Wiki new coder has question on modifier

[ggparker14]

Physician does digital block on finger and repairs a 2 cm laceration.

Would the correct codes for these procedures be 64450 and 12001-51?

Thanks so much for any help.

 

[mkmgt001]

CPT 12001 would be correct for SIMPLE repair of a 2cm finger laceration, but the digital block should NOT be reported. The digital block is inclusive in the global surgical procedure & does not warrant separate reimbursement. See "CPT Surgical Package Definition" under SURGERY GUIDELINES in your CPT manual. Since you're not reporting CPT 64450, you can drop modifier -51 from 12001 as well. Hope that helps!

 

[ggparker14]

Thanks for your help.