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Wiki Intermediate foot joints

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shofner14

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I am charging injections for my practice's foot provider. CPT defines the ankle as an intermediate joint. Are the following joints considered billable under 20605 as intermediate joints:

Subtalar/Talonavicular
 
Looking at a knee joint and a toe joint, I'd have to say those qualify as intermediate. I tend to agree with the following old post I found on a podiatry message board:

http://www.podiatrym.com/search3.cfm?id=29136

Response: I think of ankle, subtalar, talo-navicular and calcaneo-cuboid joints as intermediate joints (CPT 20605). Joints distal to those I consider to be small joints. I know of no official list. This is my opinion, and I've never been challenged.

Walter Pedowitz, MD, Linden, NJ
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