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Post ACL debridement

Cheryl Posted Thu 08th of August, 2019 13:02:39 PM
My doctor performed ACL reconstruction and several months later the patient complained of knee pain. The doctor took the patient back to the OR and incised the area and used a rongeur to clean up the tunnels, removed any bony prominence and removed a suture. He then irrigated the area and closed with 3-0 monocryl and steri-strips. He wants to use 20980 but I'm unsure about this code.
SuperCoder Answered Fri 09th of August, 2019 03:01:29 AM

Hi Cheryl,

 

Thanks for your question.

 

The code provided by you (20980) is not a valid code. Please provide us a valid code so that we can do a research on that and give you the correct answer.

 

Thanks.

Cheryl Posted Fri 09th of August, 2019 08:29:49 AM
Sorry, I meant to type 20680
SuperCoder Answered Mon 12th of August, 2019 05:23:14 AM

Thanks for clarification.

 

Code 20680 (Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)) can only be reported when physician removes an implant, which is already there. During ACL reconstruction, physician placed sutures which are giving the patient trouble at this time. Now the physician has removed the suture and the bony prominence which are giving trouble to the patient. These cannot be considered as implant. So, this scenario should be billed with code 27331        (Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies).

 

Please feel free to write if you have any question.

 

Thanks

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