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Clinical um guideline subject: injection treatment for morton’s neuroma guideline #:   cg-surg-25 current effective date:   01/11/2012 status: reviewed last review date:   11/17/2011 description morton's neuroma is a common, paroxysmal neuralgia affecting the web spaces of the toes, typically the third. The pain is often so debilitating that individuals become anxious about walking or even putting their foot to the ground. buy viagra buy cheap viagra viagra without a doctor prescription buy viagra cheap viagra buy generic viagra generic viagra viagra without a doctor prescription Insoles, corticosteroid injections, excision of the nerve, transposition of the nerve and neurolysis of the nerve are commonly used treatments (cochrane, 2008). Clinical indications medically necessary: injections of sclerosing (neurolytic), anesthetic or steroid agents are considered medically necessary for treatment of morton's neuroma when all of the following conservative therapies have failed:   padding or orthotic devices (these can provide support to reduce pressure and compression on the nerve); activity modification (to reduce repetitive pressure on the nerve); changes in shoe wear (i. E. , shoes with a wide box toe reduce compression of the metatarsal heads and reduce pressure on the nerve); medications unless otherwise contraindicated (e. G. , non-steroidal anti-inflammatory drug (nsaids) which help reduce inflammation). Coding the following codes for treatments and procedures applicable to this document are included below for informational purposes. Inclusion or exclusion of a procedure, diagnosis or device code(s) does not constitute or imply member coverage or provider reimbursement policy. Please refer to the member's contract benefits in effect at the time of service to determine coverage or non-coverage of these services as it applies to an individual member.   cpt   64455 injection(s), anesthetic agent and/or steroid, plantar common digital nerve(s) (eg, morton's neuroma) 64632 destruction by neurolytic agent; plantar common digital nerve     icd-9 diagnosis   355. 6 lesion of plantar nerve (morton's metatarsalgia, neuralgia, or neuroma) future icd-10 coding (effective 10/01/2013) a draft of. NDS Web Services
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