Removal Internal Fixation Device

Ksumansky

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HELLO, I HAVE BEEN STUMPED ON THIS ONE.

4 K-WIRES REMOVED IN TOTAL. FROM FIRST AND FIFTH METATARSAL BILATERAL FEET. DUE TO DEFORMITY/BUNIONS.

I AM THINKING 20680-50 OR IS IT 20680-50 X 2? :eek:

I AM ALITTLE CONFUSED. I KNOW YOU CODE ONCE PER FRACTURE TYPE.........BUT THESE ARE TECHNICALLY 4 DIFFERENT SITES, NOT RELATED TO A FRACTURE.

THANKS FOR YOUR TIME.
 

mbort

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are there 4 seperate incisions? I personally do not use the -50 modifier so this is how I would code if there are truly 4 incisions well documented and all NON FRACTURE related!

20680-rt
20680-59-rt
20680-59-lt
20680-59-lt
 

Ksumansky

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There are four separate incisions, four separate toe's not related to a fracture, but a previous bunion surgery.
 

Ksumansky

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These Wires Are All In The Metatarsals. First Metatarsal And Fifth Metatarsal Both Feet. So Would That Only Allow Rt Or Lt Modifier.......?
 
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