- Messages
- 208
- Location
- Kennebunk, ME
The podiatrist submitted 20605 for this note but other than midfoot, there aren't any other anatomical landmarks to support where the injection was directed. Would this support a 20605? I have another note that states he injected the foot with the same documentation (fanning, etc.) because of a neuroma but he billed a 64450 for that one instead. In both cases I don't feel there's enough info to support anything other than a 96372. Any other opinions? Thanks-Sue
Assessment: L foot post traumatic midfoot arthritis with extensor/peroneal atrophy with mild foot drop to the L foot/leg
3) Injection therapy was performed today with a combination of long and short acting steroids, and with a long acting local anesthetic. The patient was given an injection into the L dorsal midfoot using 1cc 0.5% Bupivicaine (5mg/ml) plain and with 1cc of Depo-Medrol (methylprednisolone acetate) 80mg/ml, 1cc of Dexamethasone Sodium Phosphate 4mg/ml. This was injected under sterile technique, and was then fanned out through the region. The site was then dressed with a Band-Aid.
Assessment: L foot post traumatic midfoot arthritis with extensor/peroneal atrophy with mild foot drop to the L foot/leg
3) Injection therapy was performed today with a combination of long and short acting steroids, and with a long acting local anesthetic. The patient was given an injection into the L dorsal midfoot using 1cc 0.5% Bupivicaine (5mg/ml) plain and with 1cc of Depo-Medrol (methylprednisolone acetate) 80mg/ml, 1cc of Dexamethasone Sodium Phosphate 4mg/ml. This was injected under sterile technique, and was then fanned out through the region. The site was then dressed with a Band-Aid.