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Thread: Rib bone injection PLEASE HELP

  1. #1

    Default Rib bone injection PLEASE HELP

    AAPC: Back to School
    Hi All

    I hope some can help me with this.

    This procedure was done at an ASC.

    LT T11 rib bone injection.

    Pt brought to op-room. The fluorscope was tilted to visualize the LT T11 rib in the region approximately 1 to 2 cm lateral of the costovertebral junction. The skin and subcutaneous tissue over the region was anesthetized using 2% lidocaine with a 25-gauge 1-1/2 inch needle. Under fluoroscopic guidance, the 25-gauge needle was introduced through the skin towards the targeted rib. The needle was then walked off superiorly. After negative aspiration for CSF, air, or heme, a total of 2cc of solution containing 40mg of Depo-Medrol and 1cc of 0.25% bupivacaine was injected over the region. Pt transferred to recovery.

    Please help not sure of code looked at 64420??? not sure thats right. Looked at 20550 ??? or am I reading to much into this and is it just a simple 20610 injection. Any help will be greatly appreciated Thank you

  2. #2
    Join Date
    Apr 2007
    Athens, Ga.


    I think it's a standard joint injection, although I'd use 20605 instead of 20610.
    Walker Bachman, CPC, CPPM

  3. #3


    I think your right 20605. Thanks for your help.

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