2nd interspace foot. Digital deformities involving the second, third, fourth, and fifth toes can be classified and described using a number of parameters (Fig. It will typically display pain over the top of the foot between the first and second metatarsal. Total RVU (Relative Value Unit) – Total includes work RVU, Practice Expense RVU and Malpractice RVU. The neurovascular bundle was identified and nerve selected, dissected out into each toe and clipped off sharply. The interdigital nerve was deflected dorsally and a spatulate-shaped neuroma was formed between the second and third metatarsal heads. 6- nonneoplastic arm G56. There are, however, several specific examination techniques that can help identify the presence of an inter-space neuroma when present: 1) Plantar percussion of the interspace. Recurrences are variable and tend to become more frequent. Twenty-five surgeries involved the third interdigital space, four involved the second interspace, and one involved the first interspace. On palpation, the usual location of pain is at the interspace between the metatarsal heads. 61 ICD-10 code G57. It was also dissected down into the foot into the furthest point available and transected there. 2025 ICD-10-CM Index › 'N' Terms › Index Terms Starting With 'N' (Neuroma) Index Terms Starting With 'N' (Neuroma) Neuroma - see also Neoplasm, nerve, benign acoustic D33. Coding for the Given Scenario Given the scenario you've described, where a patient was seen for the excision of two interdigital neuromas from the left foot, the most appropriate codes would be: 28080 for the first interdigital neuroma. Orthotics with neuroma pads, rest, cold packs, and properly fitting shoes often relieve symptoms. 34 ICD-10 code T87. Neuroma pain in the forefoot between metatarsal bones is caused by tight shoes or overly point toe-boxes. Feb 28, 2011 · 28899 Unlisted procedure, foot or toes Code 64455, Injection (s), anesthetic agent and/or steroid, plantar common digital nerve (s) (eg, Morton's neuroma), which was introduced in the CPT 2009, specifically represents injection of an anesthetic agent and/or steroidal agent into the involved plantar digital nerve interspace. Morton’s Neuroma An Interdigital Neuroma or Morton’s Neuroma is an inflammation (peri-neural fibrosis) of the common digital nerve as it courses under the transverse metatarsal ligament in the forefoot. Frequently, no specific cause is found. A sensation of feeling a lump on the bottom of G57. Mar 19, 2024 · Learn about interdigital neuroma, a compressive neuropathy of the interdigital nerve that causes plantar forefoot pain. Bursae are found near major joints in the body especially those that are used repeatedly. The pain in the second interspace does not radiate into the toes nor does it radiate proximally into the rest of the foot and ankle. My doctor removed neuromas from the 2nd & 3rd interspaces. A correction may need to be applied if metatarsus adductus is also present (i. Pain present on walking and palpation. What code should I use? 64776 - Excision of neuroma; digital nerve, 1 or both, same digit 28080 - Excision, interdigital (Morton) neuroma, single, each G57. Interdigital neuromas Interdigital neuromas are a relatively common condition affecting the nerves in the forefoot. Morton's neuroma]). Book a consultation today. Numbness, tingling, or a pins and needles feeling of the toes. During a surgical procedure for a neuroma in the right foot, the provider discovers an additional neuroma on a different nerve, prompting the use of this code. Learn this topic now at Kenhub. 61 became effective on October 1, 2024. Other diagnoses should be considered when 2 or more areas of tenderness are present. Feb 16, 2022 · A surgeon did an intermetatarsal space excision of neuroma with implantation of nerve into bone. 8 may differ. . 8 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. The guideline and references annotate each node of the corresponding pathways. Preoperative Diagnosis: Left foot second interspace neuroma Post operative Diagnosis: Same Procedure (s) Performed: Excision of left foot second interspace neuroma A standard longitudinal incision was made in the second interspace, and blunt dissection down into the interspace was performed. 61 for Lesion of plantar nerve, right lower limb is a medical classification as listed by WHO under the range - Diseases of the nervous system . 61 - other international versions of ICD-10 G57. 5 %). They then calculated a mean ratio of the intermetatarsal head distance to the diameter of The typical patient with a Morton’s neuroma complains of a sharp, burning pain localized to either the second or third web space or metatarsal interspace. 6 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. 64776. Persistent irritation can lead to the formation of scar tissue and nerve bulging, which is why the term “neuroma” is used. 8 became effective on October 1, 2024. Diagnose metatarsophalangeal joint pain by the absence of burning, numbness, tingling, and interspace pain (suggesting interdigital nerve pain) and by palpation. Treatment usually begins with cort Page 1 of 6 - see page 6 for important information about the uses and limitations of this document CPT 28055 refers to the surgical procedure known as neurectomy of the intrinsic musculature of the foot. Umans and colleagues studied periarticular MPJ tissue changes clinically evident in magnetic resonance imaging (MRI) of plantar plate tears. Apr 1, 2018 · In particular, the medial plantar nerve is divided into the own digital hallux nerve and the common digital nerves for first, second and third interspace, while the lateral plantar nerve form the own digital nerve for the fifth toe and the common digital nerve for the fourth interspace. 6. 6 - other international versions of ICD-10 G57. CPT code 28055 is a procedure that involves the surgical removal of a nerve in the foot. Second toe capsulitis: this is the inflammation of the second toe joint capsule. Correct foot biomechanics with orthoses. The skin was incised along the axes of the corresponding metatarsals (third or second interspace) for about 8 cm, starting just distal to the metatarsal heads. Treat underlying systemic rheumatic disease (eg, rheumatoid arthritis), if present. So, I would use code: 64455 (Injection, anesthetic agent and/or steroid, plantar common digital nerve [eg. 572 became effective on October 1, 2024. A systematic review, adhering to PRIMSA guidelines was performed. the gap between the great toe of the foot from the rest of the to The treatment of interspace neuromas can be challenging, but they do respond well to conservative measures. Symptoms of a Morton's Neuroma in the Foot Sharp or achy pain in the front part of the foot at the base of the toes. An excisional Jul 20, 2019 · An Interdigital Neuroma or Morton’s Neuroma is an inflammation (peri-neural fibrosis) of the common digital nerve as it courses under the transverse metatarsal ligament in the forefoot. Between attacks, no symptoms or physical signs occur. a. Two neuromas coexist on the same foot about 2-3% of the time. An intermetatarsal neuroma is an irritated, enlarged nerve that runs near the bottom of the foot between two metatarsal bones and out into two adjacent toes. Short description: Oth bursitis, not elsewhere classified, left ankle and foot The 2025 edition of ICD-10-CM M71. The second intermetarsal interspace was involved in 20 cases (25%), the third in 43 cases (53%) and the fourth in 18 cases (22%). When a nerve becomes compressed or pinched between the bone or adjacent ligaments holding them together, it creates a painful condition that may require surgery. Ultrasound has virtually no contraindications, and is fast and well tolerated by patients. 62 may differ. 6- interdigital (toe) G58. Injection is at a 45° angle to the foot, into the interspace at the level of the dorsal aspect of the metatarsophalangeal joints (see Considerations for Using Corticosteroid Injections). Amongst the most common are the two discussed below (Mortons neuroma & Intermetatarsal bursitis). To see a 3D model of the dorsal interossei of the foot follow this link. 28080, 28080 B. D’Amico is Central New York’s go-to source for all foot and ankle conditions, including ingrown toenails, Haglund’s deformity, and sports injuries. Symptoms can range from burning, numbness, and tingling, to sharp pains in the sole of your foot. CPT Code 64776 CPT 64776 describes the excision of a neuroma from one or both digital nerves of the same digit. AI generated definition based on: Orthopedic Clinics of North America, 2006 The dorsal interossei abduct at the metatarsophalangeal joints of the third and fourth toes. While they can occur between any of the toes, they are most frequently found between the 3rd and 4th toes. Since CPT® added +22860 for 2023, +0163T was redundant. The first muscle attaches to the medial side of the proximal phalanx of the second digit. It is an endoscopic approach of interdigital nerve excision with intermetatarsal ligament division and submuscular AMA CPT ® Assistant - 2009 Issue 1 (January) Plantar Common Digital Nerve Injection Procedures-Codes 64455 and 64632 (January 2009) January 2009 page 6 Coding Communication:Plantar Common Digital Nerve Injection Procedures-Codes 64455 and 64632 Plantar interdigital neuroma of the foot, often called "Morton's neuroma" a common cause of forefoot pain and paresthesia. Coding Companion for Podiatryis designed to be a guide to the specialty procedures classified in the CPT® book. Taking care to avoid the plantar fat pad, an ane thetic agent is injected first to con irm the diagnosis, followed by steroid injection. A case of a 42-year-old female who presented complaining of long standing forefoot pain is presented. As they get worse tearing and ligament damage can occur. Clinical examination with medial and lateral compression may reproduce the painful symptoms with a palpable “click” on interspace compression (Mulder sign). Easily, the most common location for a neuroma is between the bases of Query: Coding an Interspace Neuroma Cortisone Injection From: Egidio Montanile, DPM What is the best way to code an interspace neuroma cortisone injection? Egidio Montanile, DPM San Juan, PR ------------------ Codingline (L) response I bill CPT 20550 (injection; tendon sheath, ligament, ganglion cyst), and the appropriate steroid "J" code (billed with the number of units used). If the dx would have been confirmed neuroma in 3rd webspace I would have coded 64455 (Injection, plantar common digital nerve), but the dx included likely and I coded the pain codeso do I have to use the 20600 Aug 21, 2024 · Episodes of pain are intermittent. CR for PA oblique projection (grashey method) PP to base of 3rd metatarsal SS for PA oblique projection (grashey method) 30* 1st and 2nd interspace of base of metatarsals navicular seen in profile medial cuneiform free of Si 20* 3rd to 5th metatarsal base free of superimpostion tuberosity of 5th metatarsal and cuboid seen in profile Each approach requires a 3- to 4-cm incision and extensive soft-tissue dissection. Palpating the plantar surface of the second MPJ and interspace causes greater pain as you place pressure closer to the second MPJ. Interdigital neuroma is characterized by pain around the metatarsal heads or the toes, most frequently at the third intermetatarsal space, but it can occur in other (ie, first, second, or fourth) or multiple intermetatarsal spaces. I believe the correct phrase should be “appropriate documentation. Aug 14, 2023 · This is an article covering the articular surfaces, ligaments and muscles that produce movement at the joints of the feet. The control group consisted of 75 women and 25 men with a mean age of 42. There are a total of four interdigital spaces, numbered from the inside to the outside. This is the American ICD-10-CM version of D36. 13 became effective on October 1, 2024. In this case, the appropriate code would be 28080, which refers to 'excision, interdigital (Morton The Current Procedural Terminology (CPT ®) code 64704 as maintained by American Medical Association, is a medical procedural code under the range - Neuroplasty (Exploration, Neurolysis or Nerve Decompression) Procedures on the Extracranial Nerves, Peripheral Nerves, and Autonomic Nervous System. Bursae are found throughout the body. Most of the orthotics made for this problem are ineffective because they gap away from the arch of the foot. Here, we report a case of interdigital neuroma in the second intermetatarsal space accompanied with MTP joint instability of the second and third toes due to plantar plate rupture. This is because the space between these toes and adjacent metatarsals is fairly large and there is therefore less chance of nerve entrapment. Morton’s neuroma: this is the damage and The first ray is the segment of the foot composed of the first metatarsal and first cuneiform bones. The purpose of this Technical Note is to describe the details of endoscopic interdigital neurectomy of the foot, which can reduce the size of surgical wounds and minimize the soft-tissue dissection. Abstract Morton's neuromas are benign lesions of the inter-digital nerves within the foot. CPT Code 64774 CPT 64774 describes the excision of a surgically identifiable cutaneous nerve neuroma. Who is a candidate for neuroma excision surgery? Patients who have failed nonsurgical treatments for neuroma, as well as have failed minimally invasive surgical procedures for neuroma, are candidates for… Hauser’s neuroma is the name given to a rare intermetatarsal neuroma in 2nd intermetatarsal space between the distal ends of the 2nd and 3rd metatarsals. Jan 31, 2023 · The dorsal interossei are a group of intrinsic muscles within the foot. Clinical presentation Symptoms include forefoot pain, feeling of walking a lump, swelling and/or tingling 2. CPT Code 64782 CPT 64782 describes the excision of a neuroma in hand or foot Jan 16, 2023 · The intermetatarsal angle is measured on AP foot radiographs between the long axes of the 1 st and 2 nd metatarsal shafts. What are the common symptoms/complaints? A burning sensation is present in the interspace and typically radiates to the adjacent digits. Jul 8, 2009 · 64455 is the new code for Morton's neuroma injections. Release of ligament between 2nd and 3rd metatarsal heads, right Lisa Goodman, Clearwater, FL Sep 26, 2022 · Below is the definition of the more common foot injection codes - 20550 - Injection (s) single tendon sheath, or ligament, aponeurosis (e. Our specialists use advanced techniques to treat nerve compression and improve mobility. Feb 28, 2018 · Hello, I am trying to find the best code for a decompression of the deep transverse ligament at the 2nd metatarsal interspace. Foot and Toes (28001-28899) Incision (28001-28035) 28001 Incision and drainage, bursa, foot 28002 Incision and drainage below fascia, with or without tendon sheath involvement, foot; single bursal space 28003 Incision and drainage below fascia, with or without tendon sheath involvement, foot; multiple areas 28005 Incision, … Feb 22, 2018 · CONCLUSION. Query: CPT 28080 & CPT 64704 Billing How would the following be billed? Pre-operative diagnosis: recurrent neuroma, 3rd interspace left foot Post-op diagnosis: dorsal neuroma left, plantar neuroma left Operation: release of dorsal nerve entrapment excision of stump neuroma left Would the billing be CPT 28080 (excision of Morton's neuroma) with diagnosis ICD-9 355. Specific symptoms are dull or sharp pain, numbness and/or tingling in the third and fourth digits, burning sensation, cramping, and a feeling of “walking on a stone” around the Amputation stump neuroma of right leg; Amputation stump neuroma, right leg Metatarsalgia: which means generalized foot pain without a specific cause. Thanks, Alicia, CPC Second Metatarsal Interspace Syndrome Not to be confused with “ second intermetatarsal space syndrome “ May be common – not often described in literature. All the histological results of neurectomy were confirmed by a pathologist and identified as Morton’s neuroma. The one discussed on this page is neuroma excision surgery, also called neurectomy. Morton's neuroma is defined as a small, round, hypoechoic mass located between the second and third metatarsal interspace. The skin in the first interdigital space is innervated by the deep peroneal nerve. The spaces between the toes are known as the interdigital spaces of foot (a. Usually, the pain is in the area behind and between the third and fourth toes. The injection can provide significant relief for patients suffering Jul 21, 2020 · The pt had an inj into the 3rd webspace, but I could only code pain in left foot. Capsulitis is related to hammertoe formation, and can lead to a plantar plate tear. 64774 D. 671 - Pain in right foot AND / OR M79. Neuroma formation can be due to overuse, restrictive shoewear, weight gain or direct trauma. Early interdigital neuroma is associated with an acute inflammatory process and often causes an occasional mild ache or discomfort in the ball of the foot, usually Apr 24, 2008 · How To Address Key Biomechanical Issues With Second MPJ Injuries Discussion in ' Biomechanics, Sports and Foot orthoses ' started by Kevin Kirby, Apr 24, 2008. The provider did not remove a neuroma just released the deep transverse ligament. Do you need to release pressure surrounding the nerve or the nerve itself within your foot? Our experienced Page 1 of 6 - see page 6 for important information about the uses and limitations of this document Orthotics to Treat Neuroma Pain A recent study demonstrated that custom foot orthotics provided relief for Morton’s neuroma in 63% of patients. Information presented herein reflects the Facility Setting Pain on the ball of the foot is very common and there are many causes. Sep 9, 2025 · Learn about the causes, symptoms, and treatment options for metatarsal bursitis, a painful condition affecting the foot. ? digital block via CPT 64450-dx is Morton's neuroma--injecting steroids not phenol to destroy the nerve Jeannie Bothell Wa Use this page to view details for the Local Coverage Article for Billing and Coding: Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma. It is structured to help coders understand procedures and translate physician narrative into correct CPT codes by combining many clinical resources into one, easy-to-use source book. The condition is thought to be due to chronic entrapment of the ne Jan 18, 2012 · A Morton's neuroma is a swollen, inflamed nerve located between the bones at the ball of the foot (usually either the second or the third spacing from the base of the great toe), which is 355. They are considered voluntary muscles and are divided into two sets: dorsal interossei (foot) plantar interossei (foot) Neuroma excision surgery There are two types of open surgery for neuroma. A standard longitudinal incision was made in the second interspace, and blunt dissection was performed. I billed 28080 with 64999 (unspecified) and insurance Apr 26, 2010 · Does anyone know the most appropriate code for endoscopic nerve decompression of the second interspace of the foot? CPT 64704-Neuroplasty nerve of hand or foot is an open procedure so it doesn't seem appropriate. The patient was diagnosed with a soft tissue tumor in the 1st webspace. The eedle is advanced until it tents the skin and then withdrawn to the tip of the neuroma. May 18, 2025 · A Lisfranc injury is a tarsometatarsal fracture dislocation characterized by traumatic disruption between the articulation of the medial cuneiform and base of the second metatarsal. pdf from AAPC CPC 2021 at American Academy of Professional Coders. Attachments: Originates from the lateral aspect of the metatarsals. A bursa is a sac like structure filled with fluid. Care was taken to protect the superficial vessels. The proximity to the neurovascular bundle in these interspaces is emphasized. 8 - other international versions of ICD-10 G57. They are most commonly found in the second and third webspace. Apr 30, 2025 · The Ankle, Foot and Orthotic Centre’s Northcote Podiatrists can help you with all lower limb complaints, including a intermetatarsal bursitis. (39) also measured the distance between the metatarsal heads and the diameter of the common digital nerve to each interspace. Both the second and third interspaces were involved in one patient (Table 1). Individuals may describe the feeling of a “lump” on the foot bottom or a feeling of walking on a rolled-up or wrinkled sock. Feb 18, 2025 · The os intermetatarseum is an uncommon accessory ossicle of the foot occurring in ~4% (range 1-7%) of the population. The authors recommend exhausting all conservative treatment prior to surgical excision. Morton neuroma most commonly occurs in the third intermetatarsal space, followed by the second intermetatarsal space. Tearing or attenuation of the plantar plate often will result in crossover or hammertoe deformity with hyperextension of the MTP joint. The plantar digital nerves, which are derived from the posterior tibial nerve, provide sensory innervation to the major portion of the plantar surface… A mild or moderate tenderness on palpation in the involved intermetatarsal interspace was reported in 26 cases (26. 9- upper extremity G56. every 61 days) for follow-up “at risk” routine foot care encounters. Pain exacerbated with exercise and relieved with rest Tenderness to palpation on the plantar surface of the foot, usually between the 3rd and 4th metatarsals G57. Apr 21, 2025 · Forefoot pain radiating to the affected interspace, toes, and ankle (1) [C] Paresthesias in the toes and interdigital space are common (1) [C]. Interdigital skin sensation can be decreased. if the second metatarsal is also medially deviated), as this will artificially reduce the intermetatarsal angle 6. It was also dissected down into the foot to the furthest point available and transected there. The condition is thought to be due to chronic entrapment of the ne 2. The developing neuroma can put pressure on the surrounding nerves in the foot causing sharp, shooting pains when walking or standing. Last pic on right confirms removal of nerve Picture of a neuroma removed from the second interspace Intraop Pic of removal of neuroma. I hesitate Description Morton's Neuroma (MN) is a condition associated with the common plantar digital nerves, caused by entrapment of the nerve and repetitive traction underneath the deep transverse metatarsal ligament leading to epineural and perineural fibrous overgrowth [1] Also known as Morton neuroma, Morton's metatarsalgia, Intermetatarsal neuroma and Intermetatarsal space neuroma [2], the benign Apr 17, 2025 · Morton's neuroma is a painful condition that affects the foot. [2] Nov 13, 2014 · Append appropriate modifier to HCPCS E1830 (Dynamic adjustable toe extension/flexion device, includes soft interface material) or E1831 (Static progressive stretch toe device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories). The excised tissue was sent to Pathology for examination. An Interdigital Neuroma normally affects the 2nd interdigital space (between the 2nd and 3rd toe) or the 3rd interdigital space (between the This lends us to hypothesize that the occurrence of neuroma in the third interspace would be associated with a pronated foot posture and the occurrence of neuroma in the second interspace would be present in a more neutral to supinated foot type. web spaces of the foot). Twenty patients presented a neuroma in the second interspace (2/3) and 80 in the third interspace (3/4). Morton’s neuroma is characterized by the thickening of the plantar nerve, typically occurring between the metatarsal heads, leading to discomfort and pain in the foot. k. 572 may differ. Patients also report tenderness along the top and bottom surfaces of the foot with limited range of joint motion. Most subjects The patient will classically describe taking their shoe off to rub their foot to relieve the pain. 62 for the neuroma and CPT code 01BD0ZZ for the excision procedure without replacement, open approach. Oct 11, 2023 · Excision of left foot second interspace neuroma. If you have the condition, it may feel like you are "walking on a marble," and you may have persistent pain in the ball of your foot. clevelandclinic. The average time between sonography and surgery was 120 days (range, 1-509 days). Each bursa produces a sac that Jul 1, 2025 · A total of 508 individuals with 540 second or third web-space Morton’s neuromas who had failed 3 months of conservative treatment (insoles and nonsteroidal anti-inflammatory drugs) were included in this study. An Interdigital Neuroma normally affects the 2nd interdigital space (between the 2nd and 3rd toe) or the 3rd interdigital space (between the 3rd and 4th toe Nov 25, 2015 · Can some one explain the difference between codes 64704 and 64726. OPERATIVE REPORT Preoperative Diagnosis: Left foot second interspace neuroma Postoperative Diagnosis: Same Procedure (s) Performed: Excision of left foot second interspace neuroma A standard longitudinal incision was made in the second interspace, and blunt dissection down into the interspace was performed. In my case Nov 23, 2012 · Seventeen cases involved the right foot and 13 involved the left. However, if an injection is performed on the 2nd and 3rd right interspaces with steroid and local anesthesia, then I would bill this code once for the right foot. Nov 18, 2024 · Description Os intermetatarseum. Morton's neuroma is a benign neuroma of an intermetatarsal plantar nerve, most commonly of the second and third intermetatarsal spaces (between the second/third and third/fourth metatarsal heads; the first is of the big toe), which results in the entrapment of the affected nerve. Can we only bill that code once no matter how many neuromas are injected? Aug 7, 2024 · Morton neuromas, also known as interdigital or intermetatarsal neuromas, are focal areas of symptomatic perineural fibrosis around a common plantar digital nerve of the foot. The book also allows coders to validate the intended code selection by providing an easy-to Nov 23, 2012 · The second technique consists of scanning the plantar surface of the foot with dorsiflexion of the toes [2, 3]. Oct 18, 2013 · Hello, Can you please help? I am confused on whether to use 64776 or 28080. Patients will describe it as spontaneous sporadic pain which is not proportional to the clinical findings. 61 is a billable diagnosis code used to specify a medical diagnosis of lesion of plantar nerve, right lower limb. The patient was relatively asymptomatic until approximately 5 months postsurgical when he noted recurrent pain in the right foot with simular symptoms of burning pains between toes and Neuroma CPT Codes ICD-10-CM Code for Neuroma of amputation stump, left lower extremity T87. org 4 days ago · Explore the cause and treatment of Morton’s Neuroma. A higher incidence of Morton’s neuroma in third web-space can be explained by the simple anatomical fact that the third intermetatarsal space is relatively smaller in dimensions as compared to the first and second intermetatarsal spaces. This is the American ICD-10-CM version of G57. The ball is the padded area of the bottom of the foot between the toes and arch. 28080-59 for the second interdigital neuroma. Care was taken to dissect carefully down through the superficial fascia to the third interspace. 62 became effective on October 1, 2024. Morton's neuromas (foot neuroma) occur in all the metatarsal spaces of the foot. Feb 6, 2024 · The question pertains to the correct procedural coding for the surgical excision of two interdigital neuromas from the left foot. The main symptoms are pain and/or numbness, sometimes relieved by ceasing to wear footwear with tight toe boxes and See full list on my. The guideline was developed by the Clinical Practice Guideline Forefoot Disorders Panel of the American College of Foot and Ankle Surgeons. Why neuromas form is not entirely clear. 8- upper limb G56. Release intermetatarsal ligament between 2nd and 3rd metatarsal heads, left foot (to release compression on intermetatarsal nerve/neuroma) 3. Attention was directed to the 3rd intermetatarsal space where approximately 3 cm incision was made and under loupe magnification the procedure was performed. This is the American ICD-10-CM version of M71. This arrangement of dorsal interossei makes the second toe the midline of the foot, whereas the midline of the hand (marked by dorsal May 23, 2020 · Minimally invasive nerve decompression for operative management of Morton's neuroma has been shown to be an effective alternative to neurectomy; however, little is known about postoperative outcomes. The toes are often separated at the interspace affected by an interdigital neuroma (A). Patients usually seek a healthcare provider for toe separation cases when the condition becomes painful, worsens, or is Apr 4, 2021 · Intermetatarsal Bursitis Anatomic Considerations In a manner analogous to that of the digital nerves of the hand, the digital nerves of the foot travel through the intrametatarsal space to innervate each toe. The excision aims to remove What is it? Morton’s neuroma is characterized by pain located in the third interspace. The present report describes the surgical incision we CPT code 28030 is the code used for the surgical removal of a nerve in the foot, facilitating accurate billing and documentation in healthcare. We aimed to summarize and assess the efficacy of current treatment strategies. I have researched and keep coming across codes for 64704, 28080, and 29999. The next most common locations are the second, fourth and first interspaces. Almost all cases of metatarsal joint pain presents with localized pain, difficulty in walking or just difficulty in maintaining normal day-to-day activities. Excision of left foot second interspace neuroma. a. Aug 20, 2024 · A sandal gap deformity, also known as hallux varus, is an imaging observation in antenatal ultrasound (typically second trimester) where there is an expanded first interspace, i. This intervention is primarily performed to alleviate pain caused by nerve entrapment or inflammation in the foot’s intrinsic muscles. Find step-by-step Health solutions and the answer to the textbook question Which CPT code (s) should be used for the excision of two interdigital neuromas from the left foot? A. The 2025 edition of ICD-10-CM G57. 9- lower extremity G57. Insertion The fibers of the second dorsal interosseous muscle of foot travel anteriorly to the second toe and insert, via a short tendon, onto the: - lateral aspect of the base of the proximal phalanx of second toe; - extensor expansion of second toe. The provider wants to use 20606 times 3. Meaning, it is never really associated with any edema, erythema, ecchymosis, or clinical signs that would Inter Metatarsal Bursitis Bursitis is a common cause of foot pain and discomfort even though it isn’t discussed as often as other conditions. One of the first clinical representations of this syndrome dates back to 1876 when Morton 2 through the mid-web space into the area of fullness at the plantar aspect of the foot. G57. Mortons neuroma & Inter-metatarsal bursitis Pain on the ball of the foot is very common and there are many causes. On direct examination, the patient’s foot often appears unremarkable, without signs of bursitis, swelling, or other abnormality. 044) (Table 3). Oct 31, 2018 · Excision of Morton's neuroma, 3rd interspace, right foot, under loupe magnification. Jan 31, 2011 · Foot help Here is the op report the interspace was then marked with topographical markings, to assure the proper cannular placement. Their function lies in spreading the toes apart and in flexing the metatarsophalangeal joints of the second to the fifth toe. 61 may differ. The neurovascular bundle was The skin was incised along the axes of the corresponding metatarsals (third or second interspace) for about 8 cm, start-ing just distal to the metatarsal heads. The deformities can occur on the sagittal, transverse, or frontal planes or any combination of these planes. Jul 11, 2025 · Morton neuroma causes pain in the ball of your foot. Documentation Dissection PREOPERATIVE DIAGNOSIS(ES): Morton's neuroma, Apr 14, 2008 · Need some feed back on how best to code these types of injections out. Jan 1, 2023 · First, CPT® will delete +0163T (Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression), each additional interspace, lumbar (List separately in addition to code for primary procedure)). 9- A. The neurovascular bundle was identified, and the nerve was selected, dissected out into each toe, and clipped off sharply. a longitiudinal line was made on the dorsal aspect of the interspace between the respective between the respective metatarsals from the proximal to distal. In this retrospective case series, we reviewed 27 procedures in 25 patients who underwent minimally invasive nerve decompression as primary surgical management for Morton's neuroma. 5 days ago · Neuroma excision is surgery to remove a swollen and enlarged nerve called a neuroma, or a Morton neuroma. What is Intermetatarsal bursitis? This is inflammation of a small fluid filled sac that lies between the One neuroma was located in the first interspace in the plantar approach group, while others were located in the second or third interspace. 34 for Neuroma of amputation stump, left lower extremity is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes . Article discusses treatments for Morton's entrapment. The bifurcation going to the adjacent toes is easily visualized. Sep 7, 2023 · Morton neuroma is a nonneoplastic, degenerative neuropathy with a strong predilection for the third interdigital nerve of the foot Explanation: Compression of the interdigital nerves between the metatarsal heads and intermetatarsal ligament can result in nerve inflammation (neuroma). However, whilst there is little to no published literature on the presence of such neuromas, they can Aug 7, 2025 · Comprehensive guide on Morton's Neuroma ICD-10 codes, clinical data, billable status, synonyms, and unique FAQs for healthcare practitioners. The dorsal interossei muscles are a group of four bicephalic feather-shaped muscles that fill the space between the metatarsal bones of the foot. Below is a list summarizing the CPT codes for excision and implantation procedures on the somatic nerves. Learn more about the link to your shoes and other causes, as well as symptoms and treatment. The Ankle, Foot and Orthotic Centre’s Northcote Podiatrists can help you with all lower limb complaints, including Neuroma. The examiner sharply and forcefully percusses the interspace along the distribution of the nerve. The correct option is A) G57. CPT 64782 refers to the excision of a neuroma located in the hand or foot, excluding those found on digital nerves. Involvement of the nerves of the first and fourth interspaces is rare. 572 - other international versions of ICD-10 M71. CPT 28080 refers to the excision of a single interdigital (Morton) neuroma, a surgical procedure aimed at alleviating the pain associated with this condition. A patient with a history of trauma to the left foot undergoes surgery for a neuroma, and the provider finds a second neuroma requiring excision during the same session. 8- Morton’s G57. digital (toe) G57. A neuroma excision is the surgical removal of a swollen nerve, or neuroma, usually located in the ball of the foot between the webbing of the toes. 8 lower limb G57. Learn their anatomy at Kenhub! The patient underwent excision of a left foot second interspace neuroma. 6 may differ. Feb 19, 2025 · Intermetatarsal bursitis is a common cause of metatarsalgia and is frequently associated with Morton neuromas and plantar plate tears. Sep 4, 2024 · branch in their study, Levitsky et al. 572 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Excision, soft tissue mass, 3rd metatarsal interspace, right 4. 6 became effective on October 1, 2024. Aug 22, 2016 · The Digital Angle The digital angle (Figure 13-2) is defined as the angulation between the longitudinal bisections of the second toe proximal phalanx and second metatarsal. Feeling as if walking on a marble or stone. Reducing pressure on the ball of the foot is a critical aspect of treating a foot neuroma. It's crucial to note that a neuroma between the 3rd and Morton's neuroma is defined as a nerve disorder in the foot that causes pain and loss of feeling between two toes, typically due to compression of the thickened interdigital nerve, most often between the third and fourth toes. W. They cause a thickening of the tissue surrounding the nerve, leading to pain, burning, and numbness between the toes. The neuroma becomes pinched between toe bones and ligaments and causes pain when you walk. A Morton’s Neuroma most frequently develops between the third and forth toes but is also quite common between the second and third toes. - Exam: - the diagnosis is primarily based on the history and physical exam - location of the proper web space is essential if surgery is considered - palpable click (Mulder's click) in interspace with compression: palpate from just distal to the metatarsal heads directing force straight to the heel; - normal feet may have a Mulder's click too, so this click should recreate patient's symptoms Oct 5, 2009 · A Morton’s neuroma is a benign growth on nerve tissue that occurs in the nerve of your foot, often between the third and fourth toes, although it also may occur at the second toe interspace. They form the deepest layer of plantar muscles and have a bipennate shape. Nov 3, 2023 · Dorsal interossei muscles are the four muscles of the sole of the foot that flex, adduct and extend the toes. Comparing scoring results between patients who underwent neuroma excision in second and third webspaces, respectively, we found no difference using neuroma score and a slight difference using AOFAS score (p = 0. The patient will have altered sensation at the adjacent borders of the third and fourth toes. It has many different causes, though the most common are neuromas, plantar plate tears, ligament ruptures, and Morton foot type. We also briefly review some other plantar lesions and arthropathy that can present with awareness of lump underneath the foot. with the site of tenderness. 61 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. As the common digital nerve to the third space receives branches from both medial and lateral plantar nerves, it has increased thickness and is prone to compression and trauma. AccessMedicine is a subscription-based resource from McGraw Hill that features trusted medical content from the best minds in medicine. Short Preoperative Diagnosis: Left foot second interspace neuroma Post operative Diagnosis: Same Procedure (s) Performed: Excision of left foot second interspace neuroma A standard longitudinal incision was made in the second interspace, and blunt dissection down into the interspace was performed. May 12, 2020 · Introduction A neuroma is an enlarged, irritated nerve found in the interspace of the toes, most commonly in the third followed by the second interspace, 1 which presents with immense pain in the forefoot. Patients will complain of numbness, a “pins and needles” type of tingling and loss of G57. They may be static or dynamic and may occur singu- larly or as part of a group in which all lesser digits display the abnormality Feb 2, 2022 · The first to second metatarsal distance is measured on the dorsoplantar view of the foot as the shortest horizontal distance between the bases of the first and second metatarsal bones 1,7. Jul 14, 2022 · In conclusion, understanding CPT code 64783, Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure), is a crucial element in achieving accurate and reliable medical coding in neurological surgeries. Morton’s neuroma occurs most commonly in the third interspace (72% of cases) followed by the second (30% of cases) and the fourth (5% of cases). Standard longitudinal incision was made in the second interspace and blunt dissection performed. Interdigital neuromas are most commonly found in the third webspace, however, the 2nd webspace is also Nevertheless, with increasing recognition that foot pain can be caused by distal nerve compressions, patients will be identified with multiple, adjacent, interdigital nerve compressions (5–7). Secondary Diagnosis: M79. The second to fourth interossei attach to the lateral sides of the proximal phalanxes of Figure 2 Weight-bearing dorsal-plantar radiograph of the left foot of a patient with a Morton’s neuroma in the second intermetatarsal space showing splaying of the second and third digits referred to as Sullivan’s sign. The cause of the increased incidence of in the third intermetatarsal space is unknown but it is thought that the following factors may be contributing: The intermetatarsal space is narrower in the second and third interspaces than in the first and The CPT (Current Procedural Terminology) code for the procedure described, which involves the removal or excision of a neuroma located in the second interspace of the left foot, is 28080. There is some overlap between these three disorders. This procedure involves the careful removal of the neuroma, which Neuroma CPT Codes A 64-year-old white male had a surgical excision of Morton's neuroma of the right foot, second interspace through a plantar approach as a same-day surgery. May be a bursitis – may be due to overuse from a hypermobile first ray Clinical Features: Non-radiating pain at distal portion of interspace between first and second metatarsal heads. It is commonest between the 3rd and 4th toes but also occurs between the 2nd and 3rd toes. 5. 2 - Plantar Fasciitis injections 20551 - Injection (s) single tendon origin/insertion 20551 - Injections to include both the plantar fascia and the area around a calcaneal D36. Page 1 of 6 - see page 6 for important information about the uses and limitations of this document Read this chapter of Quick Medical Diagnosis & Treatment 2024 online now, exclusively on AccessMedicine. We treat Morton's neuroma and foot neuromas without surgery. 4) years. 1, 2 The longitudinal axis of the digits and rearfoot (calcaneus) are approximately parallel in a normal foot. Some patients are able to have resolution of painful symptoms with conservative treatment but for those that fail these Morton’s neuroma is the fibrous enlargement of the interdigital nerve branches, usually in the second and third interspace between the metatarsal heads where the lateral and medial plantar nerves often join. 61, 01BD0ZZ. Neuroma Excision Price: $3,200 CPT Code: 28080 A neuroma excision is the surgical removal of a swollen nerve, or neuroma, usually located in the ball of the foot between the webbing of the toes. The pain is often described as: Stabbing, shooting or burning pain in the ball of the foot. The procedure involved making a longitudinal incision in the second interspace, dissecting down to the neurovascular bundle, identifying the nerve, dissecting it out, clipping it off sharply, and transecting it at the furthest point available. 13 - other international versions of ICD-10 D36. 13 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. It is not clear if this is a separate entity to a Morton’s Neuroma (which is very common in the 4th interspace) or it is just a Morton’s neuroma that occurs in the 4th interspace – different people have different opinions on the use Explore various foot conditions and treatments offered by Dr Foot Podiatry Clinic to improve your foot health and well-being. 29 The authors found pericapsular fibrosis, bursitis and even a ganglion within the second interspace in a total of 21 second MPJ plantar plate tears without identifying a single second interspace neuroma. AI generated definition based on: Instructions for Sports Medicine Patients (Second Edition), 2012 CPT 64455 refers to the injection of anesthetic agents and/or steroids into the plantar common digital nerve (s), commonly used to treat conditions such as Morton’s neuroma. 5 Jan 22, 2024 · The interosseous muscles of the foot are a group of muscles that lie near the metatarsals. This surgical operation involves making an aperture, followed by careful manipulation and division of anatomical elements to reveal the neuroma, selecting the right nerve, severing it from each digit and at May 22, 2023 · Morton neuroma is common in the third interspace because it is narrower compared to other spaces. This info listed to assist Dr. Surgery may be used to relieve pressure from the neuroma, or to Feb 2, 2022 · The first to second metatarsal distance is measured on the dorsoplantar view of the foot as the shortest horizontal distance between the bases of the first and second metatarsal bones 1,7. ” With respect to the above post, the issue is a “sufficiently detailed exam. 05). On physical examination, the patient had pain with palpation of the interspace between the second and third metatarsal heads, with no metatarsal-phalangeal instability or hyperkeratosis. The procedure involves the careful dissection and removal of the affected nerve tissue, which can provide significant relief for patients suffering from In most reports, the interdigital nerve of the third interspace is the most commonly involved (80%); the nerve of the second interspace is involved in the remainder of cases. Oblique radiographs of the foot from two different patients show rounded (a) and spindle (b) configurations of the os intermetatarseum (arrows) located between the base of the first and second metatarsals. The condition occurs so rarely in the first and fourth web spaces that in these cases an alternative diagnosis should be Aug 7, 2024 · Morton neuromas, also known as interdigital or intermetatarsal neuromas, are focal areas of symptomatic perineural fibrosis around a common plantar digital nerve of the foot. 28070 b. Examination as described above, the patient will be tender at the 3, 4 interspace (neuroma at the 2, 3 interspace is very rare). Staying within the sagittal plane and dividing the fibers of the plantar fascia longitudinally, the nerve was identified just beneath this layer. 13 may differ. This procedure is aimed at alleviating pain and inflammation associated with nerve compression in the foot, particularly in the area between the toes. Sixty-two webs were operated on in the left foot and 20 in the right. 6 (Morton's neuroma) and CPT Jan 9, 2024 · The correct medical codes for the surgical removal of a Morton's Neuroma from the 3-4 and 4-5 interspaces of the left foot are ICD-10 code G57. The proximal dorsal portal (PDP) is at the foot dorsum between the third and fourth metatarsal bones and about 4 cm from the TWP. Approximately 80% of neuromas occur in the third web space with the remainder occurring in the second web space. The plantar approach has proven to be effective and should also be considered for stump-neuroma and failed ablation attempts. The procedure aims to provide relief by interrupting the pain signals transmitted by the affected nerve. 62 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. A computer base search was completed in PubMed, Embase, Cinahl, ISI Web of Science, Scopus A board-certified podiatrist, Dr. This nerve provides sensation between the toes. 28075 c Jan 29, 2018 · The London Podiatry Centre would agree with the consensus of opinion that a neuroma between the 1st and 2nd or the 4th and 5th metatarsals/toes is rare. 3 The nerve becomes sandwiched in his location between the ligament in the foot and the ground. Aug 19, 2021 · The optimal treatment strategy for the presentation of multiple Morton's neuromas in adjacent intermetatarsal spaces of the same foot is yet to be determined. What is a Mortons neuroma? An intermetatarsal neuroma (also called Morton’s neuroma) is a very common condition that most frequently affects the bottom of the ball of the foot and the toes. Morton's neuroma is a condition that involves a thickening of the tissue that surrounds the digital nerve leading to the toes. g. 62 - other international versions of ICD-10 G57. What is Mortons Neuroma? The term neuroma refers to a painful inflammation that can occur in one of the nerves at the bottom of the foot. It usually occurs in the ball of your foot, between your third and fourth toes. 3. The most likely cause seems to be an irritation of the Podiatry Management is the national practice management and business magazine, reaching over 22,412 subscribers. My doctor is doing this Nerve decompression, 3rd interspace, bilateral. The remaining interdigital spaces of foot receive their cutaneous innervation from the superficial peroneal nerve on the For instance, a Morton's neuroma of the third interspace will result in pain between the third and fourth toes, and a neuroma in the second interspace will cause pain between the second and third toes. 2 Anatomically, the second and third intermetatarsal spaces are smaller than the first or fourth intermetatarsal spaces. While this condition may occur at any of the interdigital nerves, the nerves located in the second and third interspace produce pain in 32% and 66% of patients respectively. 1. The symptoms are usually aggravated by wearing shoes, particularly those with high heels. 6 (± 11. This may sometimes be mistaken for a bone fragment secondary to a remote trauma [] Illustration of Os Intermetatarseum [] General Accessory ossicle found Nov 23, 2012 · Seventeen cases involved the right foot and 13 involved the left. 8- intermetatarsal G57. Jan 1, 2022 · The optimal treatment strategy for the presentation of multiple Morton's neuromas in adjacent intermetatarsal spaces of the same foot is yet to be determined. Jun 1, 2017 · Second, in our study, the MRI examinations of the fore-foot were performed using standard protocols, not high-resolution dedicated protocols as were used in some previous studies. This surgical procedure is performed to alleviate pain and restore function that may have been compromised due to the presence of a neuroma, which is a benign tumor or mass that develops from a peripheral nerve, often as a result of injury or trauma. 9- leg G57. There are around 160 bursae in the body. Nov 26, 2024 · It can also occur in the second web space (between the second and third toes), albeit less commonly. How did I get a Morton’s Neuroma? Morton’s Neuromas develop due to pressure on the nerve. It is thought to be due to Careful inspection must be made for any abnormal accessory nerves, bursae (especially in the second and third interspaces), synovial cysts, or localized scar in the interspace. plantar fascia) 20550 and ICD M72. [1] The location of this joint is important as it intersects the transverse and medial longitudinal arches. Aug 30, 2010 · The third interspace (between the third and fourth metatarsals) is the most commonly affected, followed by the second interspace. ICD-9 Classification / Treatment Etiology / Natural HistoryEnter date of surgery (DOS) or date of injury (DOI) to calculate the number of days, weeks, months or years post op. These are discussed together because both can appear together and have similar symptoms & treatments. The codes listed (28080, 64774, 64776) are CPT (Current Procedural Terminology) codes used to specify medical procedures for billing and documentation purposes. Abstract In recent years, the role of the plantar plate in lesser metatarsophalangeal joint stability has increasingly been recognized. Following the Deep peroneal nerve entrapment is associated with nerve-type pain in the foot. 2. in coding procedures. Make an appointment to get your foot and ankle pain under control. In this article, we review metatarsal and intermetatarsal lesions of the foot that present with central forefoot pain and a sensation of walking on pebbles, focusing on conditions mimicking Morton neuroma clinically or on imaging. ” So, a patient qualifies for “at risk” routine foot care and is returning regularly (i. 28080 C. Recently, a small series of patients after crush injury have been treated for forefoot pain who required a dorsal approach to multiple web spaces. Nov 15, 2016 · Of the most common foot conditions treated by clinicians today, none is probably more misunderstood than Morton’s entrapment. Radsource MRI Web Clinic: Lesser Metatarsophalangeal Joint Instability. Fig. I think it Nov 24, 2016 · Here, we report a case of interdigital neuroma in the second intermetatarsal space accompanied with MTP joint instability of the second and third toes due to plantar plate rupture. Vulcan salute sign or V-sign The frequency of the V-sign was highly significant between groups with and without Morton’s neuroma (P < 0. M71. Patients with Metatarsalgia Eleven studies investigated patients with metatarsalgia and/or asymptomatic participants. The Current Procedural Terminology (CPT ®) code 28080 as maintained by American Medical Association, is a medical procedural code under the range - Excision Procedures on the Foot and Toes. Clinical History: A 56 year-old female with onset of right foot pain over 4 months. Short description: Ben neoplm of prph nrv & autonm nrv sys of low lmb, inc hip The 2025 edition of ICD-10-CM D36. The most technically accessible/least degenerated joint should be targeted. What is a Mortons neuroma? Mortons neuroma is an irritation and swelling of the nerve which runs between the metatarsals. The presence of bursas in the second and third interspace and their distal extent to become interphalangeal was consistent in all three studies. Home » Blog » Causes & Treatments of Toe Separation Toe separation is a common occurrence that usually involves the second and third toes. Picture of removal of neuroma Picture of neuroma removal. Mar 28, 2022 · View Morton's neuroma, second interspace of left foot. 4. The space (interspace) between the third and fourth toes is most commonly affected by the space between the second and third toes the next most commonly involved. This neurectomy is typically performed to alleviate pain or discomfort caused by nerve-related issues, such as neuromas or other nerve entrapments. They found the intermetatarsal head distances in the second and third interspaces were significantly smaller than in the first and fourth. The hallmark symptom of Morton’s neuroma is pain or discomfort in the ball of the foot, located between the foot’s arches and toes on the sole. Patients may experience 2 attacks in a week and then none for a year. The neurovascular bundle in third interspace runs medially to the lumbricle muscle, whereas in the second interspace it runs more plantar with respect to the muscle – this may play a role in the 3rd interspace being the more common site. Although the direct signs of PP tears on MRI are widely accepted, there is no consensus regarding other morphologic changes of the PP that could be related to tears. This clinical practice guideline (CPG) is based upon consensus of current clinical practice and review of the clinical literature. Clinical presentation It is usually asymptomatic and an incidental finding although it can be a cause of dorsal midfoot pain. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2024 through September 30, 2025. 672 - Pain in left foot The CPT® code for injection of a neuroma is: CPT 64455® - Injection (s), anesthetic agent and/or steroid, plantar common digital nerve (s) (eg, Morton's neuroma) There is normal communication between the 2nd and 3rd tarsometatarsal (TMT) joints and frequently the naviculocuneiform. Pressure applied with a nonimaging finger on the dorsal aspect of the intermetatarsal spaces causes splaying of the metatarsal heads, improving the visualization of soft tissues and increasing conspicuity of masses in this region [4, 7]. Some cases of metatarsophalangeal joint pain are also associated with callus formation underneath the joint surface. A Morton's Neuroma can be found in any interspace. At Cutting Edge Foot and Ankle in Nashville, TN, conservative treatment is usually the initial approach for managing intermetatarsal bursitis, focusing on reducing inflammation, relieving pain, and aiding in healing. The excision of mortons neuromas is a procedure designed to alleviate pain or discomfort associated with an enlarged nerve. 26-1; Table 26-1). 672 - Pain in left foot The CPT® code for injection of a neuroma is: CPT 64455® - Injection (s), anesthetic agent and/or steroid, plantar common digital nerve (s) (eg, Morton's neuroma) Apr 16, 2019 · The provider performed an ultrasound guided injection to 1st, 2nd and 3rd metatarsal cuneiform joints. Because there is a pair of dorsal interossei muscles attached on both sides of the second toe, simultaneous contraction of these muscles results in no movement. A computer base search was completed in PubMed, Embase, Cinahl, ISI Web of Science, Scopus ICD-10-CM Code for Lesion of plantar nerve, right lower limb G57. e. (B) The proximal plantar portal (PPP) is at the sole between the third and fourth metatarsal bones and at the level of tarsometatarsal joint. Expert Morton’s neuroma surgery to relieve foot pain and restore comfort. the metatarsal heads were then palpated and small markings for the dorsal incisions were placed Excision of left foot second interspace neuroma. Nov 6, 2021 · An incision was made between the second and third metatarsal heads. Morton's neuroma of the first webspace is very rare. Find out the epidemiology, anatomy, diagnosis, treatment and complications of this condition. zd3 lhemr ns gyogz gykrf6 afb mymvwhhv 2iphd cooforcz tfne2