What is a ganglion impar injection?

What is a ganglion impar injection?

A ganglion impar block is a type of injection that eases pain. It’s used for a variety of health problems that cause pain in the lower pelvis and groin. Your brain sends information to the body through pathways known as nerves.

How do you bill a ganglion impar block?

BILLING GUIDELINES According to the American Medical Association CPT Assistant1, the unlisted code 64999 should be used for ganglion impar blocks. Therefore, other codes, such as 64520 and 64450, are considered inappropriate and should not be used to bill for this service.

What kind of nerve is the ganglion impar?

Ganglion impar (Walther ganglion) is a sympathetic ganglion that is situated in the retroperitoneal space behind the rectum around the sacrococcygeal joint or directly in front of the coccyx. [3] The block of this ganglion can be performed with fluoroscopy, computerized tomography, or ultrasound guidance.

What is a coccyx injection?

A coccygeal injection involves the administration of a numbing agent (such as lidocaine) and a steroid to decrease inflammation around the coccyx region and the sacrococcygeal junction to provide relief.

What is the CPT code for Coccygeal nerve block?

64450
Coding Clinic for HCPCS (Third Quarter 2019) says to report CPT code 64450, Injection, anesthetic agent; other peripheral nerve or branch, for the coccygeal nerve block.

What is the CPT code for coccyx injection?

The appropriate code for the sacrococcygeal joint injection is 20605 (… intermediate joint or bursa [e.g., temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa]).

What is the CPT code for Sacrococcygeal ligament injection?

3. CPT code 20551 should be used when the origin or insertion of a tendon is injected, in contrast to an injection of the tendon sheath, CPT code 20550….