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Documentation should clearly state: The site of injection The substance injected The indication or diagnosis Whether ultrasound guidance was used (reported separately if performed) When to Use CPT 20550 This code should be used only when the injection is into the tendon sheath or ligament, not the tendons origin or insertion

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symptom management and orthotic support AFO for foot drop (L-code orthoses), custom footwear, surgery for foot deformity (pes cavus correction) Genetic counseling: document gene mutation identified (PMP22 duplication CMT1A, GJB1 CMTX, MFN2 CMT2A) Avoid neurotoxic drugs (vincristine, colchicine) document CMT diagnosis prominently in medication reconciliation Patient Education / Summary Patient education documentation supports coding specificity and demonstrates active management of neuropathy complications

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