Results 1 to 8 of 8

Closed Reduction w/digital block

  1. #1
    Default Closed Reduction w/digital block
    Clearnace Sale
    I work in the Revenue and Reimbursement dept of our facility. Scenerio: pt has a closed reduction with a digital block per dictation. Should the ER coder code for a closed reduction WITHOUT anesthesia but also code for a digital block? Codes used were: 64450 and 28630. Please assist.

    Lois Helms RN BSN CPC-H

  2. #2
    I am not sure i understand the question but here is what I think you are looking for. If the ERP did a closed reduction with anesthesia........then the CPT code needs to be the code that says closed reduction WITH anesthesia for the ERP services. "With anesthesia" does not mean you are billing for the is simply saying this procedure was done with anesthesia, some dislocations would not require anesthesia, other dislocations may be such that anesthesia needs to be used because it is more complex or may be too unbearable for patient without it; therefore making it more difficult for the reduction

  3. #3
    sorry, i misunderstood your question. You are saying "digital block" not anesthesia. You would use the code without anesthesia in this case. Digital block is "bundled" into the closed treatment with reduction CPT code for the ERP seervices.. Sorry for the confusion.

  4. #4
    Thanks Tammie
    Lois Helms RN BSN CPC-H

  5. #5
    daytona beach, Fl
    If the digital block was charged separetly, then use the no anesthesia code. You can not double charge
    Last edited by grovey; 10-12-2008 at 05:08 PM. Reason: goof

  6. #6
    Digital block is bundled with closed reduction , so we cant bill digital block with closed reduction , please refer with CCI edits , for bundling issues
    with regards
    Samson CPC-A

  7. Default
    In the ER, patient had an accident with a knife at home and needs the laceration closed. The physician gave patient a digital block (64450) and tetanus inoculation. The ER level is coded 99283. The claim was billed to networkcare and was initially paid for but then payment was retracted and was asking for a modifier. I'm not sure what modifier they are looking for, can you help?

  8. #8
    Columbia, MO
    The 99283 needs a 25 modifier

    Debra A. Mitchell, MSPH, CPC-H

Similar Threads

  1. digital block-If anesthesiologist
    By alk@APS in forum Anesthesia
    Replies: 11
    Last Post: 09-04-2012, 11:20 AM
  2. CPT-reduction of digital hyperkeratosis
    By Gregory.Burden in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 04-14-2011, 12:11 PM
  3. digital block
    By alices in forum Emergency Department
    Replies: 9
    Last Post: 09-29-2010, 07:33 AM
  4. Digital Block and relocation
    By puggles in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 02-22-2010, 09:41 AM
  5. Closed reduction to open reduction...
    By BCrandall in forum Orthopaedics
    Replies: 6
    Last Post: 09-23-2008, 10:04 AM

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.