AHA Coding Clinic® for HCPCS - 2018 Issue 4; Ask the Editor

Steroid injection for Dupuytren's contracture

Patient presents for treatment of Dupuytren’s contracture of the left hand and sesamoid arthritis. The pretendinous cords over the third and fourth metacarpals of the palm area were injected with 1% lidocaine and 10 mg of Kenalog. CPT code 20527, Injection, enzyme (e.g., collagenase), palmar fascial cord (i.e., Dupuytren’s contracture), does not seem to be the correct code as it is for an injection of an enzyme. What is the correct code for a steroid injection for the treatment of Dupuytren’s contracture? ...

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