CPT code 20550: Tendon sheath injection, single tendon sheath, ligament, or aponeurosis2026 Medicare rate & RVUs in Nevada
Medication injection into one tendon sheath, ligament, or aponeurosis is reported for conditions such as trigger finger, de Quervain tenosynovitis, or plantar fasciitis.
In Nevada, Medicare pays $59.99 for 20550 in the office and $32.90 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 20550 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 20550 covers
This service delivers medication into a single tendon sheath, ligament, or aponeurosis, commonly a corticosteroid with local anesthetic. Typical targets include the flexor tendon sheath in trigger finger, the first dorsal wrist compartment in de Quervain tenosynovitis, and the plantar fascia in plantar fasciitis. Orthopedists, hand surgeons, podiatrists, rheumatologists, sports medicine clinicians, and primary care clinicians perform these injections in offices and facility settings.
Report one unit for injection(s) into one identified sheath, ligament, or aponeurosis; document each distinct target and side, technique, medication, and dose. Ultrasound needle guidance, when performed, requires separately documented guidance, retained images, and a report. Report practice-supplied medication with the appropriate HCPCS drug code and dose-based units. Medicare assigns a 0-day global period that includes routine same-day pre- and postoperative care; a separately identifiable E/M requires modifier 25. For multiple procedures in one session, the highest-valued is paid in full and others at 50%. Bilateral services with modifier 50 pay at 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Nevada compares for 20550
Across 109 of 109 payment localities, the office rate for 20550 runs from $54.34 in Arkansas to $76.36 in San Benito County, CA. Nevada pays $59.99. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Nevada · this page$59.99
- Los Angeles, CA · California$66.50+$6.51
- Washington, DC area · District of Columbia$68.00+$8.01
- Miami, FL · Florida$66.41+$6.42
- Chicago, IL · Illinois$64.68+$4.69
- Manhattan, NY · New York$69.13+$9.14
- Alaska · Alaska$73.45+$13.46
Other areas in Nevada first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $55.02 | $31.34 |
| ArkansasArkansas | $54.34 | $31.10 |
| ArizonaArizona | $59.00 | $32.78 |
| Bakersfield, CACalifornia | $62.92 | $33.27 |
| Chico, CACalifornia | $62.65 | $33.00 |
| El Centro, CACalifornia | $62.66 | $33.01 |
| Fresno, CACalifornia | $62.65 | $33.00 |
| Hanford, CACalifornia | $62.65 | $33.00 |
| Madera, CACalifornia | $62.65 | $33.00 |
| Merced, CACalifornia | $62.65 | $33.00 |
| Modesto, CACalifornia | $62.65 | $33.00 |
| Napa, CACalifornia | $71.03 | $35.37 |
| Oxnard, CACalifornia | $66.02 | $34.04 |
| Redding, CACalifornia | $62.65 | $33.00 |
| Rest of CaliforniaCalifornia | $62.65 | $33.00 |
| Riverside, CACalifornia | $63.63 | $33.98 |
| Sacramento, CACalifornia | $65.33 | $33.86 |
| Salinas, CACalifornia | $65.07 | $33.72 |
| San Diego, CACalifornia | $66.29 | $33.93 |
| Marin County, CACalifornia | $74.70 | $36.56 |
| San Francisco, CACalifornia | $74.60 | $36.45 |
| San Benito County, CACalifornia | $76.36 | $37.35 |
| Santa Clara County, CACalifornia | $75.94 | $36.93 |
| San Luis Obispo, CACalifornia | $64.07 | $33.26 |
| Santa Cruz, CACalifornia | $66.68 | $33.81 |
| Santa Maria, CACalifornia | $65.23 | $33.69 |
| Santa Rosa, CACalifornia | $67.33 | $34.11 |
| Stockton, CACalifornia | $62.65 | $33.00 |
| Vallejo, CACalifornia | $70.88 | $35.22 |
| Visalia, CACalifornia | $62.65 | $33.00 |
| Yuba City, CACalifornia | $62.65 | $33.00 |
| ColoradoColorado | $62.21 | $33.42 |
| ConnecticutConnecticut | $64.12 | $34.98 |
| DelawareDelaware | $59.88 | $33.15 |
| Fort Lauderdale, FLFlorida | $63.31 | $35.91 |
| Rest of FloridaFlorida | $60.51 | $34.65 |
| Atlanta, GAGeorgia | $61.66 | $34.17 |
| Rest of GeorgiaGeorgia | $57.46 | $33.33 |
| Hawaii, Guam, HIHawaii | $63.72 | $32.96 |
| IowaIowa | $55.83 | $31.08 |
| IdahoIdaho | $56.23 | $31.34 |
| East St. Louis, ILIllinois | $60.86 | $35.97 |
| Rest of IllinoisIllinois | $59.27 | $34.57 |
| Suburban Chicago, ILIllinois | $63.84 | $36.05 |
| IndianaIndiana | $56.50 | $31.42 |
| KansasKansas | $55.79 | $31.33 |
| KentuckyKentucky | $56.53 | $32.48 |
| New Orleans, LALouisiana | $58.91 | $33.46 |
| Rest of LouisianaLouisiana | $56.53 | $32.58 |
| Metropolitan Boston, MAMassachusetts | $67.54 | $35.24 |
| Rest of MassachusettsMassachusetts | $61.99 | $33.50 |
| Baltimore area, MDMaryland | $63.97 | $34.94 |
| Rest of MarylandMaryland | $60.85 | $33.47 |
| Rest of MaineMaine | $56.67 | $31.78 |
| Southern Maine, MEMaine | $59.05 | $32.24 |
| Detroit, MIMichigan | $61.36 | $35.25 |
| Rest of MichiganMichigan | $57.97 | $33.27 |
| MinnesotaMinnesota | $59.30 | $31.46 |
| Metropolitan Kansas City, MOMissouri | $58.37 | $32.97 |
| Metropolitan St. Louis, MOMissouri | $58.87 | $33.12 |
| Rest of MissouriMissouri | $55.81 | $32.49 |
| MississippiMississippi | $55.07 | $31.78 |
| MontanaMontana | $60.45 | $33.39 |
| North CarolinaNorth Carolina | $57.15 | $31.91 |
| North DakotaNorth Dakota | $58.67 | $31.62 |
| NebraskaNebraska | $56.04 | $31.07 |
| New HampshireNew Hampshire | $61.44 | $33.27 |
| Northern New JerseyNew Jersey | $67.49 | $36.10 |
| Rest of New JerseyNew Jersey | $64.76 | $35.22 |
| New MexicoNew Mexico | $58.32 | $33.51 |
| NYC suburbs and Long Island, NYNew York | $70.84 | $38.67 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $65.33 | $35.70 |
| Queens, NYNew York | $69.36 | $37.38 |
| Rest of New YorkNew York | $57.91 | $32.21 |
| OhioOhio | $57.60 | $32.90 |
| OklahomaOklahoma | $56.25 | $32.09 |
| Portland, OROregon | $63.75 | $33.69 |
| Rest of OregonOregon | $59.43 | $32.48 |
| Metropolitan Philadelphia, PAPennsylvania | $62.83 | $34.67 |
| Rest of PennsylvaniaPennsylvania | $57.58 | $32.74 |
| Puerto RicoPuerto Rico | $60.77 | $33.42 |
| Rhode IslandRhode Island | $61.69 | $33.74 |
| South CarolinaSouth Carolina | $57.49 | $32.49 |
| South DakotaSouth Dakota | $58.46 | $31.40 |
| TennesseeTennessee | $56.05 | $31.46 |
| Austin, TXTexas | $62.08 | $33.46 |
| Beaumont, TXTexas | $57.27 | $32.65 |
| Brazoria, TXTexas | $59.69 | $32.88 |
| Dallas, TXTexas | $60.12 | $33.17 |
| Fort Worth, TXTexas | $59.82 | $33.15 |
| Galveston, TXTexas | $59.90 | $33.04 |
| Houston, TXTexas | $61.55 | $34.68 |
| Rest of TexasTexas | $58.48 | $32.80 |
| UtahUtah | $58.16 | $32.73 |
| VirginiaVirginia | $59.01 | $32.41 |
| Virgin Islands, VIUnited States Virgin Islands | $60.77 | $33.42 |
| VermontVermont | $58.64 | $31.86 |
| Rest of WashingtonWashington | $61.81 | $33.32 |
| King County, WAWashington | $68.63 | $35.43 |
| WisconsinWisconsin | $56.99 | $31.07 |
| West VirginiaWest Virginia | $57.42 | $33.91 |
| WyomingWyoming | $59.67 | $32.62 |
20550 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$54.34
$73.45
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $73.45 | 1 |
| AL | $55.02 | 1 |
| AR | $54.34 | 1 |
| AZ | $59.00 | 1 |
| CA | $62.65–$76.36 | 29 |
| CO | $62.21 | 1 |
| CT | $64.12 | 1 |
| DC | $68.00 | 1 |
| DE | $59.88 | 1 |
| FL | $60.51–$66.41 | 3 |
| GA | $57.46–$61.66 | 2 |
| GU | $63.72 | 1 |
| HI | $63.72 | 1 |
| IA | $55.83 | 1 |
| ID | $56.23 | 1 |
| IL | $59.27–$64.68 | 4 |
| IN | $56.50 | 1 |
| KS | $55.79 | 1 |
| KY | $56.53 | 1 |
| LA | $56.53–$58.91 | 2 |
| MA | $61.99–$67.54 | 2 |
| MD | $60.85–$68.00 | 3 |
| ME | $56.67–$59.05 | 2 |
| MI | $57.97–$61.36 | 2 |
| MN | $59.30 | 1 |
| MO | $55.81–$58.87 | 3 |
| MS | $55.07 | 1 |
| MT | $60.45 | 1 |
| NC | $57.15 | 1 |
| ND | $58.67 | 1 |
| NE | $56.04 | 1 |
| NH | $61.44 | 1 |
| NJ | $64.76–$67.49 | 2 |
| NM | $58.32 | 1 |
| NV | $59.99 | 1 |
| NY | $57.91–$70.84 | 5 |
| OH | $57.60 | 1 |
| OK | $56.25 | 1 |
| OR | $59.43–$63.75 | 2 |
| PA | $57.58–$62.83 | 2 |
| PR | $60.77 | 1 |
| RI | $61.69 | 1 |
| SC | $57.49 | 1 |
| SD | $58.46 | 1 |
| TN | $56.05 | 1 |
| TX | $57.27–$62.08 | 8 |
| UT | $58.16 | 1 |
| VA | $59.01–$68.00 | 2 |
| VI | $60.77 | 1 |
| VT | $58.64 | 1 |
| WA | $61.81–$68.63 | 2 |
| WI | $56.99 | 1 |
| WV | $57.42 | 1 |
| WY | $59.67 | 1 |
How the 20550 rate is calculated
Each of 20550’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 20550
RVUs × geographic indexes × conversion factor
Work0.73
0.73 RVUs× 1.000 GPCI
Practice expense0.99
0.99 RVUs× 1.000 GPCI
Malpractice0.09
0.09 RVUs× 1.000 GPCI
Adjusted RVUs
1.8100
Conversion factor
$33.4009
Medicare rate
$60.46
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Nevada inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
1,759
- Code
- 20550
- Physician work
- 0.73
- Practice expense
- 0.99
- Malpractice
- 0.09
GPCI2026.csv
73
- Locality
- Nevada
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.73 | × 1.000 | 0.7300 |
| Practice expense | 0.99 | × 1.001 | 0.9910 |
| Malpractice | 0.09 | × 0.833 | 0.0750 |
| Total RVUs | 1.7960 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Nevada$59.99
Office: (0.73 × 1 + 0.99 × 1.001 + 0.09 × 0.833) × $33.4009 = $59.99
Facility: (0.73 × 1 + 0.18 × 1.001 + 0.09 × 0.833) × $33.4009 = $32.90
Payment rules and modifiers for 20550
The CMS indicators that decide how 20550 is paid alongside other services.
CMS payment indicators · 20550
Tendon sheath injection, single tendon sheath, ligament, or aponeurosis
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
20550 without 50 · national office
$60.46
Tendon sheath injection, single tendon sheath, ligament, or aponeurosis
20550-50 · Bilateral: 150%
$90.69
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
How 20550 has changed in Nevada
20550 · Office / nonfacility
$59.99
Effective 2026-10-01
The base rate is $3.89 higher than on 2025-10-01, moving from $56.10 to $59.99 (6.9%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$56.10changed to$59.99
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.75 changed to 0.73
- Practice expense RVU 0.90 changed to 0.99
- Malpractice RVU 0.10 changed to 0.09
- Practice expense GPCI 1.000 changed to 1.001
- Malpractice GPCI 0.844 changed to 0.833
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$57.40changed to$56.10
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.89 changed to 0.90
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$56.46changed to$57.40
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$58.96changed to$56.46
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.88 changed to 0.89
- Malpractice GPCI 1.098 changed to 0.844
January 1, 2023
RVU23A
$60.17changed to$58.96
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.85 changed to 0.88
- Work GPCI 1.005 changed to 1.000
- Malpractice GPCI 1.351 changed to 1.098
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$58.46changed to$60.17
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.80 changed to 0.85
- Malpractice RVU 0.09 changed to 0.10
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$56.83changed to$58.46
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.72 changed to 0.80
- Work GPCI 1.004 changed to 1.005
- Malpractice GPCI 1.130 changed to 1.351
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$54.59changed to$56.83
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.67 changed to 0.72
- Work GPCI 1.002 changed to 1.004
- Practice expense GPCI 1.017 changed to 1.000
- Malpractice GPCI 0.909 changed to 1.130
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$54.53changed to$54.59
- Conversion factor 35.9996 changed to 36.0391
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$54.57changed to$54.53
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.66 changed to 0.67
- Work GPCI 1.004 changed to 1.002
- Practice expense GPCI 1.034 changed to 1.017
- Malpractice GPCI 0.946 changed to 0.909
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$61.39changed to$54.57
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 0.83 changed to 0.66
- Work GPCI 1.005 changed to 1.004
- Practice expense GPCI 1.051 changed to 1.034
- Malpractice GPCI 0.982 changed to 0.946
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$61.98changed to$61.39
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 0.84 changed to 0.83
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$61.68changed to$61.98
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$61.06changed to$61.68
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 0.82 changed to 0.84
- Malpractice RVU 0.08 changed to 0.09
- Work GPCI 1.001 changed to 1.005
- Practice expense GPCI 1.055 changed to 1.051
- Malpractice GPCI 1.107 changed to 0.982
Held through RVU15B.
January 1, 2014
RVU14A
$60.91changed to$61.06
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.89 changed to 0.82
- Work GPCI 1.000 changed to 1.001
- Practice expense GPCI 1.058 changed to 1.055
- Malpractice GPCI 1.232 changed to 1.107
Held through RVU14B, RVU14C, RVU14D.
October 1, 2013
RVU13D
No ratechanged to$60.91
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $59.99 | $32.90 | RVU26D |
| 2026-07-01 | $59.99 | $32.90 | RVU26C |
| 2026-04-01 | $59.99 | $32.90 | RVU26B |
| 2026-01-01 | $59.99 | $32.90 | RVU26A |
| 2025-10-01 | $56.10 | $37.34 | RVU25D |
| 2025-07-01 | $56.10 | $37.34 | RVU25C |
| 2025-04-01 | $56.10 | $37.34 | RVU25B |
| 2025-01-01 | $56.10 | $37.34 | RVU25A |
| 2024-10-01 | $57.40 | $38.09 | RVU24D |
| 2024-07-01 | $57.40 | $38.09 | RVU24C |
| 2024-04-01 | $57.40 | $38.09 | RVU24B |
| 2024-03-09 | $57.40 | $38.09 | RVU24AR |
| 2024-01-01 | $56.46 | $37.47 | RVU24A |
| 2023-10-01 | $58.96 | $39.64 | RVU23D |
| 2023-07-01 | $58.96 | $39.64 | RVU23C |
| 2023-04-01 | $58.96 | $39.64 | RVU23B |
| 2023-01-01 | $58.96 | $39.64 | RVU23A |
| 2022-10-01 | $60.17 | $41.14 | RVU22D |
| 2022-07-01 | $60.17 | $41.14 | RVU22C |
| 2022-04-01 | $60.17 | $41.14 | RVU22B |
| 2022-01-01 | $60.17 | $41.14 | RVU22A |
| 2021-10-01 | $58.46 | $41.01 | RVU21D |
| 2021-07-01 | $58.46 | $41.01 | RVU21C |
| 2021-04-01 | $58.46 | $41.01 | RVU21B |
| 2021-01-01 | $58.46 | $41.01 | RVU21A |
| 2020-10-01 | $56.83 | $41.31 | RVU20D |
| 2020-07-01 | $56.83 | $41.31 | RVU20C |
| 2020-04-01 | $56.83 | $41.31 | RVU20B |
| 2020-01-01 | $56.83 | $41.31 | RVU20A |
| 2019-10-01 | $54.59 | $40.66 | RVU19D |
| 2019-07-01 | $54.59 | $40.66 | RVU19C |
| 2019-04-01 | $54.59 | $40.66 | RVU19B |
| 2019-01-01 | $54.59 | $40.66 | RVU19A |
| 2018-10-01 | $54.53 | $40.62 | RVU18D |
| 2018-07-01 | $54.53 | $40.62 | RVU18C |
| 2018-04-01 | $54.53 | $40.62 | RVU18B |
| 2018-01-01 | $54.53 | $40.62 | RVU18AR1 |
| 2017-10-01 | $54.57 | $40.84 | RVU17D |
| 2017-07-01 | $54.57 | $40.84 | RVU17C |
| 2017-04-01 | $54.57 | $40.84 | RVU17B |
| 2017-01-01 | $54.57 | $40.84 | RVU17A |
| 2016-10-01 | $61.39 | $43.70 | RVU16D |
| 2016-07-01 | $61.39 | $43.70 | RVU16C |
| 2016-04-01 | $61.39 | $43.70 | RVU16B |
| 2016-01-01 | $61.39 | $43.70 | RVU16A |
| 2015-10-01 | $61.98 | $43.86 | RVU15D |
| 2015-07-01 | $61.98 | $43.86 | RVU15C |
| 2015-04-01 | $61.68 | $43.64 | RVU15B |
| 2015-01-01 | $61.68 | $43.64 | RVU15A |
| 2014-10-01 | $61.06 | $43.67 | RVU14D |
| 2014-07-01 | $61.06 | $43.67 | RVU14C |
| 2014-04-01 | $61.06 | $43.67 | RVU14B |
| 2014-01-01 | $61.06 | $43.67 | RVU14A |
| 2013-10-01 | $60.91 | $42.55 | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Nevada rate applies
Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.
- Alamo
- Amargosa Valley
- Austin
- Baker
- Battle Mountain
- Beatty
- Beaverdam
- Bennett Springs
20550 billing questions
Should a lateral epicondylitis injection be coded here or with 20551?
Injection at a tendon origin or insertion, such as the common extensor origin at the lateral epicondyle, is reported with 20551. Use 20550 when the target is a tendon sheath, ligament, or aponeurosis such as the plantar fascia.
How are injections of two different trigger fingers on the same hand reported?
Report each distinct tendon sheath separately and identify the injected digits. Append a distinct-site modifier when required to distinguish the services; Medicare's same-session multiple procedure reduction applies.
Can ultrasound guidance be billed with 20550?
Yes. Ultrasound needle guidance may be reported with 76942 when performed, with retained images and a separate guidance report.
Is the corticosteroid separately billable?
When the practice supplies it, report an eligible drug with its HCPCS code and documented dose-based units. For J3301, one unit represents 10 mg of triamcinolone acetonide, so 40 mg is four units.
Can an office visit be billed on the same day?
A significant, separately identifiable E/M service beyond the usual pre-injection assessment may be reported with modifier 25. The routine decision to inject is included in the 0-day global care.
When is modifier 50 appropriate?
For corresponding structures injected on both sides in one session, such as bilateral plantar fascia injections, report 20550 with modifier 50 on one line with one unit. Medicare pays the bilateral service at 150%.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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