Wiki Removal and revision of screws ORIF

[jameelahgorden]

Please help with codes!

Surgeon previously performed ORIF of humerus (24516). Patient complains of shoulder pain, he finds 2 screws are loose. He removes them and then puts them back. I looked at 23473 but because it is joint repair, it is making me wonder if that is correct.

I was thinking 20680 for removal, but what about the revision of the hardware for the humeral ORIF?

 

[tjrice]

This would fall in the global period if it's less than 90 days. I'm thinking a reduced service modifier and unplanned return to O.R. modifier using the same 24516 code. I hope to see some other feedback...I'd like to know for sure.

 

[jameelahgorden]

Thanks. It did take place during the global period.