by Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
March 16th, 2015
Prior to treatment, you must determine Medical Necessity.
Be sure conservative therapy/treatment was previously done and documented for at least 6 months and proven to be unsuccessful.
- NSAIDS - at least 4 weeks ineffective or contraindicated
- Physical Therapy such as taping and stretching
- Activity modification
- Splints used at night for more than 4 weeks
- Corticosteroid injection
- Arch Supports, orthotics, insert and heel lift - Using codes
Does the pain interfere with daily activity?
It is intractable plantar fasciitis?
Imaging excluded other pathological etiologies of heel pain such as arthritis, stress fracture.
Covered CPT codes
- 73650 - Radiologic examination; calcaneus, minimum of 2 views
- 73620 - Radiologic examination, foot; 2 views
- 73630 - Radiologic examination, foot; complete, minimum of 3 view
- 76881 - Ultrasound, extremity, nonvascular, real-time with image documentation; complete
- 76882 - Ultrasound, extremity, nonvascular, real-time with image documentation; limited, anatomic specific
- M72.2 Plantar fascial fibromatosis
- M77.30 Calcaneal spur, unspecified foot
- M21.6X9 Other acquired deformities of unspecified foot
- G57.90 Unspecified mononeuropathy of unspecified lower limb