Member’s Tip: Pain-free Coding of Morton’s Neuroma
Submitted by Rebecca Woodward, CPC, CEMC
In the past, there was some confusion on how to properly code Morton’s neuroma, but two newly-created CPT® codes make coding this condition much less of a pain in the … foot.
A Morton’s neuroma is a benign growth on nerve tissue that occurs in the nerve of your foot, often between the third and fourth toes, although it also may occur at the second toe interspace. Symptoms can range from burning, numbness, and tingling, to sharp pains in the sole of your foot. A Morton’s neuroma can develop from tight fitting shoes, injuries, and other pressuring irritants.
Report unilateral CPT® code 64455 Injection(s), anesthetic agent and/or steroid, plantar common digital nerve(s) (eg, Morton’s neuroma) for the steroidal and/or anesthetic agent injections used for pain relief, or 64632 Destruction by neurolytic agent; plantar common digital nerve for the nerve destruction by a neurolytic agent.
Report either 64455 or 64632 only once per foot, regardless of the number of injections provided. When either of these services is performed on both feet, you may append modifier 50 Bilateral procedure to either code.
CPT® 28080 Excision, interdigital (Morton) neuroma, single, each describes the surgical excision of the Morton’s neuroma. Report this code for each neuroma excised.
CPT® instructs you to use 77003 Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedure (epidural, transforaminal epidural, subarachnoid, paravertebral facet joint, paravertebral facet joint nerve, or sacroiliac joint), including neurolytic agent destruction for fluoroscopic guidance and localization for needle placement and injection. Report this code only once per session, regardless of the number of injections.