tci ED Coding & Reimbursement Alert - 2011 Issue 8
Reader Question: Don't Be "Blocking the Digits" with Repair Codes
Question: If a physician performs a digital block on a finger and repairs a 2 cm laceration, would the correct codes for these procedures be 64450 (Injection, anesthetic agent; other peripheral nerve or branch) and 12001-51? Thanks so much for any help.Virginia SubscriberAnswer: CPT® states that the digital block is included in the simple laceration repair code stating, The following services are always included in addition to the operation per se:Local infiltration, metacarpal/metatarsal/digital block or topical anesthesiaSubsequent to the decision for surgery, one related Evaluation and Management (E/M) encounter on the date immediately prior to or on the...
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