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Wiki Pin pull- bil feet- all 10 toes

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kwilley71

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We had a doctor turn in some charges for a pin pull, bilateral feet, all 10 toes (previous osteotomies). We would code 20670 with a modifier 58 since it's removal of retained hardware. My question is this: since it is all 10 toes, can we bill 20670 ten times with right or left or even the toe modifiers or would we bill it twice with just a right and left???

Can someone help me out please?
 
How was the original surgery coded (the osteotomies) I think that dictates how you would bill for hardware removal. If the osteotomies were coded as 28310 and 28312 for ea toe then I think you are justified billing separately for ea pin removal.

Hope that helps
 
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