Wiki HELP! Unable to Reduce Fracture in Office

[jenkins62]

Need Help!
How would you code this..
Physican in Ortho Clinic attemped closed treatment w/manipulation without success..

Would you code this as closed treatment with modifier 52 or 53??

Or would you only code the E&M and Application of splint and supplies??

Procedure: hematoma block with fluoroscopy- The patient's hand was prepped with Betadine and 5 cc of 1% lidocaine was injected into the fracture site a 25-gauge needle. Reduction of the fracture was attempted. Patient tolerated procedure well however the fracture was unable to be reduced. I placed a ulnar gutter splint on the patient.
Patient has been n.p.o. since midnight.

Films were reviewed and discussed with patient

Patient will be referred to ortho UE surgeons today.
(outside ortho surgeon not in this office)

I wanted to clarifiy coding on this one...

Thank you for your help!

 

[MTERREL]

this is actually a 'preference' billing
I personally would code the e&m, splint and supply
the revenue returned on these codes would probably be favorable compared to the reduced fx care - (location of actual fx not noted) - but you can verify what reimbursement would be for each scenario
if you do elect to bill the fx care - use mod 52 to reflect 'reduced' service