Wiki Removal Internal Fixation Device

[Ksumansky]

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?

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]

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]

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

 

[CErben]

I would recommend the use of foot/toe modifiers TA thru T9 to distinquish the seperate feet and toes.

 

[mbort]

I would agree with CErben w/ regards to using the toe modifiers if the wires are not in the metatarsal as first stated.

 

[Ksumansky]

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

 

[mbort]

thats correct. No "t" modifiers for the metatarsals, only digits.