Tendon Sheath Injections (September 2003)

September 2003 pages 13-14 Coding Update:Tendon Sheath Injections In this article, we will focus on codes for injection(s) of a tendon sheath ligament (20550) and injection(s) of tendon origin/insertion (20551). Although the parent code (20550), indicates, "Injection(s)," codes 20550 and 20551 should be reported one time for multiple or single injections to a single tendon sheath, ligament, tendon origin, or tendon insertion performed. Thus, multiple injections to the same tendon sheaths, tendon origins, tendon insertion, or ligaments would be reported one time only, while injections to multiple tendon sheaths, tendon origins, tendon insertion, or ligaments are reported one...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews a CPT coding update for tendon sheath and tendon origin/insertion injections. It is aimed at coding professionals who need to understand the scope of the guidance, the kinds of clinical examples presented, and the broader distinction between these injections and dry needling. The discussion is framed around CPT Assistant content from September 2003 and focuses on reporting considerations and service context.

Why This Topic Matters

Injection services for tendons and ligaments can be coded differently depending on the service performed and the clinical setting described. This article matters because it clarifies the scope of the CPT update and helps readers recognize when related procedures are discussed in the coding literature.

Article Sections

  1. September 2003 pages 13-14

    Publication and page reference information for the coding update.

  2. Coding Update: Tendon Sheath Injections

    Overview of the coding update and the service categories addressed in the article.

  3. Example of Intra-service Work Associated With Code 20550

    A clinical example illustrating the work associated with one type of injection service.

  4. Example of Intra-service Work Associated With Code 20551

    A clinical example illustrating the work associated with a related injection service.

What You Will Learn

  • The scope of the CPT coding update covered in the article.
  • The general clinical context discussed for tendon sheath and tendon-related injections.
  • How the article frames related injection services versus dry needling.
  • The publication source and date of the coding guidance.

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing and reimbursement staff
  • Physician practices
  • Orthopedic and musculoskeletal coding staff

Codes Discussed


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