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Pain Injection at Sacrococcygeal Fracture Site

Date: Jul 11, 2019

Question:

Can you please advise on the CPT selection for the following scenario? "After the administration of subcutaneous lidocaine, using fluoroscopic guidance in both the AP and lateral projections, two spinal needles were inserted to the level of the periosteum to the right and left along the sacrococcygeal fracture site. To ensure that the spinal needles were appropriately placed, a small amount of contrast was injected in each spinal needle without evidence of extravasation into the rectum, bladder, or adjacent productive organs. With appropriate placement of the spinal needles along the right and left sides of the sacrococcygeal fracture site 10 mL of 0.25% bupivacaine and 1 mL of Celestone (12 mg per 2 mL) for a total cocktail volume of 11 mL was injected within the periosteum of the fracture site bilaterally for a total volume 22 mL." While researching to find an appropriate code, the injections site of periosteum is not an option. Would you agree with unlisted code 96379?

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