Question: What’s the proper way to code a sacrococcygeal joint injection?
Answer: Codes 20600-20610 (Arthrocentesis, aspiration and/or injection -) describe joint injections.
Common mistake: Many coders find 64493 (Injection[s], diagnostic or therapeutic agent, paravertebral facet [zygapophyseal] joint [or nerves innervating that joint] with image guidance (fluoroscopy or CT), lumbar or sacral; single level) tempting, but this code is inaccurate because there is no facet joint in the sacrococcygeal region.
Michigan Subscriber
The appropriate code for the sacrococcygeal joint injection is 20605 (… intermediate joint or bursa [e.g., temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa]).