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Thread: modifier 51 question - My physician has performed

  1. #1

    Exclamation modifier 51 question - My physician has performed

    AAPC: Back to School
    My physician has performed a reduction of a fracture with manipulation and also had to due his own nerve block (64450) because there was not an anesthesiaologist available. Do I need to append a modifier to the block, possible mod 51, since the block is the second procedure performed? Or am I overlooking a modifier that would be necessary?

    Will this reduce my reimbursement?

    I appreciate any help.
    Last edited by ank3t; 10-05-2016 at 07:30 AM.

  2. #2
    Join Date
    Apr 2007
    Warren Ohio chapter

    Default modifier 51

    If he is doing the nerve block for the reduction then i don't think i would code the injection. However, if he is giving the injection in addition to the reduction then I would code the procedure

  3. #3
    Join Date
    Apr 2007


    I would bill both the fracuture reduction as well as the nerve block minus the us of the modifier. I don't think you are going to need a mod in this case.

  4. #4

    Default Modifier 51 question...

    Actually, if you are the one doing the reduction/manipulation and there is no anesthesiologist present, you do not get to charge for the nerve block. Only if the person administering this is of a different specialty can this be done.


  5. #5


    I would have to agree with Joyce, I work for an Orthopaedic office my doc's reduce fractures in the office frequently and we do not bill for the block.

    Carrie, CPC

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