Cpt code for carpal tunnel injection

Injection of 5% Dextrose for Treatment of Carpal Tunnel Syndrome. Jaime Toro, MD, reviewing Wu YT et al. Ann Neurol 2018 Sep 5. Dextrose injections were superior to steroid injections in a randomized trial. Idiopathic carpal tunnel syndrome (CTS) is frequently associated with pathological changes in the carpal tunnel subsynovial …

Oct 29, 2010 · Carpal Tunnel Injection. Indications. Carpal Tunnel Syndrome. ICD-9 code: 354.0 “carpal tunnel syndrome” ICD-10 code: G56.0 “carpal tunnel syndrome” CPT code: 20526. Materials Needed. Pen – clicking type; Gloves – non-sterile; Alcohol swabs or iodine; Band-aid; Tuberculin needle/syringe; 1-ml of 40mg/ml Depo-Medrol or Kenalog Carpal ... Carpal tunnel syndrome (CTS) is the most common peripheral nerve entrapment syndrome. It is defined as a compression of the median nerve at the level of the wrist joint associated with decreased function of the nerve at that level. 1, 2 It can be either acute or chronic, with chronic being much more common. 1, 3 Likewise, CTS is the most ...The CPT(R) code to report this procedure is 64721 Neuroplasty and/or transposition; median nerve at carpal tunnel. Both endoscopic and open carpal tunnel release surgeries are unilateral codes. To report bilateral injections, either append modifier 50 to the single code or bill the code on two lines and append modifiers RT and LT, …20552 Injection (s), single to multiple trigger point (s) one or two muscle (s) 20553 Injection (s), single to multiple trigger point (s) three or more muscle (s) 20612 Aspiration and/or injection of ganglion (s) cyst any location. New CPT codes for joint injections that became effective January 2015 do not require the use of 76942: 20604 ...Surgical decompression involves release of the median nerve by cutting the transverse carpal ligament. This can be done either with an open approach or endoscopically. Mini-invasive techniques, including endoscopic and mini-open approaches, have been studied and noted to have higher learning curves for the surgeon.While both the codes may be attributed to a surgeon’s preference, neither are considered payable under the Centers for Medicare and Medicaid Services National Correct Coding Initiative edits. 13 A small number of physicians also indicated their routine use of a therapeutic carpal tunnel injection (code 20526), despite a lack of literature to ...

Apr 17, 2019 · Best answers. 0. Apr 17, 2019. #1. My physician has done an injection of Depo -Medrol and Lidocaine into the patient's cubital tunnel near the elbow. He says it is similar to the carpal tunnel injection 20526. I am not sure how to code this. I have considered 20550, and also 64450. Neither option seems to fit the service exactly. Overview. Carpal tunnel syndrome (CTS) is a common mononeuropathy due to entrapment of the median nerve in the carpal tunnel. Symptoms include hand …... injection of a substance such as an anesthetic, or corticosteroid done for carpal tunnel ... CPT code 99487; cannot be billed with CPT code 99490). Coding Updates ...If you get healthcare services and receive a statement or bill, you’ll see medical CPT codes on the paperwork. But what do they all mean? Here’s a guide to reading CPT codes to see what’s been ordered for you.The following codes for treatments and procedures applicable to this guideline are included below for informational purposes. ... CPT . 29848. Endoscopy, wrist, surgical, with release of transverse carpal ligament ... Atroshi I, Flondell M, Hofer M, Ranstam J. Methylprednisolone injections for the carpal tunnel syndrome: a randomized, placebo ...May 30, 2017 · The following is a list of common injection codes for which ultrasound guidance should be reported and billed separately: 20526 Injection, therapeutic (e.g., local anesthetic, corticosteroid), carpal tunnel; 20550 Injection(s); single tendon sheath or ligament, aponeurosis (e.g., plantar “fascia”) 20551 Injection(s); single tendon origin ...

21 de ago. de 2023 ... Treatment is generally conservative with night splints and injections with carpal tunnel release reserved for refractory cases. Epidemiology.Injection of a carpal tunnel or tarsal tunnel is indicated for the patient with a mild case of these syndromes, with or without a trial of other conservative measures, such as oral non-steroidal anti-inflammatory drugs (NSAIDs) or orthoses. ... Enter the CPT/HCPCS code in the MCD Search and select your state from the drop down. (You may have to ...Dry needle trigger point injections (CPT 20560, 20561) for Commercial and Medicaid members are not ... Carpal tunnel injection may be indicated for mild to moderate symptoms when pharmaceutical and other conservative measures have failed or are not otherwise indicated Tarsal tunnel Injection may be indicated for conservative …20526 for the CTS injection. 354.0 (Mononeuritis or of upper limb and mononeuritis multiplex; carpal tunnel syndrome) appended to 20526 and 95860 to …Carpal tunnel syndrome (CTS) is a common ailment affecting the general patient population. It is the most common cause of peripheral nerve compression, with an incidence of 99 in 100,000 people. CTS is most commonly seen in patients over 40 years of age and has a greater prevalence in females. Females comprise approximately 65% to 75% of all reported cases [1]. CTS results from compression of ...Coding for carpal tunnel injections Q:What CPT code is used when a rheumatology physician performs a carpal tunnel injection with cortisone? Is 20600 (arthrocentesis, aspiration and/or injection; small joint, bursa... To read the full article, sign in and subscribe to the DecisionHealth Newsletters. Fully searchable through Find-A-Code's ...

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UnitedHealthcare Community Plan reimburses for injections into the tendon/tendon sheath, or ligament (CPT codes 20550, 20551) ganglion cyst (CPT code 20612), carpal tunnel or tarsal tunnel (CPT code 20526) when one of the diagnosis codes are listed on a claim denoting problems with one of these regions.The CPT code set for nerve blocks is 64400-64530 Peripheral nerve blocks-bolus injection or continuous infusion: 64400 Injection, anesthetic agent; trigeminal nerve, any division or branch. 64402 Injection, anesthetic agent; facial nerve. 64405 Injection, anesthetic agent; greater occipital nerve. 64413 Injection, anesthetic agent; cervical plexus.Cubital tunnel syndrome (CuTS) is the second most common compressive neuropathy, second only to carpal tunnel syndrome (CTS). 1 Although population-level estimates have been limited, a recent cross-sectional study determined the general population prevalence to be ~1.8%. 2 CuTS is characterized by ulnar neuropathy at the elbow from compression, traction, or frictional forces on the nerve.Cubital tunnel syndrome (CuTS) is the second most common compressive neuropathy, second only to carpal tunnel syndrome (CTS). 1 Although population-level estimates have been limited, a recent cross-sectional study determined the general population prevalence to be ~1.8%. 2 CuTS is characterized by ulnar neuropathy at the elbow from compression, traction, or frictional forces on the nerve.Files related to Injection, therapeutic; carpal tunnel (20526) Find Window. Type in text to find: Aspiration / Injection Codes. Aspiration and Injection CPT Codes. Injection CPT Codes. Injection related CPT Codes. Carpal Tunnel Codes. Hand Surgery CPT Codes, sorted by number.

Carpal tunnel syndrome (CTS) is the most common peripheral nerve entrapment syndrome. It is defined as a compression of the median nerve at the level of the wrist joint associated with decreased function of the nerve at that level. 1, 2 It can be either acute or chronic, with chronic being much more common. 1, 3 Likewise, CTS is the most ...CPT Code 20600, General Surgical ... The patient had a right carpal tunnel procedure performed on the same day as a left thumb injection of corticosteroid. ... 494805, member: 654943"] The medication does not determine the injection code; the type of injection does. If it's a general intramuscular injection, then it's 96372. I... [ Read More ...A HCPCS/CPT code shall be reported only if all services described by the code are performed. ... CPT codes 20526-20553 (therapeutic injection of carpal tunnel, tendon sheath, ligament, muscle trigger points) shall not be reported for the administration of local anesthesia to perform another procedure. The NCCI program contains01/01/2020. R2. The billing and coding article for the Nerve Blockade for Treatment of Chronic Pain and Neuropathy Policy Local Coverage Determination (LCD) is revised to add CPT code 64451, effective January 1, 2020. The following CPT code descriptors were changed in group 1: 64405, 64408, 64415, 64417, 64418, 64420, …31 de mar. de 2022 ... Dr. Ebraheim's educational animated video describes the condition of carpal tunnel injection and is it safe to operative after these ...Treatment. Treat carpal tunnel syndrome as early as possible after symptoms start. In the early stages, simple things that you can do for yourself may make the problem go away. For example: Take more-frequent breaks to rest the hands. Avoid activities that make symptoms worse. Apply cold packs to reduce swelling.11 de jun. de 2012 ... No CPT modifier will inform the ins co that is a percutaneous code. The only codes you can use is either the carpal tunnel injection code ...When injection therapies for tarsal tunnel syndromes include “Baxter’s injections” and/or injections for Morton’s neuroma use CPT codes 64455 or 64632. 4. 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 ... Jun 25, 2013 · Best answers. 0. Jun 25, 2013. #1. I work for a Interventional Pain Dr. who has given me a claim to bill out and it wants the injection 20526 billed out with Untrasound guidance. i looke in the CPT book and was unable to determine if I can bill the untrasound guidance with the injection. Please advise if possible is this a billable service with ...

warranting injection) Nerve conduction studies with or without late responses (e.g., F-wave and H-reflex tests) when performed without needle ... o Individuals being evaluated for carpal tunnel syndrome ... CPT Code Description 95860 . Needle electromyography; 1 extremity with or without related paraspinal areas .

Learn how to bill and code for carpal tunnel syndrome and tarsal tunnel syndrome injections with CPT codes 28899, 64455, 64632, and 20550, 20551, 64450, 64640, and 20527, 26341, 29130, and J0775. Find out the differences between these codes and the coding for XiaflexTM (collagenase clostridium histolyticum) for Dupuytren's contractures.... injection of a substance such as an anesthetic, or corticosteroid done for carpal tunnel ... CPT code 99487; cannot be billed with CPT code 99490). Coding Updates ...Injection CPT Codes. Intravenous injection of agent eg, fluorescein) to test blood flow in flap or graft (15860) Injection of sinus tract; diagnostic (sinogram) (20501) Injection, therapeutic; carpal tunnel (20526) Injection, tendon sheath, ligament, trigger points or ganglion cyst (20550) Injection, therapeutic; single tendon origin or ...What CPT code is correct for injection of steroid into Carpal Tunnel? Our physicians tend to use 20550? But then you cannot use 354.0 because it is not medically …The aim of carpal tunnel injection is to position the needle tip adjacent to the MN without inducing nerve or vascular injury. When the needle is positioned perineurally, the injection volume can be injected as a single or multiple deposit. In a single deposit, the injection is deposited at a single location 11, 14, 29, whereas in a multiple ...Carpal tunnel syndrome (CTS), compression of the median nerve lying deep under the flexor retinaculum, is the most common entrapment neuropathy of the upper limb. After a failure of conservative treatments, such as non-steroidal anti-inflammatory drugs (NSAIDs) and splinting, interventional techniques are required. Hydrodissection is an …Jul 10, 2010 · For example, CPT code 20550 (“Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar “fascia”)”) describes a therapeutic musculoskeletal injection. It is a misuse of this code to report it for the injection of local anesthesia in order to perform another procedure such as a carpal tunnel release (CPT code 64721). (CPT codes 96360-96377) or cardiac assessment (e.g., CPT codes 93000-93010, 93040-93042) ... For example, CPT codes 20526-20553 (therapeutic injection of carpal tunnel, tendon sheath, ligament, muscle trigger points) shall not be reported for the administration of local anesthesia to perform another procedure. The NCCI program contains

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20526 Injection, therapeutic (eg, local anesthetic, corticosteroid), carpal tunnel 20527 Injection, enzyme (eg, collagenase), palmar fascial cord (ie, Dupuytren's contracture) 20550 Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar "fascia") 20551 Injection(s); single tendon origin/insertion Comparisons of differing volumes of dextrose injections for carpal tunnel syndromes have also been made. The Lin group concludes that injection with dextrose of 4 mL provides better functional outcome and pain relief vs 1ml or 2ml. 44,45 Further expansion of the perineural space and longitudinal drug spreading was observed with …Anyone who has worked in any portion of the medical field has had to learn at least a little bit about CPT codes. These Current Procedural Terminology codes are used to document and report medical procedures. Take a look at this guide to le...warranting injection) Nerve conduction studies with or without late responses (e.g., F-wave and H-reflex tests) when performed without needle ... o Individuals being evaluated for carpal tunnel syndrome ... CPT Code Description 95860 . Needle electromyography; 1 extremity with or without related paraspinal areas .Coding for carpal tunnel injections Q:What CPT code is used when a rheumatology physician performs a carpal tunnel injection with cortisone? Is 20600 (arthrocentesis, aspiration and/or injection; small joint, bursa... To read the full article, sign in and subscribe to the DecisionHealth Newsletters. Fully searchable through Find-A-Code's ...In ICD-10-CM, most wrist conditions coded from chapter 13 (M codes) have a “3” in the fifth position of the code such as M19.031 Primary osteoarthritis, right wrist. Common conditions of the wrist and distal radius from chapters 13 and 19 (M and S codes) are: Wrist drop (M21.33-)Sacroiliac (SI) Joint Injections (CPT Codes 27096 and 64451, HCPCS Code G0260) Medicare does not have a National Coverage Determination (NCD) for SI joint injections. ... Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma (L34076). Note: After checking the . Injections of Tendon Sheaths, Ligaments, Ganglion Cysts, Carpal and …Joint injection of the wrist and hand region is a useful diagnostic and therapeutic tool for the family physician. In this article, the injection procedures for carpal tunnel syndrome, de Quervain ...Carpal tunnel syndrome is common, and an estimated 71% of patients receive surgical intervention as their primary treatment. The estimated cost of medical care for carpal tunnel syndrome in the United States is $2 billion a year, with median lost work times of just under 30 days. Surgical treatment most often involves an open procedure. ….

Coding for carpal tunnel injections Q:What CPT code is used when a rheumatology physician performs a carpal tunnel injection with cortisone? Is 20600 (arthrocentesis, aspiration and/or injection; small joint, bursa... To read the full article, sign in and subscribe to the DecisionHealth Newsletters. Fully searchable through Find-A-Code's ... When performing a carpal tunnel injection (20526) using ultrasound, what do I need to document to support reporting 76942? Answer: In order to report ultrasonic …31 de mar. de 2022 ... Dr. Ebraheim's educational animated video describes the condition of carpal tunnel injection and is it safe to operative after these ...A57201 Article Title Billing and Coding: Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma Article Type Billing and Coding Original Effective Date 10/01/2019 Revision Effective Date N/A Revision Ending Date N/A Retirement Date N/A AMA CPT / ADA CDT / AHA NUBC Copyright Statement(CPT codes 96360-96377) or cardiac assessment (e.g., CPT codes 93000-93010, 93040-93042) ... For example, CPT codes 20526-20553 (therapeutic injection of carpal tunnel, tendon sheath, ligament, muscle trigger points) shall not be reported for the administration of local anesthesia to perform another procedure. The NCCI program containsDec 8, 2020 · Hello, I hava Surgery for Carpal Tunnel with injections that I am trying to apply the modifiers correctly and am asking for some help. Procedures performed were: Rt carpal tunnel release. Left trigger thumb Left small finger trigger digit injection Left trigger thumb injection. I applied: Carpal tunnel surgery 64721 RT Other newer CPT codes • 20527= Dupuytren’s injection of Collagenase into a cord • 26341= next –day manipulation of finger to straighten and disrupt cord American Academy of Professional Coders Session 1A, 10-11:30 AM Friday, October 26th, 2012 Other newer CPT codes 11040 & 11041 have been deleted aspiration), 20500-20501 (Injection of sinus tract), 20526-20553 (Injection of carpal tunnel, tendon sheath, ligament, trigger points, etc.), 20600-20611 (Arthrocentesis) to report administration of local anesthetic for another procedure. ... CPT code 10180 (Incision and drainage, complex, postoperative wound infection) would neverSep 16, 2014 · Medical Coding. Medicare Regulations . CMS Billing Carpal Tunnel Injections ... CMS Billing Carpal Tunnel Injections. Thread starter MML05; Start date Sep 16, 2014; M ... Cpt code for carpal tunnel injection, The aim of carpal tunnel injection is to position the needle tip adjacent to the MN without inducing nerve or vascular injury. When the needle is positioned perineurally, the injection volume can be injected as a single or multiple deposit. In a single deposit, the injection is deposited at a single location 11, 14, 29, whereas in a multiple ..., Though there are many similarities between tarsal tunnel syndrome and carpal tunnel syndrome, there is as yet no specific CPT code for tarsal tunnel injection. Tarsal tunnel injections should be billed with CPT code 28899 (unlisted procedure, foot or toes). 2. When billing for the injection of tarsal tunnel syndrome with CPT code 28899, please ..., Frequency limitations: The Company limits the frequency of carpal tunnel injections to three per side within a 365-day time period. II. Tendon sheath, ligament, or tendon injection: The Company considers tendon sheath, ligament, or tendon injection(s) (CPT Codes 20550 and 20551) medically necessary and eligible for reimbursement when the , For example, CPT codes 20526-20553 (therapeutic injection of carpal tunnel, tendon sheath, ligament, muscle trigger points) shall not be reported for the administration of local anesthesia to perform another procedure., Carpal tunnel syndrome typically begins with numbness or tingling in the thumb, index and middle fingers that comes and goes, according to Mayo Clinic. This numbness is often accompanied by discomfort in the hand and wrist., Learn how to bill and code for carpal tunnel syndrome and tarsal tunnel syndrome injections with CPT codes 28899, 64455, 64632, and 20550, 20551, 64450, 64640, and 20527, 26341, 29130, and J0775. Find out the differences between these codes and the coding for XiaflexTM (collagenase clostridium histolyticum) for Dupuytren's contractures., Jul 1, 2021 · While both the codes may be attributed to a surgeon’s preference, neither are considered payable under the Centers for Medicare and Medicaid Services National Correct Coding Initiative edits. 13 A small number of physicians also indicated their routine use of a therapeutic carpal tunnel injection (code 20526), despite a lack of literature to ... , Joint injection of the wrist and hand region is a useful diagnostic and therapeutic tool for the family physician. In this article, the injection procedures for carpal tunnel syndrome, de Quervain ..., When injection therapies for tarsal tunnel syndromes include “Baxter’s injections” and/or injections for Morton’s neuroma use CPT codes 64455 or 64632. 4. 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 ... , Survey your private payers to determine which modifier, if any, is required. 5. Our physician often dictates that he is performing “staged carpal tunnel surgeries” when bilateral carpal tunnel surgeries occur on different days. The second surgery occurs about eight weeks after the first surgery, within the first procedure’s global period., If an endoscope does carpal tunnel release surgery, this surgical procedure will be reported with CPT 29848. Right Carpal Tunnel Release CPT Code Modifier RT will be appended with Carpal Tunnel Release CPT 64721, or 292848 if the Carpal tunnel release procedure is done on the right carpal tunnel wrist such as 64721-RT, M25.531, or 292848-RT ... , CPT code 20551 should be used when the origin or insertion of a tendon is injected, in contrast to an injection of the tendon sheath, CPT code 20550. CPT code 28899 (unilateral procedure, foot or toe) should be billed for the injection of the tarsal tunnel., UnitedHealthcare Community Plan reimburses for injections into the tendon/tendon sheath, or ligament (CPT codes 20550, 20551) ganglion cyst (CPT code 20612), and carpal tunnel or tarsal tunnel (CPT code 20526) when one of the diagnosis codes are listed on a claim denoting a problem with one of these regions. UnitedHealthcare Community Plan, G56.00 Carpal tunnel syndrome, unspecified upper limb G56.01 Carpal tunnel syndrome, right upper limb G56.02 Carpal tunnel syndrome, left upper limb G56.03 Carpal tunnel syndrome, bilateral upper limbs REIMBURSEMENT Participating facilities will be reimbursed per their Highmark Health Options contract. SUMMARY OF LITERATURE, Although there is no CPT code for this service, the coding convention is to use CPT code 28899, with the notation “tarsal tunnel injection” in the narrative field. CPT code 20526 could not be used because it is specific for carpal tunnel injection and because the use of an incorrect code could generate claims issues with secondary …, For example, CPT codes 20526-20553 (therapeutic injection of carpal tunnel, tendon sheath, ligament, muscle trigger points) should not be reported for the ..., The Contractor has changed the CPT code to be billed for the injection of the tarsal tunnel(s) to 28899. Although there is no CPT code for this service, the coding convention is to use CPT code 28899, with the notation “tarsal tunnel injection” in the narrative field. CPT code 20526 could not be used because it is specific for carpal …, Objective: The aim of this report is to describe a new ultrasound guided technique for carpal tunnel injection and median nerve hydrodissection using distal to proximal approach.Methods: From 2015 to 2019, 827 consecutive injections by distal-to-proximal approach were included using coding information to check for post-procedural skin …, Login. Username Forgot my Username. Password Forgot my Password. Remember Me., The aim of carpal tunnel injection is to position the needle tip adjacent to the MN without inducing nerve or vascular injury. When the needle is positioned perineurally, the injection volume can be injected as a single or multiple deposit. In a single deposit, the injection is deposited at a single location 11, 14, 29, whereas in a multiple ..., May 30, 2017 · The following is a list of common injection codes for which ultrasound guidance should be reported and billed separately: 20526 Injection, therapeutic (e.g., local anesthetic, corticosteroid), carpal tunnel; 20550 Injection(s); single tendon sheath or ligament, aponeurosis (e.g., plantar “fascia”) 20551 Injection(s); single tendon origin ... , CPT code 20551 should be used when the origin or insertion of a tendon is injected, in contrast to an injection of the tendon sheath, CPT code 20550. CPT code 28899 (unilateral procedure, foot or toe) should be billed for the injection of the tarsal tunnel., Injection CPT Codes. Intravenous injection of agent eg, fluorescein) to test blood flow in flap or graft (15860) Injection of sinus tract; diagnostic (sinogram) (20501) Injection, therapeutic; carpal tunnel (20526) Injection, tendon sheath, ligament, trigger points or ganglion cyst (20550) Injection, therapeutic; single tendon origin or ..., While both the codes may be attributed to a surgeon’s preference, neither are considered payable under the Centers for Medicare and Medicaid Services National Correct Coding Initiative edits. 13 A small number of physicians also indicated their routine use of a therapeutic carpal tunnel injection (code 20526), despite a lack of literature to ..., by injection(s) (includes imaging guidance, when performed) Facility $58.47 N/A Packaged service/ item; no separate payment made Packaged service/ item; no separate payment made Non-Facility $114.40 Musculoskeletal Medicine 20526 Injection, therapeutic (eg, local anesthetic, corticosteroid), carpal tunnel Facility $59.55 5441 $261.77 $41.50 , CPT code 95905 is payable only once per limb studied and cannot be used in conjunction with any other nerve conduction codes. When the beneficiary has a high pre-test or a priori probability for having the diagnosis of Carpal Tunnel Syndrome, the NC-stat® System (alone) will be allowed, one service per arm, using CPT code 95905., Reimbursement Guidelines. UnitedHealthcare Individual Exchange reimburses for injections into the tendon/tendon sheath, or ligament (CPT codes 20550, 20551) ganglion cyst …, Carpal tunnel syndrome is common, and an estimated 71% of patients receive surgical intervention as their primary treatment. The estimated cost of medical care for carpal tunnel syndrome in the United States is $2 billion a year, with median lost work times of just under 30 days. Surgical treatment most often involves an open procedure., Jun 25, 2013 · Best answers. 0. Jun 25, 2013. #1. I work for a Interventional Pain Dr. who has given me a claim to bill out and it wants the injection 20526 billed out with Untrasound guidance. i looke in the CPT book and was unable to determine if I can bill the untrasound guidance with the injection. Please advise if possible is this a billable service with ... , Sep 14, 2014. #4. Guidelines state that we are to use the modifier that best describes the scenario, in this case the 20526 would be billed with a modifier 50 showing it was bilateral. Because this CPT code has an MUE edit of 1, the LT/RT, 59 modifier wouldn't work. The status indicator for this code is 1 based on the CMS Physician Fee schedule., The patient had a right carpal tunnel procedure performed on the same day as a left thumb injection of corticosteroid. Can i bill 64721-RT and 20600-FA together without any additional modifiers since..., Aspiration and Injection CPT Codes. Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) Injection, therapeutic; carpal tunnel (20526) Injection, therapeutic; single tendon origin or insertion (20551) Arthrocentesis, aspiration and/or injection; small joint, bursa or ganglion cyst eg, fingers, toes) (20600), The Contractor has changed the CPT code to be billed for the injection of the tarsal tunnel(s) to 28899. Although there is no CPT code for this service, the coding convention is to use CPT code 28899, with the notation “tarsal tunnel injection” in the narrative field. CPT code 20526 could not be used because it is specific for carpal tunnel ...