726.5 Enthesopathy of hip region
Bursitis of hip
Iliac crest spur
I looked at the Local coverage determination policy for WPS Medicare J5 for 20550 or 20552 and 726.5 is one of the conditions that meets medical necessity.
Below it looks like for ICD-10 has a standalone code for this.
Psoas tendinitis, unspecified hip
Psoas tendinitis, right hip
Psoas tendinitis, left hip
I believe you would use 20550 for injection around the tendon or tendon sheath versus using 20551 where the procedure note would have to describe injection at the tendon origin or insertion. It seems there can be some confusion if the physician is not aware of the different in these code descriptors on what is required to be documented to differ from the two codes.
Below July 2012 CPT Assistant they are stressing the use of the descriptor in 20550 such as tendon sheath or ligament, although the descriptor does not specificaly state tendon I still personally believe this would be accurate code for what you are describe but another forum member or AMA CPT Network could confirm this is the CPT for the illopsoas tendon injection.
AMA CPT Assistant July 2012
Frequently Asked Questions
Question: Are there circumstances in which code 20550 might be a more appropriate injection code to report for Dupuytren's contracture than the new CPT code 20527?
Answer: No. Code 20550, Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar "fascia"), does not appropriately describe the injection procedure, as the injection is not made into the tendon sheath or ligament as the descriptor indicates, but rather, into the Dupuytren's cord. The injection for Dupuytren's contracture is more complex to perform than a therapeutic tendon sheath injection, as described by code 20550.
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