MSP BillBudBilling a distal radius fracture reduced under sedation
The scenario
72F FOOSH with a displaced distal radius fracture. You sedate with propofol, reduce it and apply a sugar-tong splint. Day shift.
How to bill it
Level 2 (
01812) at 50% = $46.74 + 54702 distal radius reduction with GA $327.12 = $373.86. The with-GA code includes all sedation (no 01172/01173/13052), and the splint is included in the reduction (no 51016).What to watch for
Sedated reduction means the with-GA code. What does that code already include?
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