11/11/2026

Denials for Plantar Fasciitis Injections

Denials for Plantar Fasciitis Injections

NYSPMA has recently heard from members who are receiving claim denials for injections (CPT 20550) to treat plantar fasciitis when billed with ICD-10 codes M67.A01 and M67.A02. These denials are coming from Medicare, Medicare Advantage plans, and private insurers, all citing an “invalid ICD-10 code.”

Have you received one of these denials?

If so, please let us know. Hearing from you helps us understand how widespread the issue is and gives us what we need to advocate on your behalf with the payers involved.

When you contact us, it helps to include:

• The payer name (Medicare, the specific Medicare Advantage plan, or the private insurer)
• The date(s) of service and date of denial
• The denial reason or remark code shown on the EOB/remittance

Contact info@nyspma.org

We’re here to help, and we’ll keep members updated as we learn more.