Orthopedic Coding Alert

Reader Question:

Perform a Sacrococcygeal Injection? Use 20605

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.