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Wiki 64455 for Morton's neuroma
- Thread starter goldkapp
- Start date
Anna Weaver
Guest
64455
I have a note on that code that says x1 no matter the number of nerves. I will see if I can find where I got that info.
I have a note on that code that says x1 no matter the number of nerves. I will see if I can find where I got that info.
Anna Weaver
Guest
64455
I found where I got the information. A teleconference by AAPC on procedural codes 2009 CPT changes I believe it was in November 2008. It's listed under neurology and it says:
"This injection is performed for Morton's neuroma, a painful condition that develops secondary to repetitive stress or trauma. Morton's neuroma occurs in the space between the toes and is commonly treated with steroid injection.
An injection of lidocaine or bupivacaine is sometimes employed to confirm the diagnosis of Morton's neuroma and provide the patient temporary relief. Code 64455 is reported once per encounter, even if more than one injection is given."
So, I marked in my book to use only one time no matter the number of injections per encounter.
Hope this helps.
I found where I got the information. A teleconference by AAPC on procedural codes 2009 CPT changes I believe it was in November 2008. It's listed under neurology and it says:
"This injection is performed for Morton's neuroma, a painful condition that develops secondary to repetitive stress or trauma. Morton's neuroma occurs in the space between the toes and is commonly treated with steroid injection.
An injection of lidocaine or bupivacaine is sometimes employed to confirm the diagnosis of Morton's neuroma and provide the patient temporary relief. Code 64455 is reported once per encounter, even if more than one injection is given."
So, I marked in my book to use only one time no matter the number of injections per encounter.
Hope this helps.
RebeccaWoodward*
True Blue
Anna,
This is an excerpt from CPT Assistant. It almost sounds as if if the procedure was performed for each foot, you could charge once, for each side. Any thoughts?
"Code 64455, Injection(s), anesthetic agent and/or steroid, plantar common digital nerve(s) (eg, Morton's neuroma), which was introduced in the CPT 2009, specifically represents injection of an anesthetic agent and/or steroidal agent into the involved plantar digital nerve interspace. Code 64455 is reported only once per foot, regardless of the number of injections provided, as is reflected in the plural forms for "injection" and "nerve."
(1-09, Vol 19, Issue 1)
This is an excerpt from CPT Assistant. It almost sounds as if if the procedure was performed for each foot, you could charge once, for each side. Any thoughts?
"Code 64455, Injection(s), anesthetic agent and/or steroid, plantar common digital nerve(s) (eg, Morton's neuroma), which was introduced in the CPT 2009, specifically represents injection of an anesthetic agent and/or steroidal agent into the involved plantar digital nerve interspace. Code 64455 is reported only once per foot, regardless of the number of injections provided, as is reflected in the plural forms for "injection" and "nerve."
(1-09, Vol 19, Issue 1)
Anna Weaver
Guest
64455
Rebecca,
I would agree with once per foot. I think that's what they are referring to in my notes, although it's not stated that way (gotta remember this was in Nov 08 and a new code for Jan 09). It just says once per session, and I'm glad CPT assistant clarified! Thanks for pointing this out!
Gotta love this site!!! I learn so much.
Rebecca,
I would agree with once per foot. I think that's what they are referring to in my notes, although it's not stated that way (gotta remember this was in Nov 08 and a new code for Jan 09). It just says once per session, and I'm glad CPT assistant clarified! Thanks for pointing this out!
Gotta love this site!!! I learn so much.
caprigrl
Contributor
Question
How many times can a patient get an injection 64455 before it is global per Medicare guidelines?
Thank you
How many times can a patient get an injection 64455 before it is global per Medicare guidelines?
Thank you
RebeccaWoodward*
True Blue
64455 has zero (0) global days
TammyHF
Guru
According to the LCD for J5 MAC Part B the limit is three injections. After three injections the physician would have to submit medical documentation to show medical necessity for additional 64455 injections.