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Thread: injections - Used a Betadine scrub and injected

  1. #1

    Cool injections - Used a Betadine scrub and injected

    AAPC: Back to School
    This was done in offce:

    Used a Betadine scrub and injected a solution of Kenalog and Xylocaine into the flexor sheath of the left ring finger.
    I then injected on both sides of the cord to help give us some sensory improvement.

    I used 20550 for the tendon sheath injection, but not sure what to do with the injection on both sides of the cord ? The doctor said to use 26989 which is an unlisted code.
    Ok fine, but what CPT code do I compare to ?
    I was thinking maybe 20552 ?

    Please, I would love some suggestions on where to go with this one.

    He then did a manipulation of the finger, but I don't think I can charge for that . . .

    I am confused :-(
    Last edited by ank3t; 10-20-2016 at 05:24 AM.

  2. #2
    Join Date
    Apr 2007
    Pensacola, Fl


    I'm not use to hand surgeons anymore, so please forgive me if this is a stuipd question. When he says cord, what is he referring too?

  3. #3


    It is the Dupuytren cord.

  4. #4
    Join Date
    Apr 2007
    Pensacola, Fl

    Default My $.02

    From what I can find on line this is a collection of collagen connective tissue of the palmar fascia. I would use 96371 x 2 due to the fact this isn’t a trigger point and technically it’s not the tendon either.

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