20527 Njx nzm palmar fascial cord
Also known as: dupuytren injection, enzymatic fascial injection
Injection of enzyme (hyaluronidase/collagenase) into palmar fascia or fascia of forearm to treat Dupuytren contracture. This procedure chemically breaks down abnormal fibrous tissue.
In Plain Language
enzyme injection into palm to treat finger curling
Clinical Context
Used for nonsurgical treatment of Dupuytren contracture, enzymatically breaking down pathologic palmar fascia to improve hand function.
RVU Breakdown
| Work RVU | 0.98 |
| Total RVU | 0.98 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 0.98, this code ranks in the 4th percentile among Surgery codes — 8.2x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 20527?
CPT 20527 (Njx nzm palmar fascial cord) is a Surgery code. Injection of enzyme (hyaluronidase/collagenase) into palmar fascia or fascia of forearm to treat Dupuytren contracture. This procedure chemically breaks down abnormal fibrous tissue.
What is the wRVU value for CPT 20527?
The work RVU for CPT 20527 is 0.98. This code is primarily used by Hand Surgery, Orthopedic Surgery.
When is CPT 20527 used?
Used for nonsurgical treatment of Dupuytren contracture, enzymatically breaking down pathologic palmar fascia to improve hand function.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against national data — all in one app.
CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.