Go Back   AAPC Medical Coding & Billing Forums > Medical Coding > General Discussion
Forum Rules FAQ Members List Calendar Search Today's Posts Mark Forums Read

Reply
 
Thread Tools
  #1  
Old 06-24-2008, 12:29 PM
AndieL AndieL is offline
Contributor
 
Join Date: Apr 2007
Posts: 15
AndieL is on a distinguished road
Default coccygeal injection code?

I was wondering if anyone has coded this procedure before. Physician documentation states "coccygeal joint injection"-I was thinking 20605 but was hoping for some feedback.
Thanks!
Reply With Quote
  #2  
Old 06-24-2008, 01:40 PM
racheleporter's Avatar
racheleporter racheleporter is offline
Guru
 
Join Date: Apr 2007
Location: Fontana
Posts: 170
racheleporter is on a distinguished road
Default

I would use 20610

Quote:
Originally Posted by AndieL View Post
I was wondering if anyone has coded this procedure before. Physician documentation states "coccygeal joint injection"-I was thinking 20605 but was hoping for some feedback.
Thanks!
__________________
Rachele Porter, AS, CPC, CPC-H, CEDC
no weapons formed against me shall prosper
Reply With Quote
  #3  
Old 06-24-2008, 02:50 PM
mbort's Avatar
mbort mbort is offline
True Blue
 
Join Date: Apr 2007
Location: ENGLEWOOD/DENVER
Posts: 2,333
mbort is on a distinguished road
Default

The coccyx is in the sacral/caudal area..I use 62311
Reply With Quote
  #4  
Old 07-01-2008, 07:50 PM
mvachon mvachon is offline
New
 
Join Date: Apr 2007
Posts: 3
mvachon is on a distinguished road
Default coccygeal injection code?

Depends on documentation, I use 27096 if done with fluoroscopy guidance
(cpt guideline & cpt assistant under 27096).
If no imaging, I use 20610.
Reply With Quote
  #5  
Old 08-03-2008, 02:26 PM
tammyboyer tammyboyer is offline
Networker
 
Join Date: Apr 2007
Posts: 29
tammyboyer is an unknown quantity at this point
Default coccyx injection

i use 20550 because it's not in a joint or bursa they are injecting
Reply With Quote
  #6  
Old 08-03-2008, 10:44 PM
mbort's Avatar
mbort mbort is offline
True Blue
 
Join Date: Apr 2007
Location: ENGLEWOOD/DENVER
Posts: 2,333
mbort is on a distinguished road
Default

Quote:
Originally Posted by mvachon View Post
Depends on documentation, I use 27096 if done with fluoroscopy guidance
(cpt guideline & cpt assistant under 27096).
If no imaging, I use 20610.
Could you please post the CPT assistant you are referrencing?

I have check my CPT assistant and everything listed for 27096 and I do not see one that states that 27096 should be used for a coccyx injection. The coccyx is not in the same area as the SI joint therefore I would be very interested in seeing these guidelines you are using.

Thanks
Mary
Reply With Quote
  #7  
Old 08-04-2008, 08:01 AM
dmaec's Avatar
dmaec dmaec is offline
True Blue
 
Join Date: Apr 2007
Location: Duluth, Minnesota
Posts: 1,134
dmaec is on a distinguished road
Default

I agree with mvachon. It depends on documentation. We also use "Pelvis and Hip Joint" code 27096 if done with fluoroscopy guidance and the "Major joint or bursa" code 20610 if no imaging. We use these codes for "joint" injections. The coccygeal joint is below the lumbar/sacral region (right below the S5 joint) Per my provider who does these injections, the injection is given right below the S5 joint, which is just above the coccygeal area (which has 3-5 bones that are fused together in adults).

We use the Spine and Spinal Cord code 62311 lumbar/sacral spine when it's being injected into the epidural or subarachnoid space. (not joint).

We use 20550 when it's an injection of the tendon/ligaments/psoas.

{that's my opinion/advice on the posted matter}
__________________
Donna, CPC, CPC-H
Reply With Quote
  #8  
Old 08-04-2008, 09:29 AM
mbort's Avatar
mbort mbort is offline
True Blue
 
Join Date: Apr 2007
Location: ENGLEWOOD/DENVER
Posts: 2,333
mbort is on a distinguished road
Default

Here is an interesting chart that shows it as a "ganglion Impar" injection. I'm doing some research and its actually showed up many times as ganglion impar but I'm still not convinced and looking for some hardcore evidence from AMA/CPT assistant/CPT or other reputable sources.

http://www.askleslie.net/asc/Nerves_Chart_ASC.pdf

If anyone has anything, please post.

Thanks
Mary
Reply With Quote
  #9  
Old 10-06-2008, 12:07 PM
astephens astephens is offline
Networker
 
Join Date: Apr 2007
Location: albuquerque
Posts: 79
astephens is on a distinguished road
Default coccygeal injection

since this is not a joint I have been coding it as 20550
__________________
Angelica Stephens RHIT, COSC, CCS-P, CPC, CPC-H
Compliance Department/Internal Audits
Albuquerque, NM
Reply With Quote
Reply

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off




Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

All times are GMT -6. The time now is 03:47 AM.

AAPC - Top

Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2014, Jelsoft Enterprises Ltd.
Copyright ©2014, AAPC