Question: Montana Subscriber Answer: Your coding will depend on whether the podiatrist administers an injection into the surrounding soft tissue -- in which case 20550 (Injection[s]; single tendon sheath, or ligament, aponeurosis [e.g., plantar "fascia"]) is appropriate -- or, most often, into the actual sinus tarsi space. If this is the case, you can more accurately describe your work using 20605 (Arthrocentesis, aspiration and/or injection; intermediate joint or bursa [e.g., temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa]). Watch out: Your diagnosis will also need to support the appropriate injection code. Podiatrists most often use ICD-9 code 726.79 (Other enthesopathy of ankle and tarsus) to report sinus tarsi syndrome. Don't forget to use a corresponding J code to gain reimbursement for the drug. In the case of cortisone, use J0833-J0834 (Injection, cosyntropin ...).