Sacrococcygeal injection

[kimmcelderry@gmail.com]

Using fluoro, my doc injected the sacrococcygeal joint with depomedrol/marcaine/contrast and wants to bill 20605. However, this cpt requires RT/LT. Any advice? This is for coccyx pain. TIA!

 

[ptanksley51]

Look at 27096 which includes fluoro, this can be billed with LT, RT, or 50 modifier, for bilateral. His note should state which side the injections was on.

 

[kimmcelderry@gmail.com]

Thanks for your reply, but this is not an SI joint injection. This is for the sacro-coccygeal joint. There is no laterality.

 

[Limbanidd2012@gmail.com]

Right!!

The sacrococcygeal joint code should be 20605 indicates without ultrasound guidance and if you are using fluoroscopy guidance have to code 77002 too.
RT/LT/50 not required with 20605.

 

[ptanksley51]

Sorry looked at it wrong