APMA News - January/February 2022 - 45
coding
another modality, but a 4-percent-alcohol solution
would not qualify for CPT 64640.
CPT 64455: Injection(s), anesthetic agent, and/
or steroid, plantar common digital nerve(s) (e.g.,
Morton's neuroma).
This code falls under the diagnostic or therapeutic
injection section of CPT. This code may be
reported when a steroid and/or anesthetic agent
is injected specifi cally to the plantar common
digital nerve. Of note, the descriptor for 64455
begins with " Injection(s), " indicating that the code
represents a single or multiple injection. In other
words, if a bilateral injection procedure was
performed on the same date of service, the code
would be reported only once. This situation would
require a modifi er 50 appended to CPT 64455
when injecting bilaterally.
A fi nal example to consider is the following
question: If I have 96 percent of my injection
as 0.5-percent Bupivicaine, and I add 4-percent
If I have 96 percent of my injection
as 0.5-per cent Bupivicaine, and I add
4-percent dehydrated alcohol, is this
still a therapeutic injection?
dehydrated alcohol, is this still a therapeutic
injection of the plantar common digital nerve(s)
(e.g., Morton's neuroma)? The best answer is that
it is a therapeutic injection as CPT 64455. On
the other hand, if the only substance injected is
4-percent dehydrated alcohol, there is no CPT
code for that, as CPT 64450 and 64455 are
both anesthetic agent and/or steroid. The only
option is CPT 64999: Unlisted procedure,
nervous system.
Send questions or comments to coding.hpp@
apma.org.
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APMA News - January/February 2022
Table of Contents for the Digital Edition of APMA News - January/February 2022
Contents
APMA News - January/February 2022 - Cover1
APMA News - January/February 2022 - Cover2
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APMA News - January/February 2022 - Cover3
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