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Wiki hematoma block

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NEOSM507

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Can a hematoma block be billed for the manipulation of a fracture if fracture care is NOT being billed? If so, what would be the appropriate CPT code to report it?
Scenario:
Dr sees a patient with a displaced fracture of neck right fifth metacarpal fracture. He administers a hematoma block and reduces the fracture. He's not happy with the alignment after a post reduction x-ray is performed . He does not bill for fracture care because he is most likely a surgical candidate so he sends the patient to a hand specialist. Hand specialist books him for surgery.

Thank you
 
I would still bill the reduction with no modifier. He did the work. Often a reduction is done and then sx is done as well.
 
I agree with sxcoder1. If your provider is doing the work of reducing a fracture then he should be getting paid for this. For your scenario, I would have coded CPT 26605.
 
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