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Anesthesia Coding Alert

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Compare Sacrococcygeal Joint Injection to 20600

Published on Tue Mar 11, 2008

Question: How should we code sacrococcygeal joint injections?Idaho SubscriberAnswer: The sacrococcygeal joint is a small cartilaginous articulation between the sacrum and the coccyx. Most providers look at 20600 (Arthrocentesis, aspiration and/or injection; small joint or bursa [e.g., fingers, toes]) to report this joint injection.Pain in the coccyx or coccygodynia can be due to a direct fall or childbirth causing fracture dislocation of the coccyx vertebrae. If this type of pain is the reason for your provider's injection, report diagnosis 724.79 (Disorders of coccyx; other).-- Answers to You Be the Coder and Reader Questions were provided by Scott Groudine, MD, an Albany, N.Y., anesthesiologist; Barbara J. Johnson, CPC, MPC, owner of Real Code Inc. in Moreno Valley, Calif.; and Marvel J. Hammer, RN, CPC, CCS-P, ACS-PM, CHCO, owner of MJH Consulting in Denver.
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