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Percutaneous Tenotomy in Plantar Fascia, Tennis Elbow, Achilles Tendon, CPT Code


Percutaneous tenotomy is a procedure in which a needle is used to inject inside skin under the supervision of ultrasound. The needle is used to make slices or small holes in the tendon. Percutaneous tenotomy is also known as percutaneous needle tenotomy PNT. This procedure is performed to treat tendinopathy. It is also performed to treat pain in a tendon via making breaks in the scar tissue and microtrauma. Breaks in a scar tissue or microtrauma leads to the local inflammation of the site and as a result blood circulation increases. Due to increased circulation, the healing process becomes fast.

Percutaneous Tenotomy In Plantar Fascia

Plantar fascia is a calcaneous thick tendon attached to the heel bone. Percutaneous needle tenotomy PNT is used to treat the scarring in the plantar fascia. The needle is injected inside the foot from the lower side. It is done under the supervision of ultrasound. Needle will treat the scar tissue and osteophyte. It will also help in treating the pain. Percutaneous tenotomy is helpful for that purpose instead of any other procedure. After percutaneous tenotomy, patient will take about 6 to 10 weeks for recovery. After 10 weeks, patient can walk properly without any support.

Percutaneous Tenotomy In Tennis Elbow

Tennis elbow is a condition in which the degenerative tear of tendon occurs at the origin of extensor muscles. To treat that tear of a tendon, percutaneous needle tenotomy PNT is performed. In this procedure, an 18 guaze needle is used to inject inside the skin. Ultrasound supervision is necessary to check the exact location. The needle is hypodermic and it is safe, effective, simple and patient friendly. Percutaneous tenotomy is an easy reproducible method for the treatment of tennis elbow. The recovery is fast in case of percutaneous needle tenotomy PNT procedure which makes it preferable.

Percutaneous Tenotomy in Plantar Fascia, Tennis Elbow, Achilles Tendon, CPT Code

Percutaneous Tenotomy In Achilles Tendon

Achilles tendon is present in foot of a person. The foot is rigid due to this specific tendon i.e. Achilles tendon. With the help of percutaneous needle tenotomy PNT a small incision is made in the tendon. This incision is done with the help of a fine needle. This fine needle is injected inside the skin under the supervision of ultrasound. The incision on this tendon makes it flexible and relieves rigidity. Flexible Achilles tendon after incision will help a lot in movement of foot during walking and performing other activities.

Percutaneous Tenotomy In CPT Code

Only one CPT code is used for the all types of percutaneous needle tenotomy PNT. Whether it is performed for tennis elbow, lateral or medial, epicondylitis and golfers elbow. The code used is 24357. There are no separate codes for  percutaneous needle tenotomy PNT according  to the location. This latest specific code is in use right now. This is the only billable or specific cpt code used for the percutaneous needle tenotomy PNT. CPT codes are used for the purpose of diagnosis. Physicians usually use CPT codes for the regular discussion of problem or disease.

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