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20550 Sacrococcygeal Ligament injection

Messages
1
Location
League City, TX
Has anyone found the proper modifier to bill this midline ligament injection? We have been getting rejections and denials (mainly from UHC) stating anatomical modifier may be required - Smartedits.

Procedure Description Sacrococcygeal ligament injection:
After informed consent was obtained, the patient was placed on the x-ray table and the back and sacral region was prepared and draped in the normal sterile manner. 3ml of 1% Lidocaine was injected for local anesthesia. A 25g spinal needle was advanced using ultrasound guidance to the sacrococcygeal ligament. After negative aspiration, Depomedrol 20mg and 2cc of 0.25% Bupivacaine was injected in the region of the sacrococcygeal ligament after confirmation of needle placement using ultrasound guidance. No immediate complications were encountered and the patient tolerated her procedure well.
 
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