tci Outpatient Facility Coding Alert - 2014 Issue 6

Reader Question: Choose Between 20550 and 20605 When Coding for Sinus Tarsi

Question: How do we report a cortisone injection to the sinus tarsi?  Montana Subscriber  Answer: The sinus tarsi is neither a joint nor a ligament, it is a space. It is a soft indentation just in front of the lateral malleolus and contains nerve endings, fat, joint capsule, arterial anastomoses, and five ligaments.  The trick for coding the procedure is to be accurate with the site of injection. If your physician administers the injection into the surrounding soft tissue you need to use 20550 (Injection[s]; single tendon sheath, or ligament, aponeurosis [e.g., plantar “fascia”])...

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