Camille Posted Mon 09th of December, 2019 21:30:57 PM
During the repair of a recurrent right ACL tear (CPT 29888-RT), is the removal of a screw billable (CPT 20680) or considered inclusive? Op Note: "The 3 cm anteromedial incision was remade and dissection was carried sharply down to the tibia. The intact hamstring tendons were carefully preserved. The prior tunnel was identified and the previous screw was removed w/o difficulty. The sheath fragments were removed and the lump of scarred and damaged ACL graft was debrided. The tunnel again was noted not to be dilated and to be in good shape and did not need to be re-drilled . A suture was then passed through the tibial tunnel..."
SuperCoder Answered Tue 10th of December, 2019 03:14:38 AM
Thanks for your question.
You may report code 20680 (Removal of implant; deep...) separately with ACL repair because it is not included in this procedure and nor there is any CCI edit between these two codes.
Please feel free to write if you have any question.
Camille Posted Fri 13th of December, 2019 14:03:55 PM
Thank you very much!
SuperCoder Answered Sun 15th of December, 2019 23:26:40 PM