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64450 - Patient has 3 fingers fractured
- Thread starter 01051184
- Start date
dmaec
True Blue
- Messages
- 1,130
- Location
- Hibbing, MN
it's my understanding that if the block was used for "anesthetic purposes" it's not separtely billable. it's included in the procedure code for the fracture treatment.
- Messages
- 1
if not for anesthetic purposes
If the 64450 x2 is not for anesthetic purposes, you carrier may want it 2 different ways.
64450x1 (indicate lt/rt/digits)
64450x1 76 (indicate lt/rt/digits
however for 2 Medicare macs that I bill this code to they want 64450x2 (indicate lt/rt/digits)
There has been a lot of talk and coding guidelines for this code as of late within Medicare. Be prepared for a possible note review---again, if this is a separate service.
If the 64450 x2 is not for anesthetic purposes, you carrier may want it 2 different ways.
64450x1 (indicate lt/rt/digits)
64450x1 76 (indicate lt/rt/digits
however for 2 Medicare macs that I bill this code to they want 64450x2 (indicate lt/rt/digits)
There has been a lot of talk and coding guidelines for this code as of late within Medicare. Be prepared for a possible note review---again, if this is a separate service.
- Messages
- 8
postop pain management
if anesthesia procedure was done same day 64450-59, 64450-51-59.
if post op pain management performed next day 64450, 64450-51.
i encounter this kind of scenario everyday. i have not seen any denial from insurances..
can not use modifier 76 because both blocks are given on diff digital nerves.
if anesthesia procedure was done same day 64450-59, 64450-51-59.
if post op pain management performed next day 64450, 64450-51.
i encounter this kind of scenario everyday. i have not seen any denial from insurances..
can not use modifier 76 because both blocks are given on diff digital nerves.
ramirez505
Guest
- Messages
- 38
digital block
Hi, you say a digital block was done; was the digital block done for pain management so Dr could examine Fx's or was a procedure actually done and if so what procedure?
Hi, you say a digital block was done; was the digital block done for pain management so Dr could examine Fx's or was a procedure actually done and if so what procedure?
marvelh
Expert
- Messages
- 304
- Location
- Denver, CO
You may want to consider using the corresponding finger modifiers, FA, F1-F9 to identify the location of the digital nerve blocks if they are separately billable.