tci ED Coding & Reimbursement Alert - 2003 Issue 8

Reader Question: Hematoma Blocks Included in Manipulation

Question: How should I bill for hematoma blocks? Is there a certain CPT series and is it considered a nerve block?Pennsylvania Subscriber Answer: A hematoma block involves the injection of anesthetic into the fracture site to achieve pain control prior to a closed manipulation of the fracture. If the physician performs the closed manipulation, this type of block would likely be bundled with the fracture manipulation series. ...

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