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Thread: Cubital tunnel injection at the elbow CPT

  1. #1

    Default Cubital tunnel injection at the elbow CPT

    AAPC: Back to School
    Would you use unlisted 64999 and compare to 20526 (carpal tunnel), or is there a better code?

  2. #2


    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. #3


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

  4. #4


    20605 for intermediate joint

  5. #5
    Join Date
    Apr 2007
    Greater Pittsburgh


    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. #6


    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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