tci Outpatient Facility Coding Alert - 2013 Issue 12

Reader Question: Submit 20605 for Sacrococcygeal Injection

Question: What’s the proper way to code a sacrococcygeal joint injection? Michigan Subscriber Answer: Codes 20600-20610 (Arthrocentesis, aspiration and/or injection -) describe joint injections. The appropriate code for the sacrococcygeal joint injection is 20605 (… intermediate joint or bursa [e.g., temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa]). Common mistake: Many coders find 64493 (Injection[s], diagnostic or therapeutic agent, paravertebral facet [zygapophyseal] joint [or nerves innervating that joint] with image guidance (fluoroscopy or CT), lumbar or sacral; single level) tempting, but this code is inaccurate because there is no facet joint in the sacrococcygeal region. ...

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