Results 1 to 10 of 10

Alcohol Dehydrated 1mL for Mortons Neuroma

  1. #1
    Default Alcohol Dehydrated 1mL for Mortons Neuroma
    Medical Coding Books
    Hi,I hope someone is able to help me with this. I can not find a HCPCS code for Alcohol Dehydrated 1 mL 10 amps/CT. The podiatrist I work for said it is used instead of Kenolog for Mortons Neuroma, it helps to minimize or desolve tissue and help with scarring. I guess it's mixed with Lidocane for Sclerosing.
    Anyone had to use this product???????? Thanks in advance for any info given.

  2. #2
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    We do and as far as I know it is not billable.
    Lisa Bledsoe, CPC, CPMA

  3. #3
    Default
    There is not a dehydrated alcohol HCPC code but there is a CPT code. CPT 64632 Destruction by neurolytic agent; plantar common digital nerve.
    Last edited by TammyHF; 10-16-2009 at 06:48 AM.
    Tammy Hulsey-Ferguson, CPC
    Past President AAPC Wichita, KS Local Chapter

  4. #4
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    Isn't the correct code for Morton's Neuroma injection 64455?
    Lisa Bledsoe, CPC, CPMA

  5. #5
    Default
    There are two separate injection codes for Morton's neuroma one for injection and one for destruction. The frist one is for steroid or anesthetic CPT 64455 Injection(s), anesthetic agent and/or steroid, plantar digital nerve(s) (eg, Morton's neuroma). The second one is for destruction or dehydrated alcohol injection CPT 64632 Destruction by neurolytic agent; plantar common digital nerve.
    Tammy Hulsey-Ferguson, CPC
    Past President AAPC Wichita, KS Local Chapter

  6. #6
    Location
    Greeley, Colorado
    Posts
    2,045
    Thumbs up
    Thanks for the reminder Tammy - I had forgotten about that new code this year! Luckily I had put it in a memo at the beginning of the year to my podiatrist. I double checked and she has been using it
    Lisa Bledsoe, CPC, CPMA

  7. Default
    We use the code 64640. We get paid well and have only had one problem using it. Now, with the fee changes for 2010, the pay is going down, but it still pays the best.

  8. #8
    Default
    According to Medicare guidelines CPT 64632 for destruction by neurolytic agent of the is the corrected CPT to bill for a Morton's neuroma and CPT 64455 is for anesthetic agent and/or steroid for a Morton's neuroma. In guide line for Medicare it specifically states not to use 64640 for a Morton's neuroma.

    From WPS Final Comments for Injections-Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma: Morton's neuromas injections do not involve the structures described by CPT codes 20550 and 20551 or direct injection into other peripheral nerves but rather the injection of tissue surrounding a specific focus of inflammation on the foot. These therapies are not to be coded using CPT codes 20550, 20551, 64450, or 64640. Most specifically, the provider must not bill CPT codes 64450 or 64640 for these injections, since those codes respectively address the additional work of an injection of an anesthetic agent (nerve block), eurolytic or sclerosing agent into relatively more difficult peripheral nerves, rather than that involved in an injection of relatively easily localized areas. Morton's neuroma is included in the description of CPT code 64455 in the CPT manual.
    Tammy Hulsey-Ferguson, CPC
    Past President AAPC Wichita, KS Local Chapter

  9. Question Pelvic Cyst Alcohol Sclerosing
    What CPT code do I use?

  10. Default
    The package insert for the alcohol says that a concentration of 40% or greater is required for true destruction. Therefore sclerosing injections (usually 4% to 6 %) are not billable as 64640 or 64632. Instead, what you are performing is a therapeutic injection - 64450
    ~Ursula, CPC~

Similar Threads

  1. Decompression Mortons Neuroma
    By aschaeve in forum Podiatry
    Replies: 1
    Last Post: 11-25-2015, 12:57 PM
  2. Dehydrated Alcohol
    By JLM929 in forum Podiatry
    Replies: 0
    Last Post: 04-02-2013, 06:36 AM
  3. alcohol dependence and acute alcohol intoxication
    By ggparker14 in forum Diagnosis Coding
    Replies: 1
    Last Post: 02-20-2013, 11:20 AM
  4. Mortons's neuroma help!!!!!
    By banderson77 in forum Podiatry
    Replies: 4
    Last Post: 02-23-2010, 07:06 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.