By Chris Faubel, MD –

Steroid injection of 1st CMC joint. Needle at about a 45-degree angle. Distract the thumb to open the joint space.
Indications
- First carpometacarpal (CMC) joint painful osteoarthritis
- ICD-9 codes:
- 715.14 “osteoarthrosis, localized, primary, hand”
- 719.44 “pain in joint, hand”
- ICD-10 codes:
- M18.0 “primary arthrosis of first carpometacarpal joint, bilateral“
- M18.1 “primary arthrosis of first carpometacarpal joint, unilateral“
- M25.54 “pain in a joint, hand”
- ICD-9 codes:
CPT code: 20600 “Arthrocentesis, aspiration and/or injection; small joint or bursa (eg, fingers, toes)”
