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Wiki need help coding this fx care

micki127

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Derry
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Hello,

I'm not too sure on the coding of this fx reduction. I plan on using code 27810 but i'm not too sure of the hematoma block. Is it included with the 27810 and would I code the block out under 64450? Here's the excerpt from the note:

PROCEDURE: Under using sterile preparation, a hematoma block was performed into the ankle joint using the anterior and medial portal. A 15 cc of 2% lidocaine was injected into the ankle. This was allowed to setup. We then did a closed reduction which successfully reduced it. I can feel the audible clunk and we placed her in an AO splint. Post reduction x-rays x3 also showed her to be reduced with a fracture of the medial malleolus, lateral malleolus, and posterior malleolus but well reduced on the lateral x-ray

Thank you in advance for any help:)
 
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