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Cubital tunnel injection at the elbow CPT

  1. Default Cubital tunnel injection at the elbow CPT
    Medical Coding Books
    Would you use unlisted 64999 and compare to 20526 (carpal tunnel), or is there a better code?

  2. Default
    Carpal tunnel (354.0) is median nerve and Cubital tunnel (354.2) is of ulnar nerve, I would use CPT 20526 for the cubital tunnel

  3. Default
    But 20526 is at the wrist. What do you code for the elbow??

  4. Default
    20605 for intermediate joint

  5. #5
    Location
    Greater Pittsburgh
    Posts
    390
    Default
    It depends on where the injection is, 20605 is the elbow JOINT. 20550 is the TENDON SHEATH or LIGAMENT, or FASCIA:. 20551 is the[B] TENDON ORIGIN[/B]/INSERTION. The descriptor for 354.0 carpal tunnel 20526 states 'injection between the tendons of the radial flexor and the long palmar muscles', so I use 20550 for the cubital injection because they inject betweent tendons and muscles with 354.2
    jdemar, CPC, CMA

  6. Default
    I looked on the LCD and 354.2 is not covered for the 20550,20551, or the 20605. Has anyone been paid using this dx?

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