kkindle1807
New
Can someone please assist with Coding this surgery. Physician stated that the bones settled as they fused from a prior surgery and one of the screws became prominent. He did another surgery with a plan to advance the screw or remove it based on what looked to be the least traumatic for the patient and the easiest and lowest risk wound up being to advance the screw several "mm", So it was an "arthrotomy and screw advancement", not a screw removal and not a "fusion procedure" as previously done. An incision was made, arthrotomy was performed between 3rd & 4th dorsal compartments, radiocarpal joint exposed. Fluoroscopy & dental pick was used to locate the screw and then it was advanced w/screwdriver. Maybe 25040? But not 20680 since screw was not taken out.
