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AMA CPT® Assistant - 2009 Issue 1 (January)
Plantar Common Digital Nerve Injection Procedures-Codes 64455 and 64632 (January 2009)
January 2009 page 6
Coding Communication:Plantar Common Digital Nerve Injection Procedures-Codes 64455 and 64632
Plantar interdigital neuroma of the foot, often called
"Morton's neuroma" a common cause of forefoot pain and
paresthesia. It is thought to be due to interdigital nerve
compression caused by either entrapment of the proper
digital nerve as it passes between the metatarsal heads and
beneath the intermetatarsal ligament or an intermetatarsal
bursa overlying the nerve causing nerve compression.
With time, the entrapped nerve undergoes degenerative
vascular changes, axonal demyelination, and, in some
cases, inflammatory changes. Associated findings include
adjacent fibrous and fatty tissue and...
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