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need help coding this fx care

  1. #1
    Default need help coding this fx care
    Medical Coding Books
    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

  2. #2
    Location
    Hartford, CT
    Posts
    723
    Default
    Local anesthesia is bundled into the procedure.
    Doreen Clark, CPC, CPMA
    Medical Auditing Specialist
    Integrated Physicians Management Services
    East Harftord. Ct

  3. #3
    Default Thank you!
    Thank you Doreen for your help

    Have a nice day!

  4. #4
    Question Facility Fee
    What about the facility side? Can the Hematoma block be billed on the facility side?

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