Reader Questions:
Look to Joint Injections for Sacro-coccygeal Injections
Published on Tue Nov 03, 2009
Question: What code should we report for a steroid sacro-coccygeal injection? Texas Subscriber Answer: Your provider is most likely referring to the sacro-coccygeal joint, which is the synovial joint between the sacrum and the coccyx, a small triangular bone made up of three to five rudimentary vertebrae which may or may not be fused together. Injections to the joint are often performed for coccydynia (724.79, Other disorders of the coccyx). Coccydynia can follow after falls, childbirth, repetitive strain, or surgery. In some cases the cause is unknown. Coccydynia pain can disappear by itself or with treatment, or it can continue for years, and may get worse. Most providers consider the sacro-coccygeal joint to be similar in size to the temporomandibular joint and report these joint injections with 20605 (Arthrocentesis,aspiration and/or injection; intermediate joint or bursa [e.g., temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa]).
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