tci ED Coding & Reimbursement Alert - 2005 Issue 8

Reader Questions: Save Digital Block for Pain

Question: When is it appropriate to report a digital block? Is it always bundled?Delaware Subscriber Answer: The only time you should report a digital block is when the physician performs it for pain relief and doesn't also perform a surgical procedure. For example, if a patient presents with severe pain from a wound, and the emergency physician administers a digital block, bandages the wound, and sends the patient home, you could charge for the block with 64450 (Injection, anesthetic agent; other peripheral nerve or branch). If the physician plans to perform any surgical procedure, you should not...

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