Physician performed a chondrocostal injection and an injection of the thoracic nerve at the scapula.
The area over T5-T8 was prepped with Betadine and a 25-gauge needle placed in the chondrocostal joint at T5-6 and T6-7 under fluoroscopic guidance. 2cc of 0.5% marcaine with epinephrine plus 20mg of Kenalog were injected at each of these two sites. Along, the long thoracic nerve at the same level just to the medial aspect of the scapula was injected through a #25-gauge needle with an additional 20mg of Kenalog plus 2cc of Marcaine 0.5% with epinephrine.
Would this be coded 64421 or 20605 x2 for the chondrocostal injection and 64520 for the thoracic nerve?