Results 1 to 3 of 3

new coder has question on modifier

  1. #1
    Default new coder has question on modifier
    Medical Coding Books
    Physician does digital block on finger and repairs a 2 cm laceration.

    Would the correct codes for these procedures be 64450 and 12001-51?

    Thanks so much for any help.

  2. #2
    Green Bay, WI
    CPT 12001 would be correct for SIMPLE repair of a 2cm finger laceration, but the digital block should NOT be reported. The digital block is inclusive in the global surgical procedure & does not warrant separate reimbursement. See "CPT Surgical Package Definition" under SURGERY GUIDELINES in your CPT manual. Since you're not reporting CPT 64450, you can drop modifier -51 from 12001 as well. Hope that helps!

  3. #3
    Thanks for your help.

Similar Threads

  1. Question concerning using modifier LT/RT
    By Panetta49 in forum OB/GYN
    Replies: 1
    Last Post: 04-10-2012, 11:29 AM
  2. new coder needs help with modifier
    By ggparker14 in forum Orthopaedics
    Replies: 1
    Last Post: 02-07-2011, 01:21 PM
  3. modifier question - I have recently started working
    By Tina Thompson in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 05-25-2010, 11:52 AM
  4. Modifier Question
    By c7hill in forum Modifiers
    Replies: 0
    Last Post: 02-25-2010, 11:21 AM
  5. Modifier -25 question
    By Holliday in forum E/M
    Replies: 4
    Last Post: 05-14-2008, 11:48 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.