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Tarsal Tunnel Injection

  1. Default Tarsal Tunnel Injection
    Medical Coding Books
    What code would normally be used for a tarsal tunnel injection? Please advise?

  2. #2
    North Carolina
    Typically, it's an unlisted code (28899)...There are several Medicare carriers that require this code as well; however, I would check with your carrier to be certain.
    Last edited by RebeccaWoodward*; 10-02-2009 at 07:26 AM. Reason: typo

  3. #3
    San Antonio, Tx
    I would use 20550 with 355.5. This and the code for the drug has worked for me.
    Ray Galvez CPC

  4. #4
    I also have used the 20550 for this

  5. #5
    North Carolina
    I don't disagree with 20550. I know some carriers do allow for this. But, again, I would check with the carrier in question. The recommended codes are somewhat scattered.

    "Though there are many similarities between tarsal tunnel syndrome and carpal tunnel syndrome, there is as yet no specific CPT code for tarsal tunnel injection. Tarsal tunnel injections should be billed with CPT code 28899 (unlisted procedure, foot or toes)."

    "CPT code 28899 (unilateral procedure, foot or toe) should be billed for the injection of the tarsal tunnel"

    And throw a curve ball...

    Per UHC...

    Injections into the Tendon Sheath and Ligament, Ganglion Cyst, Carpal and
    Tarsal Tunnel Policy – Coding Update Under the Injections into the Tendon Sheath and Ligament, Ganglion Cyst, Carpal and Tarsal Tunnel Policy, which went into effect in November 2006, UnitedHealthcare will reimburse for injections into the tendon/tendon sheath, or ligament (CPT codes 20550, 20551) ganglion cyst (CPT code 20612), carpal tunnel or tarsal tunnel (CPT code 20526)

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