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Old 05-30-2012, 03:20 PM
HBROCKMAN HBROCKMAN is offline
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Red face Coccygeal Disc Injection-CPT??

My physician is doing what he is calling a Coccygeal Disc Injection, I have googled this and read everything I can find on it and no one seems to be actually injecting the disc as my physician is. Here is how he dictated it:

With the C-arm presented back to the lateral position, the C2-3 disc was entered with a 27g 1 1/2" needle without difficulty. There was mild provocation. One cc of Marcaine 0.5% and Depo 10mg was injected without difficulty after verification of position by a small amout of dye. Need was removed.

It sounds to me like he did a type of discography, but in the coccyx region, and I cannot find the CPT for this. Maybe it is an unlisted procedure, or maybe I am not understanding what he is trying to do. I am not a doctor, but sometimes I feel like they expect me to be one!

Thank you for reading this, hopefully there is someone that can help!

Heather, CPC
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Old 05-30-2012, 10:30 PM
dwaldman dwaldman is offline
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I would use 64999 since the ligament in this region (20550) or the joint (20605 or 20600) are not being described as being treated.

A disc injected in the lumbar region with anesthetic for example for relief due to a painful intervertebral disc is consider an unlisted code

So I would believe an intradiscal injection in the coccygeal region for similiar purpose would also be considered unlisted.
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Old 05-31-2012, 08:04 AM
HBROCKMAN HBROCKMAN is offline
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dwaldman,

Thank you so much for your response!! I have seen you answer many threads and truly appreciate you taking the time to help me, when I have exhausted all other avenues! Have wonderful day!

Heather
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