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Common Orthopedic Procedures which are Frequently Coded ...

Common Orthopedic Procedures which are Frequently Coded Incorrectly Speaker Stephanie Ellis, , CPC Ellis Medical Consulting, Inc. (615) 371$1506 Hardware Removals Use code 20680 for Deep Pin Removal Procedures , where the physician makes an incision overlying the site of the implant dissects deeply to visualize the implant ( which is usually below the muscle level and within bone), and uses instruments to remove the implant from the bone. The incision is repaired in multiple layers using sutures, staples, etc. Superficial pin or K$ wire removals not requiring a layered closure (such as K$ wire removals) are billed with code 20670. CPT Assistant and the AAOS (American Academy of Orthopedic Surgeons) direct that the 20680 code is to be billed once per fracture site, rather than based on the number of pieces of hardware removed or the number of incisions made to remove the hardware from one fracture site or original area of injury.

Superficial pin or K-wire removals not requiring a layered closure (such as K-wire removals) are billed with code 20670. CPT Assistant and the AAOS (American Academy of Orthopedic Surgeons) direct that the 20680 code is to be billed once per …

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