CPT® Code Description PI 2021 Medicare National ASC Average Payment 2021 Medicare National Average Physician Payment (Facility Setting) 27130 Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft J8 $8,833 $1,322 Ambulatory Surgical Center Physician CPT® Code. 2019 Jun;238:144-151. 2017 Jun;36(3):192-197. (2014) Cardiac sympathetic denervation in patients with refractory ventricular arrhythmias or electrical storm: intermediate and long-term follow-up. 7 Disturbances of salivary secretion This article was converted to the new Billing and Coding Article type. Back to work the day after. I am just not sure if I can code for the epidural injection via indwelling catheter the following 2 days. 3) Late effect of crushing (nonspecific) (906. J Hand Surg. 1016/j. The procedure can take 2 to 3 hours to perform. 65 preop to 0. Coding Submenus Contusion; Sprain / Strain / Ligament Injuries; ICD9 Codes Thumb base metacarpal fracture, closed (815. 0 cm (12046)Article Guidance. 05). Layer closure of wounds of neck, hands, feet and/or external genitalia; 7. Location. Joint denervation, a technique yielding good reproducible results in wrist and. 03) to postoperatively (M = 1. 6 cm to 12. Carpometacarpal (CMC) arthroplasty surgery, although modifications have occurred over time, continues to be commonly performed and has provided patients with their desired pain relief and return of function. 4. 2022. 001) reduction in pain scores from baseline (M = 6. Hand Surg Rehabil. . 2) Traumatic arthropathy, forearm (716. Typically, patients have pain in the base of the thumb and with the progression of the disease: atrophy of thenar muscles, subluxation of the first carpometacarpal joint, loss of pinch and grip. Pain scores for AKP were significantly better in the denervation group at 3 months but not at 12 and 24 months. The joints are connecting into two spinal vertebrae together as following, Policy. Outcomes following isolated posterior interosseous nerve neurectomy: a. 6 cm to 12. Late effect, arm fracture (nonspecific) (905. Use the appropriate CPT code in Item 24D on the CMS-1500 form (or electronic equivalent) and link it to the applicable ICD-9-CM code in Item 24E (or electronic equivalent). 1016/j. Surgical denervation of the thumb carpometacarpal (CMC) joint is a theoretical surgical option for thumb CMC arthritis. TABLE 2. Wang and colleagues (2015) noted that selective peripheral denervation (SPD) is currently the primary surgical treatment for ST. May 22, 2017. J Am Acad Orthop Surg. Coverage is subject to the specific terms of the member's benefit plan. interosseous nerve. Compared with other surgical treatment options, function is preserved and the rehabilitation time is limited. The denervation of the first CMC joint has gained traction as a viable. 2) Late effect of contusion (nonspecific) (906. 01) Metacarpophalangeal dislocation, open (834. Intradiscal biacuplasty (IDB) (Baylis Medical Inc. , and the National Emphysema Treatment Trial Research Group. 2 to 0. Best answers. 120 - Facet Arthroplasty Facet Joint Denervation Description Percutaneous radiofrequency (RF) facet denervation is used to treat neck and back pain originating in facet joints with degenerative changes. hansur. hansur. There has also been an update to the modifier 50 guidelines in. 61 ± 2. Since the resulting chemical denervation of muscle produces local paresis or paralysis, selected muscles can be treated. The design of the study is a prospective non-blinded, non-randomized control study. Carpometacarpal Joints /. Other patients may be better served with a vasectomy reversal, conversion to an open-ended vasectomy, excision of a sperm granuloma, or epididymectomy. Using fiberwire suture, a suture was placed at both ends. 0. CPT® code 64611; HCPCS codes J0587, J0585, J0588 Group 3 Codes: (2 Codes) CODE DESCRIPTION K11. 54 “pain in a joint, hand” CPT code: 20600 “Arthrocentesis, aspiration and/or injection; small joint or bursa (eg, fingers, toes)” Materials Needed. 008. 1. If denervation is performed bilaterally, Modifier 50 should be appended to the procedure code with number of services of one. Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data. Jan 25, 2017. Tech Hand Up Extrem Surg. e1-64. 4 Mahfoud F, Mancia G, Schmieder R, et al. The CMC joint of the thumb is a saddle joint. Purpose The first carpometacarpal (CMC) joint is a frequent location of osteoarthritis in the hand. 1 No prior spinal fusion surgery in. The preferred surgical option when. 2. 0000000000000057. 1016/j. jhsa. The procedure addresses the “supply” of pain to the brain, dissecting and removing the nerve branches of the joint rather than altering the joint itself. 5 months). 8 months, range = 3-90 months). Arthrocentesis, aspiration and/or injection; small joint, bursa or ganglion cyst eg, fingers, toes) (20600) Basal Joint Arthroplasty. 3-2 ). 0) Pain in joint, forearm (719. These investigators reported on the outcome of patients treated with this procedure for ST in their department. Long-term follow-up after ligament reconstruction with tendon interposition. The denervation of the first CMC joint has gained traction as a viable treatment for CMC arthritis. Superficial radial nerve. 008 Corpus ID: 253927867; Denervation of the thumb carpometacarpal joint for symptomatic osteoarthritis in 46 patients. according to your report the doctor is using RF Denervation for all levels, you code per nerve root meaning L3-L5=2 nerve roots, two levels, L5-S1=2 nerve roots, two levels; all four bilateral, so the correct coding should be: L3-L5, L5-S1 facets (bilateral L3,L4, "L5" medial branches)) codes and Healthcare Common Procedure Coding System (HCPCS) codes listed in this policy are for reference purposes only. And how do you code the the following combo case and urodynamic with modifiers? Case 1: Vag hyst (58260), ant & post repair (57265), colpopexy (57283) and sling (87288). BOSTON — In this video from the American Society for Surgery of the Hand Annual Meeting, Joshua Hustedt, MD, said patients with carpometacarpal arthritis recover faster from carpometacarpal. Selective denervation of the thumb CMC joint is a rarely considered alternative approach that can be used to treat pain associated with CMC arthritis. 3. 4. Arthritis of the First Metacarpophalangeal Joint (M19. Open treatment of articular fracture, involving metacarpophalangeal or proximal interphalangeal joint, with or without internal or external fixation, each (26746) Open treatment of metacarpophalangeal dislocation, single, with or without internal or external fixation (26715) Primary repair of collateral ligament, metacarpophalangeal joint (26540)Classically, first carpometacarpal joint denervation has been carried out through 2 different approaches, either a single longitudinal dorsal incision 1 or 2 smaller incisions at the dorsal and. 5 cm (12044) Layer closure of wounds of neck, hands, feet and/or external genitalia; 12. Basilar Thumb Arthritis is a form of arthritis that causes pain at the base of the thumb and difficulty with pinching and grasping due to carpal-metacarpal (CMC) joint arthritis. Mar 20, 2011. Page 5 of 18 . The number of VT episodes was decreased from 11. The selective denervation for thumb CMC arthritis was effective in pain relief and functional recovery with several advantages, including less invasive procedure, quick recovery time, and regaining of strength. Rather, the provider of these therapies must bill with CPT code 64455 or 64632 Injection(s), anesthetic agent and/or steroid, plantar common digital nerve(s) (eg, Morton's neuroma) as the correct CPT code for the service. No hemodynamic deterioration or worsening of renal function was observed. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code M62. 2018. Hope this helps. Denervation of the first CMC joint is a relatively new procedure for managing stable thumb CMC. 95 post op (P<0. Methods A systematic literature search was performed up to September 2022. Non-thermal facet joint denervation (including chemical, low grade thermal energy [<80 degrees Celsius] or any other form of pulsed radiofrequency) should not be reported with CPT codes 64633, 64634, 64635 or 64636. The CMC joint, the focus of this paper, is referred to as the basal joint of the thumb, reflecting its proximal location within the digit. Use the following codes for facet joint denervation: 64633 Destruction by neurolytic agent, paravertebral facet joint nerve (s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint. doi: 10. N/A. 6 cm to 20. the risk/benefit ratio for CMC joint treatment. #3. sympathetic denervation in patients with resistant hypertension. Jan 17, 2012. Results for a total denervation of the first CMC joint are given in Table 4. 0 ± 4. 3 ± 0. e. I am the surgical coder for a group of hand surgeons - when coding 25825 the CPT clearly states with autograft (includes obtaining graft). Best answers. 1 ). 25444 . Vanden Berge DJ, Kusnezov NA, Rubin S, et al. 2. Conclusions: Carpometacarpal denervation appears to provide similar short-term outcomes as suspension arthroplasty for the treatment of thumb carpometacarpal arthritis. 48 The characteristic feature of a saddle joint is that each articular surface is concave in one dimension and convex in the other. 0 to 14. 26670 - CPT® Code in category: Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. 001) reduction in pain scores from baseline (M = 6. Modifier 50 is not appropriate because coding is based on the number of muscles treated. Carpometacarpal dislocations. Renal Hemodynamics and Renal Function After Catheter-Based Renal Sympathetic Denervation in Patients With Resistant Hypertension. Radiofrequency Facet Denervation (also known as non-pulsed radiofrequency denervation, facet neurotomy, facet rhizotomy, or articular rhizolysis) of cervical facet joints (C2-C3 thru C7-T1 vertebrae) and lumbar facet joints (T12-L1 thru L5-S1 vertebrae) may. 2018. Thumb carpometacarpal joint denervation for primary osteoarthritis: A prospective study of 31 thumbs. Orthopaedics. Berger RA. College instructor undergoes base of thumb (CMC joint) denervation to eliminate arthritic pain with minimal down time or discomfort. 9, 10, 11 Cadaveric. 8. Papatheodorou et al. DIAGNOSES FOR CHEMODENERVATION PROCEDURES. 01) Metacarpal base fracture, closed (815. Medical conditions that can affect the thenar eminence include carpal tunnel syndrome, arthritis, and amyotrophic lateral sclerosis (ALS), among others. 1016/j. Pooled analysis of 3 studies on the first carpometacarpal joint showed a statistically significant (P < . 2. 001. CPT code 20551 should be used when the origin or insertion of a tendon is injected, in contrast to an injection of the tendon sheath, CPT code 20550. The Coding Information section has been revised to add a guideline for CPT code 72275. 01. 5: DBUN. 21) Late effect of sprain/strain (nonspecific) (905. 2 Dry mouth, unspecified Group 4 Paragraph: CPT® code 64612; HCPCS codes J0585, J0586, J0587, J0588 Group 4 Codes: (34 Codes) CODE DESCRIPTION G24. hansur. To appropriately report any of these modalities, use 64999). 26842. This pain affects the quality of life in 2. , wrist denervation substantially reduces pain in radiocarpal osteoarthritis [6–10]. 2) Traumatic arthropathy, forearm (716. 04) M18. Surgical Procedures on the Musculoskeletal System. 7 to 0. S. Pain, strength, range of motion, DASH. Quick reference tables. Injury & Clinical Conditions. 2022. Objective Surgical denervation has been proposed as a treatment for pain in hand osteoarthritis (OA). You don't have many to choose from depending on that was done or using an unlisted code 29999. Results from a consecutive series of 13 patients with thumb CMC arthritis who underwent joint denervation were retrospectively reviewed. Your sense of touch may feel different than it used to. Carpometacarpal denervation appears to provide similar short-term outcomes as suspension arthroplasty for the treatment of thumb carpometacarpal arthritis. CPT code 46505; HCPCS codes J0585, J0586, J0587, J0588 Group 1 Codes: Group 2 Paragraph: CPT Code 52287; HCPCS code J0585 Group 2 Codes: Printed on 8/8/2018. 04 closed or 833. 1 out of 10. 29840 . CMC Denervation. 5, 52, and 66. Neurectomy of the anterior interosseus nerve. CMC Arthrodesis. Spine J 2008; 8(3):498-504. Note: Report CPT code 64999 when facet cyst aspiration/rupture. 21) Late effect of sprain/strain (nonspecific) (905. #1. Thumb carpometacarpal (CMC) joint denervation is a relatively novel method for the management of osteoarthritis-associated pain by selective transection of articular nerve branches of the CMC joint. The Hand Center at Flagstaff Bone and Joint is located at 77 W Forest Ave. and Riley N. Pooled analysis of 3 studies on the first carpometacarpal joint showed a statistically significant (P < . Prior to surgery, all patients reported poor function and significant levels of pain, with an average VAS of 7. 2011;8:22–31. Username Forgot my Username. CPT ‡ Code 2019 Payment3 2020 Payment1 % Change 2019 Payment4 2020 Payment2 % Change Hypertension Renal Denervation Renal denervation, unilateral 5192 0338T $4,679 $4,953 5. Carpometacarpal (CMC) arthroplasty surgery, although modifications have occurred over time, continues to be commonly performed and has provided patients with their desired pain relief and return of function. 03) to postoperatively (M = 1. Surgical denervation of the thumb carpometacarpal (CMC) joint is a theoretical surgical option for thumb CMC arthritis. " D. Finger wounds Codes. There was 3. 03) Thumb base metacarpal fracture, open (815. Debridement CPT Codes. 2017. 2. It is. Before undergoing surgical CMC denervation, patients received a joint block at the first CMC joint with 0. This is the American ICD-10-CM version of M26. Fusion in opposition, thumb, with autogenous graft (includes obtaining graft) (26820) Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation (26841) Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft) (26842)All patients who underwent first CMC joint denervation surgery from January 2015 through September 2017 were retrospectively identified. @article{Rath2022DenervationOT, title={Denervation of the thumb carpometacarpal joint for symptomatic osteoarthritis in 46 patients. CODING FOR LAPAROSCOPIC APPENDECTOMY CPT code(s) to report Descriptor Global period Work RVU Total RVU 44970 Laparoscopy, surgical, appendectomy 090 9. The procedure can take 2 to 3 hours to perform. I am hesitant, would this approach my provider is describing qualify as MIS as he states his approach is. The doctor wants us to bill 25447 along with 20650 for insertion of the k-wire. interosseous nerve. Complete wrist denervation through a dorsal approach including neurectomy of the posterior. 2018 Facility (Hospital / surgi- center, etc. J Am Coll Cardiol 2011; 58(11):1176-82. #5. 11) Metacarpal base fracture, open (815. CMC Arthrodesis. Table 4. 2019 Jan;44(1):64. If epidurolysis is performed during a caudal epidural for pain management, do I need to assign separate codes for epidural and epidurolysis? i. Wrist Pain - Denervation Codes. Between June 1995 and June 2013, a total of 648 patients underwent SPD for ST. Hand function may be hampered by osteoarthritis inthe first carpometacarpal joint. 4 Idiopathic orofacial. FIGURE 3-2 . 2 A cost analysis study conducted in the. Use the appropriate CPT code in Item 24D on the CMS-1500 form (or electronic equivalent) and link it to the applicable ICD-9-CM code in Item 24E (or electronic equivalent). Host virtual events and webinars to increase engagement and generate. 6 cm to 12. These services should be reported with CPT code 64999. The preferred surgical option when conservative therapy fails varies with the stage and nature of the disease. I am having trouble finding what code would be most appropriate. Some authors have described the nerve branches of thumb CMC joint. Carpectomy; one bone (25210) Index Metacarpal base. CMC OA affects 66% of women older than 55 years 1 and an estimated 22% of the general population aged 50 years and over are symptomatic 2. With the included Guidewire and 4 mm cannulated Drill Bit, the bone. 6) Late effect of sprain/strain (nonspecific) (905. from publication: Volar denervation and osteophyte resection to relieve volar CMC joint pain | At mean 125. CPT has several codes (64732-64772) relating to the excision or transection of the nerves. Previous work from our group examined the use of selective denervation of the thumb CMC as a safe, effective, and novel option for patients with CMC osteoarthritis. CPT® Code Short Descriptor MD In-Office Medicare Allowed Amount MD In-Facility Medicare Allowed Amount Total Office-Based RVUs Total Facility-Based RVUs Pelvic Floor Repair Procedures - Capio™ Slim for Native Tissue Repair or Biologic Graft 57240 Anterior repair, cystocele N/A $613 N/A 17. Although orthopedists may refer to the surgery differently 25447 ( Arthroplasty interposition intercarpal or. ablation or denervation is an effective treatment for occipital neuralgia or headaches. Selective denervation has been successfully employed to treat arthritis pain in a number of joints throughout the body. Results: Denervation was safe, with less downtime than trapeziectomy with ligament reconstruction with tendon interposition and provided durable complete or partial relief of pain after 5 years in 5 of 9. second level (list separately in addition to code for primary procedure)from publication: Volar denervation and osteophyte resection to relieve volar CMC joint pain | At mean 125. and fourth carpometacarpal joints ( Fig. One year after laser denervation, 17 (81 %) of 21 patients experienced complete or greater than 70 % pain reduction. 9. 007. 052. 02) Metacarpal shaft fracture,. 1 out of 10. Hi, CPT has several codes (64732-64772) relating to the excision or transection of the nerves. Undoubtedly, denervation of the first carpometacarpal (CMC-1) joint does represent a promising surgical treatment alternative for patients suffering from persistent CMC-1-joint osteoarthritis. For the study cohort, the conversion rate to T + LRTI at 2 years was 9%. CPT Code 52287; HCPCS code J0585 Group 2 Codes: Group 3 Paragraph: Printed on 10/4/2017. This procedure is performed when all other treatment options. Carpometacarpal joint denervation is a relatively novel method for managing CMC arthritis, treating the most impactful symptom: pain. CPT code 52287 - Cystourethroscopy, with injection(s) for chemodenervation of the bladder 2018 Non-Facility (Office), Medicare Nat’l Average . Facet Joint Denervation or Radiofrequency Ablation. Results Cadaveric dissections- Nerve branches to the thumb CMC joint were found to arise from the lateral antebrachial cutaneous nerve (9/9 cadavers; 100%), the palmar cutaneous branch of the median nerve (6/9. 01. Our doc did an excision of verruca vulgaris and wants to bill CPT 26160 which I know is completely wrong, but Im confused whether to use an excision of a soft mass or CPT 17xxx? Elliptical incision was made surrounding the mass, which was carefully dissected beneath the. #1. 4 to 6 weeks: Physical therapy begins. We performed a retrospective outcome analysis of patients with symptomatic stage II-III thumb CMC joint arthritis treated with denervation, joint lavage and capsular imbrication. Vaseghi M, Zhou W, Shi J, Ajijola OA, Hadaya J, et al. 0 “primary arthrosis of first carpometacarpal joint, bilateral “ M18. 0 cm (12045) Layer closure of wounds of neck, hands, feet and/or external genitalia; 20. Arthritis of the first carpometacarpal (CMC) joint of the hand is a common and often debilitating disease. 3 ± 0. 3. 7 to 0. Ramsey SD, Berry K, Etzioni R, et al. Jan 17, 2012. 02) Metacarpal shaft fracture, closed (815. Denervation of the thumb CMC joint has emerged as a viable treatment option. 1 The SLL is C-shaped and has three structurally distinct parts: volar; membranous; and dorsal ( Fig. Procedure: Denervation of the thumb CMC joint; Procedure: trapeziectomy with ligament reconstruction (LRTI) Detailed Description. 2 The most commonly involved joints are the fourth and fifth CMC joints. Neurectomy of the dorsal radial sensory nerve articular branches. There was 3. Nine studies were identified with 184 denervation procedures undertaken in 175 patients. 2014 Dec;18(4):158-9. Author Joan Arenas-Prat 1 Affiliation 1 *Serveis Mèdics Penedès, Department. Lipoaspirate is rich in ASCs and is evolving into a promising, less-invasive tool to treat thumb carpometacarpal osteoarthritis as compared with common surgical techniques, for example, trapeziectomy or prosthesis implantation. Respir Res. Anatomy: The basal joint of the thumb is also known as the carpometacarpal (CMC) joint. 1 (0. DOI: 10. Mahfoud F, Cremers B, Janker J et al. 001. 2017. It is concluded that volar CMC joint denervation is a useful procedure, preserving joint function and relieving pain long-term. [20], with additional interruption of the anterior interosseous nerve (AIN). 1016/j. At mean 125. 5 months in the arthroplasty group). Carpometacarpal joint denervation is a relatively novel method for managing CMC arthritis, treating the most impactful symptom: pain. 0. Introduction. Treatment with denervation may offer a quicker return to. 25441 . 9–17 However, this treatment modality has been limited to surgical approaches primarily because literature on image- guided percu-taneous denervation is scarce-to-non-existent. Fenig performs to treat this pain. g. The VAS pain score decreased from an average of 7. Only patients with a good response to injection were selected for. 001. 12) Carpometacarpal dislocation, closed (833. 1016/j. 11) Metacarpal base fracture, open (815. 2 percent of men with this problem. hansur. 03) to postoperatively (M = 1. (in the Physicians & Surgeons Offices. 7 and postoperative Quick Dash improved to 17. You may develop scar tenderness. 21) Late effect of sprain/strain (nonspecific) (905. 11) Metacarpal base fracture, open (815. Branches arising from the lateral antebrachial cutaneous nerve, palmar cutaneous branch of the median nerve, and radial. Trap: Some coders report 26480 for every transfer because the surgeon always transfers the tendon to the carpometacarpal area. Neurectomy of the anterior interosseus nerve. First carpometacarpal joint denervation: anatomy and surgical technique. Medicare does not have a National Coverage Determination (NCD) for decompression;. 02) Metacarpal shaft fracture, closed (815. When a patient experiences pain thatis not relieved by conservative therapies, a corticosteroid injectionis indicated. The origin of the nerve root must be known to reference the proper CPT code. 1 Department of Orthopaedic Surgery and Sports Medicine, Temple University Hospital, 6th Floor OPB, Philadelphia, PA, 19140, USA. 61 ± 2. Low complexity – 15 minutes: 99213. 5 months for denervation group and 26. Complete wrist denervation through a dorsal approach including neurectomy of the posterior. 11. Keywords: Denervation, CMC, joint. Arthrodesis Procedures on the Hand and Fingers. 2 The dorsal part of the SLL is the strongest and the primary stabiliser of the SL joint and can resist forces of up to 260 N. Garfield, NJ. One non-randomised clinical trial reported no difference in outcome when comparing denervation of the first carpometacarpal (CMC I) joint to trapeziectomy. Introduction. Neurectomy of the anterior interosseus nerve. 84). My provider is looking to do a lateral antebrachial neurectomy on a patient for forearm pain likely secondary to inflamed sensory nerve that runs across the fistula. Wrist denervation has been shown to provide long-term pain relief in at least 80% of patients (11, 12). 4) per month after ablation. Thread starter cclarson; Start date Aug 11, 2020; Create Wiki Sort by date. Messages 167 Location Conway, SC Best answers 0. 03. 1 cm to 30. 04)M18. Long-term follow-up. The wrecking ball that was the SYMPLICITY HTN-3 trial has nearly destroyed the entire concept of renal denervation (RDN). However, the innervation pattern of the thumb CMC joint is controversial. 1016/j. 25446 . 01) Metacarpophalangeal dislocation, open (834. Neurectomy of the dorsal radial sensory nerve articular branches. Objective. Deep Debridement or excision of recipient site. Carpometacarpal (CMC) joint/trapeziometacarpal (TMC) joint implants: HCPCS codes not covered for indications listed in the CPB: C1776: Joint device (implantable) [carpometacarpal (CMC) joint/trapeziometacarpal (TMC)] ICD-10 codes not covered for indications listed in the CPB: M05. Pooled analysis of 3 studies on the first carpometacarpal joint showed a statistically significant (P < . Based on the documentation/abstract (below) he had gone in intending to do a LRTI procedure. 2022. Introduction Osteoarthritis (OA) of the thumb carpometacarpal (CMC) joint is a common disorder that negatively impacts hand function. Report 64646 for chemodenervation of one to five muscle (s) of the trunk. You would have to use 55899. 00 57250 Posterior repair, rectocele N/A $614 N/A 17. 04)Carpometacarpal (CMC) Joint / Trapeziometacarpal (TMC) Joint. 1 (0. 1 “primary arthrosis of first carpometacarpal joint, unilateral “ M25. Radiographic changesinclude. Medial calcaneal sensory. Surgery. A total of 100 patients with carpo-metacarpal (CMC) arthritis will be enrolled in the study. ”. 2018. CPT code. Introduction Osteoarthritis (OA) of the thumb carpometacarpal (CMC) joint is a common disorder that negatively impacts hand function. Sixteen case series reported positive outcomes with respect to pain, function and patient satisfaction. 0 cm (12046)2. Injections for plantar fasciitis are addressed by 20550 and ICD-10-CM M72. Cost effectiveness of lung-volume-reduction surgery for patients. CPT Codes. jhsa. Page 5 of 18 .