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Injection sternum

Pauline Posted Wed 03rd of July, 2013 21:20:14 PM

Could you help with the correct code for the following procedure
“ I injected the lower third sternum of osteophytes and neurons comprised of 9cc of 1.5% lidocaine with 40mg of triacinolone.” This is due to thoracotomy/CABG pain. I was thinking 20605….

SuperCoder Answered Thu 04th of July, 2013 03:05:14 AM

The costovertebral joint is considered a small joint, so you should report 20605 (Arthrocentesis, aspiration and/or injection; intermediate joint or bursa [e.g., temporomandibular, acrominoclavicular, wrist, elbow or ankle, olecranon bursa]).

Description: Costovertebral joints lie between the ribs and vertebrae (compared to costochondral joints that connect the ribs to the sternum). If physicians administer the injection while using fluoroscopy for needle guidance, include 77002 (Fluoroscopic guidance for needle placement [e.g., biopsy, aspiration, injection, localization device]) on the claim.

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