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Thread: ORIF with digital block

  1. #1

    Default ORIF with digital block

    AAPC: Back to School
    I am new to anesthesia coding and I have a case I need help with. It was a digital block provided by anesthesiologist for a finger fracture. The procedure was ORIF with nail bed repair. Is the anesthesia inclusive of the repair?

  2. #2


    The Anesthesia would be billed only once, using the code for the ORIF since the base units are higher. The anesthesiologists start - stop time would include all procedures performed during that time by the surgeon.

  3. #3


    There was no anesthesia just the nerve block? Can I bill for the block as a flat fee, there were stop and start times listed but no anesthesia administered? Thanks for any help I'm very new to anesthesia coding!!

  4. #4


    Please verify if the patient was monitored during the procedure. It's not unusual to do a digital block for this procedure but the anesthesiologist will still monitor the patient for airway and reactions. If you have an anesthesia report w/ patient being monitored then the anesthesia is billable seperatly. This means that the form of anesthesia was the block. Hope this helps. Personally, I'd bill 01830 w/ time...

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