"Please provide a diagnosis code for an injection of Morton's Neuroma. Its a therapeutic injection not a trigger point injection. The injection is a combination of lidocaine and cortizone. An office visit code of 99213 was billed and paid but not the 20550."
The diagnosis codes for a painful neuroma are:
Primary Diagnosis: G57.61 - Lesion of plantar nerve, right lower limb OR G57.62 - Lesion of plantar nerve, left lower limb OR G57.63 - Lesion of plantar nerve, bilateral lower limbs
Secondary Diagnosis: M79.671 - Pain in right foot AND / OR M79.672 - Pain in left foot
The CPT® code for injection of a neuroma is:
CPT 64455® - Injection(s), anesthetic agent and/or steroid, plantar common digital nerve(s) (eg, Morton's neuroma)
CPT® 20550 is for injection of "single tendon sheath, or ligament, aponeurosis (eg, plantar "fascia")" and should not be used to represent injection of a Morton's nueroma.
Lastly, the E&M should only be submitted with the injection if the E&M was significant in nature and separately identifiable from the procedure and this is supported in the documentation.
Current Procedural Terminology (CPT®) is copyright 1966, 1970, 1973, 1977, 1981, 1983-2023 by the American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association (AMA).
Jeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPC, CPMA
Certified Professional Coder
Certified Professional Medical Auditor
Lehrman Consulting, LLC