Morton's neuroma billing reminders

On January 1, 2009, the following code changes became effective and should be used on claims for services on or after that date:

• CPT 64455 Injection(s), anesthetic agent and/or steroid, plantar common digital nerve(s) (e.g., morton's neuroma) was added to specifically address the injection of an anesthetic agent and/or steroidal agent into the involved plantar digital nerve interspace (e.g., ICD-9-CM 355.6 Lesion of plantar nerve). This procedure was previously reported with CPT 64450 Injection, anesthetic agent; other peripheral nerve or branch and with CPT 20550 Injection(s); single tendon sheath, or ligament, aponeurosis (e.g., plantar "fascia").
• CPT 64632 Destruction by neurolytic agent; plantar common digital nerve is used to report the destruction of the plantar common nerve via a neurolytic agent. This procedure was previously reported with CPT 64640 Destruction by neurolytic agent; other peripheral nerve or branch.

When billing for these services, please note the following:

• Report CPT 64455 and 64632 only once per foot, regardless of the number of injections.
• CPT 64455 and 64632 are distinctly different. It is not accurate to report both of these codes for the same session.

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