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Thread: Injection for Costochondral Junction Syndrome

  1. #1

    Default Injection for Costochondral Junction Syndrome

    AAPC: Back to School
    Doctor is inserting the needle at the junction of the first rib and sternum until bone is contacted then injecting Marcaine and Kenalog. This is not a joint and I can't find a specific code for this type of injection. I'm looking at 20999 but would appreciate input.

  2. #2
    Join Date
    Apr 2007
    Columbus GA


    Our system is telling me to look at 20552 and 20553...see what you think of those.

  3. #3


    Thanks for your response. Costochondral junction syndrome (Tietze's Syndrome, costochondritis) is an inflammation of the cartilage and bones in the chest wall. I did look at 20552/53 but that seems to be for muscles.

  4. #4
    Join Date
    Apr 2007

    Smile costochondral joint injection

    Look for 20600 Arthrocentesis, aspiration and/or injection; small joint or bursa (eg, fingers, toes) , Let me know what you think.

    Nidhi M, CPC

  5. #5
    Join Date
    Apr 2007
    Athens, Ga.


    Quote Originally Posted by nidhim View Post
    Look for 20600 Arthrocentesis, aspiration and/or injection; small joint or bursa (eg, fingers, toes) , Let me know what you think.

    Nidhi M, CPC
    Agree! 20600 would be the best code.

    COderguy is correct, 20552/3 is for muscles, not joints.

  6. #6


    Thank you all for your input.

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