CPT^® 64455, Under Introduction/Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Somatic Nerves

The Current Procedural Terminology (CPT^®) code 64455 as maintained by American Medical Association, is a medical procedural code under the range - Introduction/Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Somatic Nerves.

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Summary

The provider injects a steroid or anesthetic agent or both into the area around the digital nerves on the sole of the foot to treat a condition such as Morton's neuroma.

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20550 & 64450

[QUOTE="carolinemccravy, post: 505947, member: 317287"] The injection in the heel code you have listed is correct. Do not use 64455, that is for a digital injection. As far as the 64450, that is for... [ Read More ]

20550 & 64450

[QUOTE="kmleland, post: 505941, member: 681244"] My doc is billing 20550 & 64450 together and I keep getting a CO-97 denial on 64450. It is not being billed for plantar fasciitis but instead a forearm... [ Read More ]

20550 & 64450

Hi Are the CPTs listed and dx code linked properly? Have you added modifier 59 or XS on 2nd CPT code since differ areas he is treating? He is treating the heel CPT 20550 and arm CPT 64415 be better.... [ Read More ]

Toe modifiers

[QUOTE="sherri greenwood, post: 496190, member: 387692"] 64455 they injected2 interspaces on both feet [/QUOTE] It can be billed once per foot, use the Rt modifier on first then LT 59 modifier on the ... [ Read More ]

Toe modifiers

[QUOTE="podcoder70, post: 496183, member: 584850"] What code are you billing? [/QUOTE] 64455 they injected2 interspaces on both feet... [ Read More ]

Toe modifiers

Generally speaking, with injections, you would use an RT or LT modifier. The T modifiers are for hammertoe surgeries, avulsions, and matrixectomies. If you are injecting into one of the smaller join... [ Read More ]

Plantar fascia injection under U/S Guidance

I disagree with the above. Based on the dictation the provider injected the [B]sheath of the nerve [/B]not the tendon. 20550 is not for nerve injections. I see why your provider is leaning towards 6... [ Read More ]

Plantar fascia injection under U/S Guidance

[QUOTE="lcole7465, post: 492324, member: 215666"] The provider I code for performed this procedure on a patient snip of note below: The area over the medial malleolus was cleaned with chl... [ Read More ]

Plantar fascia injection under U/S Guidance

The provider I code for performed this procedure on a patient snip of note below: The area over the medial malleolus was cleaned with chlorhexidine in a sterile fashion. We then used ultr... [ Read More ]

Nexplanon removal w/Fluoroscopic guidance

77002 Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure) ... [ Read More ]

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