Glatfelter
New
Does anyone know a good code for coccyx injection?
-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki Coccyx Injection Code
- Thread starter Glatfelter
- Start date
Omy13
Contributor
This would depend what the inject is for but this is sacrococcygeal joint injection CPT 20605
Glatfelter
New
The diagnosis dictated was Sacrococcygeal disorders and lumbar spondylosis (M53.3, M47.816)
cubuscrystal
Networker
what exactly was injected; tendon, nerve?
Glatfelter
New
Sacrococcygeal joint
cubuscrystal
Networker
with ultrasound its 20606. without ultasound its 20605 and if fluoro was used, add 77002
briansmith99
Networker
What advice is there for denials? Payers from more than one insurance have rejected coding 20605 for this injection unless laterality is indicated.
TThivierge
True Blue
Brian
Did you add the J code injection and amount given by nurse? This should all be documented..time, nurse name, type of J code, body placement and amount of drug. But order comes from physician..is his name on claim too?
I hope this data helps you
Lady T
Did you add the J code injection and amount given by nurse? This should all be documented..time, nurse name, type of J code, body placement and amount of drug. But order comes from physician..is his name on claim too?
I hope this data helps you
Lady T
cubuscrystal
Networker
We are also now having issues with UHC payers because they have a policy for CPT codes that require a laterality modifier in which 20605 is included. What payers are you receiveng rejects/denials from? We're unsure how to handle this.
lcole7465
Expert
I keep having this denial for a coccyx injection with Anthem. They continually use laterality as the denial reason. We have used the procedure note for the appeal with no luck, they uphold the denial. Has anyone found a way to handle this?