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ED Facility Charging - Reduction by Ortho doc nerve block by tech

Kelly Posted Wed 30th of October, 2019 08:54:00 AM
The patient came from another facility for a finger reduction. Ortho doc did the reduction so I am unable to charge for that for the facility component, however, our suture tech did the nerve block so can the hospital charge for that? I know it is part of the procedure, technically, but I ask since I cannot charge for the procedure. Or, should I just capture that resource in the ED E/M?
SuperCoder Answered Thu 31st of October, 2019 04:20:08 AM

Hi Kelly,


Nerve block is provided by emergency physicians. Technicians do not provide such blocks and hence such services, when performed, are not considered a part of technical component. Therefore, technicians are not liable for payment for technical component for providing such services.


Reduction procedure would be billed in emergency department by using appropriate emergency code from the CPT code range 99281-99285 as per the documentation followed by reduction code along with X ray code.



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