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Thread: CPT Help, 64445 or 20552

  1. #1
    Join Date
    Apr 2007
    Richmond Virginia

    Question CPT Help, 64445 or 20552

    AAPC: Back to School
    64445 or 20552?

    Reason for Study: SCIATIC NERVE PALSY

    Reason For Visit: SCIATIC NERVE PALSY

    CT-guided right piriformis injection.

    History: Pain.

    Procedure: After informed oral and written consent were obtained and
    the patient was properly identified, the patient was placed in the
    prone position on the CT scanner gantry. A site overlying of the
    right piriformis muscle was localized using CT guidance. The skin was
    prepped and draped in the usual sterile fashion. The skin and
    subcutaneous tissues were anesthetized with 2% buffered lidocaine. A
    22-gauge coaxial needle was advanced under CT guidance 2 the deep
    margin of the right piriformis muscle posterior to the right
    acetabulum. 40 mg Depo-Medrol and 2.5 mL 2% buffered lidocaine were
    slowly injected within and around the muscle. The needle was then
    removed. There was no acute complication.

    Impression: CT-guided right piriformis muscle injection as above.

  2. #2
    Join Date
    Apr 2007


    Hi, I was just wondering if you got an answer to your question. I just came here with a similar note, wondering the same question. My provider stated he injected into the muscle belly which leads me to believe it should be a 20552, but he chose 64445.
    Melissa Tescher, CPC, CPMA, CEMC Compliance and Coding Specialist
    Willamette Valley Professional Services member National Advisory Board 2013-2015

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