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ORTHOPEDIC- screw removal and subsequent work

Sharon Posted Wed 08th of April, 2015 18:02:33 PM

Pt had painful hardware in the foot and came in to have the screws and deep plate removed (CPT 20680). The hardware was positioned dorsally over the metatarsal and phalanx. While in the foot, they see the dorsal bone to be prominent and irregular. The bone was re-contoured and rasped smooth. Are the CPT codes 20680 and 28120 appropriate to bill for this scenario?

SuperCoder Answered Thu 09th of April, 2015 06:18:58 AM

CPT 20680 is correct for screws and deep plate removal. But as it seems that the bone re-contoured is metatarsal where the hardware is positioned, so CPT 28122 is appropriate.

Sharon Posted Thu 09th of April, 2015 15:00:25 PM

thank you.
Can CPT 20680 and 28122 both be charged for this visit?

SuperCoder Answered Fri 10th of April, 2015 03:14:29 AM

There is always irregularity of the bone at implanted area because of callus formation. When the site of both the procedures (implant removal and re-contoured of the bone) is same, then bill only implant removal. If it performed at the different sites in the same session, then both can be billed together.

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