Archive | 1st Carpometacarpal Joint

First Carpometacarpal Joint Injection

First Carpometacarpal Joint Injection – Technique and Tips

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”

CPT code: 20600Arthrocentesis, aspiration and/or injection; small joint or bursa (eg, fingers, toes)”

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