Tag Archive | "skin wheal"

Plantar Fascia Corticosteroid Injection

Plantar Fascia Injection – Technique and Tips

By Chris Faubel, MD –

MUST go all the way down to the periosteum (gently), and then back up only a mm.

Indications

  • Plantar fasciitis / Plantar fascial fibromatosis
    • ICD-9 code: 728.71 “plantar fascial fibromatosis”
    • ICD-10 code: M72.2 “plantar fascial fibromatosis”

CPT code: 20550 “injection(s); single tendon sheath, or ligament, aponeurosis””

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Pes Anserine Bursa Corticosteroid Injection

Pes Anserine Bursa Injection – Technique and Tips

By Chris Faubel, MD –

Medial to the patellar tendon and tibial tuberosity (dotted yellow). The bursa lies between the conjoint tendon of three muscles (superficially; sartorius, gracilis, and semitendinosis muscles), and the medial collateral ligament and tibia (deep).

Indications

  • Pes anserine bursitis / Pes anserinus bursitis
    • ICD-9 code: 726.61 “pes anserinus tendinitis or bursitis”
    • ICD-10 code: M70.5 “other bursitis of knee”

CPT code: 20610 “Arthrocentesis, aspiration and/or injection; major joint or bursa

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Knee Joint Steroid Injection – alternate view

Intraarticular Knee Joint Injection – Technique and Tips

By Chris Faubel, MD –

Medial Approach. Advance needle at about 15-20 degrees from midline.

Indications

  • Osteoarthritis of the knee
  • Rheumatoid arthritis of the knee
  • Gout (in the knee)
  • Calcium pyrophosphate dyhydrate (CPPD)
  • **see all ICD-9 and ICD-10 codes at end of post

CPT code: 20610 “Arthrocentesis, aspiration and/or injection; major joint or bursa”

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Medial Epicondyle Steroid Injection

Medial Epicondyle Injection – Technique and Tips

By Chris Faubel, MD –

Point of maximal tenderness just distal to the medial epicondyle

Indications

  • Medial Epicondylitis / “Golfer’s Elbow”

    • ICD-9 code: 726.31 “medial epicondylitis”
    • ICD-10 codes:
      • M77.01 “medial epicondylitis, right elbow”
      • M77.02 “medial epicondylitis, left elbow”

CPT code: 20551

Materials Needed

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Biceps Tendon Sheath Injection

Bicipital Tendon Sheath Injection – Technique and Tips

Biceps Tendon Sheath Injection

By Chris Faubel, MD –

Indications

  • Bicipital tenosynovitis
    • ICD-9 code: 726.12 “bicipital tenosynovitis”
    • ICD-10 code: M75.2 “bicipital tendinitis”

CPT code: 20550

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Acromioclavicular Joint Steroid Injection

Acromioclavicular Joint Injection – Technique and Tips

By Chris Faubel, MD –

Acromioclavicular Joint Corticosteroid Injection

Indications

  • Acromioclavicular joint osteoarthritis
  • Acromioclavicular joint sprain
  • Acromioclavicular joint separation
  • **see all ICD-9 and ICD-10 codes at end of post

CPT code: 20605

Materials Needed

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Subacromial Injection- needle position under fluoroscopy

Subacromial Bursa Injection – Technique and Tips

Subacromial Bursa Injection - Lateral Approach

By Chris Faubel, MD –

Indications

  • Subacromial bursitis
  • Rotator cuff tear, degenerative, tenosynovitis
  • Shoulder impingement
  • **see all ICD-9 and ICD-10 codes at the end of the post

CPT code: 20610

Materials Needed

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