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Ex-fix placement and removal

Denise Posted Wed 21st of September, 2016 08:52:08 AM
Hi Supercoder, If the ex-fix 20690 is placed during surgery to hold the fracture together while the surgeon does the repair and then it is removed 20694 before the patient leaves the OR; can the placement or removal be listed in conjunction with the fracture repair during the same encounter? “This was reduced and held in place with K-wires. Intraoperative fluoroscopic images were then obtained, which demonstrated that the calcaneus was still shortened and in varus. A medially based external fixator with 1 pin in the calcaneal tuberosity and 1 pin in the head of the talus was then placed. Once this was placed, the external fixator was then taken off of her left foot and the Shantz pin removed” Thank you for your help.
SuperCoder Answered Thu 22nd of September, 2016 08:17:07 AM

Hi,

The team is working on the query, we will get back to you soon,

Thanks for your co-operation.

SuperCoder Answered Thu 22nd of September, 2016 08:17:07 AM
Hi, The team is working on the query, we will get back to you soon, Thanks for your co-operation.
SuperCoder Answered Fri 23rd of September, 2016 04:22:28 AM

External fixator was placed as a manipulation tool to hold the fracture together and to keep distance from the operative or injury focus. As per NCCI 2016, when it is necessary to perform skeletal/joint manipulation under anesthesia to assess range of motion, reduce a fracture or for any other purpose during another procedure in an anatomically related area, manipulation code is not separately reportable.

In this case insersion and removal of external fixation device will be considered as part of the major surgical procedure and hence not reimbursable. 

SuperCoder Answered Fri 23rd of September, 2016 04:22:29 AM
Hi, The team is working on the query, we will get back to you soon, Thanks for your co-operation.
Denise Posted Fri 23rd of September, 2016 08:38:19 AM
This is what I thought and thank you for your help.
SuperCoder Answered Mon 26th of September, 2016 02:05:36 AM

You are welcome Carole. Have a great week ahead.

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