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Wiki K-Wire Coding

denmarkjk

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Sedro Woolley, WA
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I have a Physician wondering if he can code for the removal of an exposed K-Wire from a finger. No local anesthetic was required and it was performed in office. Can you code 20670? :)
 
http://coder.aapc.com/cpt-codes/20670

CPT Code 20670 Removal of implant; superficial (eg, buried wire, pin or rod) (separate procedure) 20670 is for a superficial wound that has a simple closure requiring sutures or Steri–strips. Code 20680, meanwhile, involves going down through the muscle layers and into the bone and requires a more complex, layered closure.
 
Marcus, your link doesn't open if we don't have the service. Just and FYI. I think I have a pink sheet that states the same thing, somewhere.

Let me know if I need to find it.
 
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This is part of the E&M

Reason being, no incision or anesthesia used. In my mind it falls under the same guidelines as suture removal (which fall under the E&M). That's why there is no CPT code for suture removal without aneshtesia.
 
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