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Wiki Arch bar removal/open fracture
- Thread starter hallm42
- Start date
alambmichigan
Networker
I agree with pattihc, you would want to bill 20670 with the 58 modifier. You may get denials from some payors, so you may have to do some appeal work. Arch bar removal is not included in the surgical package of fracture repair codes.
Amy
Amy
FTessaBartels
Guest
ONE operative session?
If the removal of the arch bar was done during the same operative session .... then that removal is probably considered incidental to the fracture repair (i.e. you had to take it out to perform the other surgery).
If you're talking about taking the patient BACK to the OR after the fracture has healed to remove the implant ... then you'd separately code the removal of implant ... either 20670 or 20680 depending on documentation.
Hope that helps.
F Tessa Bartels, CPC, CEMC
If the removal of the arch bar was done during the same operative session .... then that removal is probably considered incidental to the fracture repair (i.e. you had to take it out to perform the other surgery).
If you're talking about taking the patient BACK to the OR after the fracture has healed to remove the implant ... then you'd separately code the removal of implant ... either 20670 or 20680 depending on documentation.
Hope that helps.
F Tessa Bartels, CPC, CEMC