MSP BillBudBilling a distal radius reduction under a hematoma block
The scenario
45M with a distal radius fracture. You reduce it under a hematoma block and apply a short arm cast. Day shift.
How to bill it
Level 2 (
01812) at 50% = $46.74 + 54701 distal radius reduction, no GA $270.86 = $317.60. A hematoma block is local anesthetic, not sedation, so use the no-GA code. The block (01124) is rejected alongside a procedure code, and the cast is included in the reduction.What to watch for
Is a hematoma block sedation? Can the block or the cast be billed separately?
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