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Wiki Removal of screw & replaced

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KARENREED

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I have a report the surgeon is removing a hip replacement SCREW & replacing it with a NAIL or shorter SCREW. He made 2 incisions to remove the screw.1. What CPT code would you use?

I came up with 20680 for the removal. I read that, it is per incision not per the amount of screws or plates removed. Therefore I would code 20680, 20680 59 (2 incisions)

I can't find a code for replacing the new nail or screw. 2. What CPT code would you use, is any?
 
KARENREED said:
I have a report the surgeon is removing a hip replacement SCREW & replacing it with a NAIL or shorter SCREW. He made 2 incisions to remove the screw.1. What CPT code would you use?

I came up with 20680 for the removal. I read that, it is per incision not per the amount of screws or plates removed. Therefore I would code 20680, 20680 59 (2 incisions)

I can't find a code for replacing the new nail or screw. 2. What CPT code would you use, is any?
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you cannot charge 20680 twice for same screw.

I would use an unlisted code for "hardware exchange"...find comparable price
 
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