Medical Coding

Category - Anesthesia

A 17 year-old patient presented to the orthopedist office after having fallen off his skateboard. He suffered a closed fracture to the left tibia and fibula as well as a severe sprain to the right wrist. The patient was in severe pain so an anesthesiologist administered anesthesia to him, while the physician manipulated the fractures back into place and applied the cast to the lower left leg. What are the appropriate anesthesia code(s)?
  1. 01820, 01490
  2. 01462
  3. 01480, 01820
  4. 01490
Explanation
Answer: D - The correct code for the procedure is 01490, (Anesthesia for lower leg cast application, removal, or repair). The patient received anesthesia for the cast application, which was only administered in the lower leg. There were no other anesthesia services provided.
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