Choosing The Right Foot Injection Code

You want to make sure your diagnosis corresponds with the Injection CPT code that you are picking. For example, ICD M72.2 does not correspond with CPT 20600.

Below is the definition of the more common foot injection codes -

20550 - Injection(s) single tendon sheath, or ligament, aponeurosis (e.g. plantar fascia)

20550 and ICD M72.2 - Plantar Fasciitis injections

20551 - Injection(s) single tendon origin/insertion

20551 - Injections to include both the plantar fascia and the area around a calcaneal spur

20600 - Arthrocentesis, aspiration and/or injection, small joint or bursa (toes) without U/S guidance

20604 - Arthrocentesis, aspiration and/or injection, small joint or bursa (toes) with U/S guidance

20605 - Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (ankle) without U/S guidance

20606 - Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (ankle) with U/S guidance

20612 - Aspiration and or injection of ganglion cyst(s) any location

20661 - Injections for other tendon origin/insertions

64455 - Injection(s) using anesthetic agent(s) and/or steroid, plantar common digital nerve(s) (e.g. Morton’s Neuroma)

64632 - Destruction by neurolytic agent, plantar common digital nerve

64455 or 64632 - Injection therapies for Morton’s neuroma

Diagnosis G57.61, G57.62 or G57.63 - Morton’s metatarsalgia, neuralgia, or neuroma

20600, 20604, 20605, 20606 - Injections into the joints (depends on joint being injected and use of Ultrasound guidance)

David Swiercz