Services G0127-G0372. Injection procedure for sacroiliac joint; arthrograpy. G0257.

Aspiration and Injection CPT Codes. Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) Injection, therapeutic; carpal tunnel (20526) Injection, therapeutic; single tendon origin or insertion (20551) Arthrocentesis, aspiration and/or injection; small joint, bursa or ganglion cyst eg, fingers, toes) (20600) Arthrocentesis ...The CPT® codes for reporting arthrocentesis are 20600–20615. The descriptors start by stating that the codes represent arthrocentesis — aspiration from or injection into a joint, or both aspiration and injection of the same joint. Proper code selection is based on two factors: Whether ultrasound guidance is used.Joint Injections in Chronic Spinal Pain. Pain Physician. 2015; 18(4):E497¬533. ... NCDs do not contain claims processing information like diagnosis or procedure codes nor do they give instructions to the provider on how to bill Medicare for the service or item. For this supplementary claims processing information we rely on other CMS ...NCCI 10.2 takes the lidocaine crackdown a step farther and bundles J2001 into hundreds of CPT codes. For example, if a pediatrician performs arthrocentesis, coders cannot report the supply of the drug separately, says Mary Falbo, MBA, CPC, president of Millennium Healthcare Solutions. Remember: "The injection of a 'caine'while doing a joint ...Learn the technique for performing an intraarticular knee joint injection, the CPT code, the appropriate ICD-10 codes 64.9 F. Chicago. Saturday, April 27, 2024 Billing/Coding. ICD-9 Codes for Physical Medicine and Pain Management ... CPT code: 20610 "Arthrocentesis, aspiration and/or injection; ...Sacroiliac (SI) joint pain is a common etiology of low back pain. Studies have shown that 10% to 27% of mechanical low back pain is secondary to SI joint pain. [1][2] It can occur with or without lower extremity pain. Dysfunction of the SI joint occurs with degenerative conditions or with an imbalance between the SI joints. Patients with true and apparent leg length discrepancy, advanced age ...CPT Codes: Common Procedures : 23472: Total Shoulder Arthroplasty: Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder)) ... Small joint injection/aspiration: Arthrocentesis, aspiration and/or injection; small joint or bursa (eg, fingers, toes) 20605:Dec 25, 2015. #3. Perhaps you should show your provider the code descriptions from your CPT book: 20551 Injection (s); single tendon origin/insertion. 20610 Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance. Last edited: Dec 25, 2015. M.Best answers. 0. Mar 18, 2021. #4. Right!! The sacrococcygeal joint code should be 20605 indicates without ultrasound guidance and if you are using fluoroscopy guidance have to code 77002 too. RT/LT/50 not required with 20605. 0.The article has been revised to remove all references to sacroiliac joint injection procedures. Please refer to Article A59233 - Billing and Coding: Sacroiliac Joint Injections and Procedures. ... CPT code 64625 has been added to the article to report radiofrequency ablation, nerves innervating the sacroiliac joint. CPT codes 20560, …Codify by AAPC helps you quickly and accurately select the CPT® codes you need to keep your claims on track. With Codify by AAPC cross-reference tools, you can check common code pairings. You also get CPT to ICD-10-CM, CPT to HCPCS, and CPT to Modifier crosswalks. Our NCCI Edit tool will help you prevent denials from Medicare’s …

Thanks, I agree that a joint/bursa code makes sense based on the codes' descriptors. You will need to ask the doctor to determine whether 20604 (minor), 20606 (intermediate) or 20611 (major) is appropriate. It is appropriate to report more than one injection, but the doctor should clearly state how many bursa(e) they injected.

CPT Code 64490, Introduction/Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Extracranial Nerves, Peripheral . Select. Code Sets; ... .com, post: 505986, member: 269282"] Hi there. For Medicare Part B you would report the paravertebral facet joint injection based on the section of the spine/level (64490-...Jul 15, 2002 · Before injection of a joint or soft tissue, a small quantity of 1 percent lidocaine or 0.25 to 0.5 percent bupivacaine (Sensorcaine) can be injected subcutaneously with a 25- to 30-gauge needle to ... When you undergo a medical procedure, there’s a corresponding series of numbers that medical professionals use to document the process. This Current Procedural Terminology code hel...shoulder joint injection and subacromial bursa injection. I have seen it billed on the same side as; shoulder joint (glenohumeral) injection and subacromial bursa injection. Two units billed separately with the 59 modifier. So I think you should be able to bill two units of 20610 for that situation. P. Sue Vorass, CPC. Independent Coding Service.Apr 9, 2008 · Johnstown, PA. Best answers. 0. Apr 9, 2008. #1. How should sternocostal injections be coded and billed for pain management? 20600 small joint injection. 64421 Intercostal nerve block (multiple) OR. CPT Code 3; 20610: Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance: Used to report knee injections without ultrasound guidanceDo not use this modifier for the first injection of each series. A series is defined as the set of injections for each joint and each treatment. Injection of the left knee or shoulder is a separate series from injection of the right knee or shoulder. ... CPT code 20611 has been added to the "Coding Information" section guidelines 1 and 2. 04/01 ...Answer: Physicians may administer injections to the sacrococcygeal region to treat conditions such as coccydynia (724.79, Disorders of coccyx; other ). If the physician injects the joint, you should report 20605 ( Arthrocentesis, aspiration and/or injection; intermediate joint or bursa [e.g., temporomandibular, acromioclavicular, wrist, elbow ...Common Procedural Terminology (CPT) codes were used to determine the treatment patients received for their OA, specifically injection of a small joint and concurrent use of fluoroscopy or ultrasound. Common Procedural Terminology codes for surgical treatment of OA were also used to identify patients undergoing surgery for …

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Bilateral injections should be reported using modifier 50. If a unilateral sacroiliac joint injection (CPT 27096) is performed and a unilateral sacral nerve block (CPT 64451) is performed on the contralateral side do not report modifier 50 with either code. Do not report a sacroiliac joint injection (CPT 27096) and a sacral nerve block (CPT ...Oct 25, 2021 ... How would you code fluoroscopically guided intra-articular steroid injections of left tibiotalar and left subtalar joints?1. Best answers. 0. Jul 6, 2015. #1. My physician performed bilateral subtalar & tibiotalar injections. Are these considered small or intermediate joints? CPT 20605 is injection/aspiration for the ankle but I'm not sure if this is appropriate for these injections.A5790. Sacroiliac joint injection under image guidance (and bilateral) Pre Sept 2014. A7350. Local anaesthetic blockade of named major nerve or plexus. Pre Sept 2014. T6450. Tenodesis of biceps tendon (as sole procedure) 26/01/2017.I am charging injections for my practice's foot provider. CPT defines the ankle as an intermediate joint. Are the following joints considered billable under 20605 as intermediate joints: Subtalar/TalonavicularCPT: 20610: Arthrocentesis, major joint or bursa * Include modifiers -RT, -LT or 50 (bilateral) ... Providers are responsible for the selection of appropriate codes depending on clinical diagnosis. ... injection site pain, and joint effusion. The following reported adverse events are among those that may occur in association with intra ...Best answers. 0. Dec 15, 2010. #2. 150.1 - Treatment of Temporomandibular Joint (TMJ) Syndrome. (Rev. 1, 10-01-03) PASS memo Read.014. There are a wide variety of conditions that can be characterized as TMJ, and an equally wide variety of methods for treating these conditions. Many of the procedures fall within the Medicare program‟s ...CPT 64493: Injection of anesthetic agent or steroid into the lumbar or sacral facet joint, rather than destruction of the nerve(s). CPT 64494: Injection of anesthetic agent or steroid into additional lumbar or sacral facet joint(s) during the same session. 10. Examples. Here are 10 detailed examples of CPT code 64635 procedures: ….

SI joint dysfunction may be treated with SI injections. SI joint injections are indicated when the source of lower back pain or leg pain is suspected to originate from the sacroiliac joint. The SI joint can become painful due to a variety of conditions, including 1 Jung MW, Schellhas K, Johnson B. Use of Diagnostic Injections to Evaluate ...CPT code 20611 Arthrocentesis, aspiration and /or injection, major joint or bursa (eg. shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting for SI joint injections. 4. Procedure code 27096 represents a unilateral procedure. If bilateral SI joint arthrography is performed, 27096 should be ...Answer: If the physician documents barbotage, he most likely aspirated a site and then immediately injected the same site. You should report 20610 ( Arthrocentesis, aspiration and/or injection; major joint or bursa [e.g., shoulder, hip, knee joint, subacromial bursa]) for this procedure, along with 76003 ( Fluoroscopic guidance for needle ...What is the correct CPT code for an injection into Bertolotti's joint, CPT code 64493, Injection (s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level, CPT 64999, Unlisted procedure, nervous system, CPT code ...This can be performed using an inventory management system or by creating a spreadsheet. BOX 2. Botulinum Toxin Billing And Coding Pearls. Be aware of which insurance carriers in your area allow for injections to be performed every 12 weeks (84 days) vs every 90 days or 13 weeks, to ensure payment.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.Currently, the facet joint injections procedural codes are located in the nervous system section of the CPT manual. The six codes are: 64490 Injection (s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic, single level.Nov 5, 2013 · Answer: Codes 20600-20610 ( Arthrocentesis, aspiration and/or injection -) describe joint injections. The appropriate code for the sacrococcygeal joint injection is 20605 (… intermediate joint or bursa [e.g., temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa] ). Common mistake: Many coders find 64493 ( Injection [s ... Injection of the knee joint itself may be beneficial in recalcitrant cases. 20610-arthrocentesis, aspiration and/or injection; major joint or bursa. It looks like this could go either way. I think I would use the 20551 for the injection unless it states as in the last sentence that the knee joint itself is injected. Cpt code joint injection, The aspiration and/or injection procedure code may be billed in addition to the drug. Indicate which knee was injected by using the RT (right) or LT (left) modifier (FAO-10 electronically) on the injection procedure (CPT 20610). Place the CPT code 20610 in item 24D. If the drug was administered bilaterally, a -50 modifier should be used with ..., Region: An anatomic spinal region for thermal facet joint denervation is defined as cervical/thoracic (CPT codes 64633 and 64634) or lumbar/sacral (CPT codes 64635 and 64636) per the AMA CPT Manual. For neurolytic destruction of the nerves innervating the T12-L1 paravetebral facet joint, use 64633. Levels:, Acupuncture is a non-covered service and is reported with CPT codes 97810 - 97814. This range of codes is used to report injection(s) of tendon sheaths, ligaments, ganglion cysts, carpal, and tarsal tunnels. Be sure to read the entire description of the codes to ensure proper usage. Sacroiliac (SI) Joint Injections, Feb 11, 2015 ... A new code, 20604, includes with ultrasound, “Arthrocentesis, aspiration and/or injection, small joint or bursa; with ultrasound guidance, with ..., In the world of medical billing and coding, CPT codes play a crucial role. These codes, also known as Current Procedural Terminology codes, are used to identify and document medica..., Because of this location, a pars defect injection technique is similar to a facet joint injection. Many providers report the procedure as a facet joint injection, with 64493. Diagnosis choices: A pars defect may be congenital (756.11, Congenital spondylolysis, lumbosacral region ) or due to trauma, stress, or sports injuries (738.4, Acquired ..., The aspiration and/or injection procedure code may be billed in addition to the drug. Indicate which knee was injected by using the RT (right) or LT (left) modifier (FAO-10 electronically) on the injection procedure (CPT 20610). Place the CPT code 20610 in item 24D. If the drug was administered bilaterally, a -50 modifier should be used with ..., 3. It is not appropriate to use CPT code 20610, Arthrocentesis, aspiration and/or injection; major joint or bursa (eg, shoulder, hip, knee joint, subacromial bursa) for SI joint injections. 4. Procedure code 27096 re presents a unilateral procedure. If bilateral SI joint arthrography is performed, 27096 should be reported with a –50 modifier. 5. , Answer: CPT code 64493, Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level, is reported for injection of a diagnostic agent into the paravertebral facet joint using fluoroscopic guidance., Answer: The carpometacarpal joint is considered a small joint, therefore, it is appropriate to report code 20600, Athrocentesis, aspiration, and/or injection, small joint or bursa (eg, fingers, toes); without ultrasound guidance, for this procedure." See CPT Assistant February 2015/Volume 25 Issue 2. The same would apply if ultrasound guided ..., Fam Pract Manag. 2011;18(5):45 Cindy Hughes is the AAFP's coding and compliance specialist and is a contributing editor to Family Practice Management.Author disclosure: no relevant financial ..., Jul 26, 2016 ... Sacroiliac joint injections (CPT code 27096, G0260, G0259). 1. CareSource will reimburse injections for diagnosis or treatment that are given ..., Best answers. 0. Jul 11, 2012. #4. That's because 20605 is only for intermediate size joints, which are described in CPT descriptors (wrist, elbow, ankle, etc.), 20600 is for small joints (eg, fingers and toes), which would definitely include the metatarsal joints, and probably tarsal as well, as they are smaller than the ankle. P., CPT® Code 64493 in section: Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral, Evidence to support use in thoracic region is further supported by one 2012 systematic review report evidence for diagnostic accuracy of the thoracic facet joint injection, and one 2018 study comparing thoracic IA vs. MBB reporting significant pain relief with thoracic joint injection. 50,51 NASS guidelines state the lack of supporting ..., An anatomic spinal region for thermal facet joint denervation is defined as cervical/thoracic (CPT codes 64633 and 64634) or lumbar/sacral (CPT codes 64635 and 64636) per the AMA CPT Manual. For neurolytic destruction of the nerves innervating the T12-L1 paravertebral facet joint, use 64633., 2. Mix Omnipaque 300 with 2% lidocaine in a 50/50 solution in a syringe with tubing attached. 3. Numb the skin after alcohol and Betadine prep with a small amount of 1 or 2% pure lidocaine and a 25G needle. 4. Enter the joint with a 25G 1 1⁄2" needle and confirm the position with contrast/anesthetic mixture., Billing and Coding. Facet joint interventions (diagnostic and/or therapeutic) must be performed under fluoroscopic or computed tomographic (CT) guidance. Image guidance and any injection of contrast are inclusive components of CPT codes 64490-64495. Therefore, providers should not report guidance codes, such as 77001-77003 and 77012, for ..., Region: An anatomic spinal region for thermal facet joint denervation is defined as cervical/thoracic (CPT codes 64633 and 64634) or lumbar/sacral (CPT codes 64635 and 64636) per the AMA CPT Manual. For neurolytic destruction of the nerves innervating the T12-L1 paravetebral facet joint, use 64633. Levels:, There are thousands of existing codes that are updated each October. The current version is CPT 2018. But with thousands of codes out there at any given time, how can medical profe..., Best answers. 0. Apr 13, 2015. #2. shoulder joint injection and subacromial bursa injection. I have seen it billed on the same side as; shoulder joint (glenohumeral) injection and subacromial bursa injection. Two units billed separately with the 59 modifier. So I think you should be able to bill two units of 20610 for that situation., If it's a general intramuscular injection, then it's 96372. If it's into a major joint (shoulder, hip, knee, subacromial bursa), then it's 20610. Other joints are small joints (fingers, toes) - 20600 and intermediate joints (wrist, ankle, elbow, acromioclavicular - 20605). Trigger points have their own codes. Kenalog is billed per 10mg., Understanding CPT Code 64493. CPT code 64493 is a specific code used to report paravertebral facet joint injections or injections targeting the nerves innervating the facet joints in the lumbar or sacral region. This code is used to denote the injection of diagnostic or therapeutic agents into the facet joints or the nerves supplying them., Example A: L4-5 or L4-L5. Coding: Each facet joint = one level code. CPT code is 64493. Example B: Facet joints blocked include right C3-4, C4-5, C5-6. Coding: 64490 -RT, 64491 -RT, 64492 -RT. Another common way to document facet injections is to document the individual nerves blocked, separated by commas., When you undergo a medical procedure, there’s a corresponding series of numbers that medical professionals use to document the process. This Current Procedural Terminology code hel..., 2019 CPT includes new instructions specific to imaging guidance. This is important since imaging is bundled into many of the pain procedures ASA members perform, eg interlaminar epidurals (codes 62321, 62323, 62325, 62327), paravertebral blocks (codes 64461 – 64463), transforaminal epidurals (codes 64479-64484),) TAP blocks (codes 64486-64489 ..., The subacromial bursa is the most commonly injected structure in the shoulder. Indications include rotator cuff pathology, impingement syndrome, and subacromial bursitis. Subacromial injection of lidocaine is often used to diagnose impingement and offers rationale for subacromial decompression surgery. 2., Drug infusion and injection coding requires precision. Here are several tips and tricks you can use to pick the right code every time. ... You may use injection codes to report non-antineoplastic hormonal therapy. IV Push: CPT® 96374 Therapeutic, prophylactic, or diagnostic injection ... The Evolution of the Sacroiliac Joint Fusion - March 1 ..., A medial branch nerve block is a minimally invasive injection procedure that involves injecting a small amount of a local anesthetic, with or without a corticosteroid, near the medial branch nerves – the small nerves near the facet joints of the spine that carry pain signals from the joints to the brain. 1 Said N, Amrhein TJ, Joshi AB, N NCN, Kranz …, 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., Mar 19, 2018. #2. 28740. From CPT Assist Jan 2010 Vol 20 Issue 1: "Code 28740, Arthrodesis, midtarsal or tarsometatarsal, single joint, may be reported for either arthrodesis of the calcaneocuboid joint or arthrodesis of the talonavicular joint, as they are both mid-tarsal joints.", CPT Code 64493, Introduction/Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Extracranial Nerves, Peripheral . Select. Code Sets; ... .com, post: 505986, member: 269282"] Hi there. For Medicare Part B you would report the paravertebral facet joint injection based on the section of the spine/level (64490-..., Procedure code and description. 20550 Injection (s); single tendon sheath, or ligament, aponeurosis (eg, plantar "fascia'') 20551 Injection (s); single tendon origin/insertion. 20600 - Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); without ultrasound guidance - average fee payment - $50 - $60.