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Coccygeal Disc Injection-CPT??

  1. #1
    Red face Coccygeal Disc Injection-CPT??
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    My physician is doing what he is calling a Coccygeal Disc Injection, I have googled this and read everything I can find on it and no one seems to be actually injecting the disc as my physician is. Here is how he dictated it:

    With the C-arm presented back to the lateral position, the C2-3 disc was entered with a 27g 1 1/2" needle without difficulty. There was mild provocation. One cc of Marcaine 0.5% and Depo 10mg was injected without difficulty after verification of position by a small amout of dye. Need was removed.

    It sounds to me like he did a type of discography, but in the coccyx region, and I cannot find the CPT for this. Maybe it is an unlisted procedure, or maybe I am not understanding what he is trying to do. I am not a doctor, but sometimes I feel like they expect me to be one!

    Thank you for reading this, hopefully there is someone that can help!

    Heather, CPC

  2. #2
    I would use 64999 since the ligament in this region (20550) or the joint (20605 or 20600) are not being described as being treated.

    A disc injected in the lumbar region with anesthetic for example for relief due to a painful intervertebral disc is consider an unlisted code

    So I would believe an intradiscal injection in the coccygeal region for similiar purpose would also be considered unlisted.

  3. #3

    Thank you so much for your response!! I have seen you answer many threads and truly appreciate you taking the time to help me, when I have exhausted all other avenues! Have wonderful day!


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