AAPC - Back to school
Results 1 to 4 of 4

Thread: 20694 Removal Ext.Fixator in office under block?

  1. #1

    Question 20694 Removal Ext.Fixator in office under block?

    AAPC: Back to School
    Can you charge for a 20694, removal of internal fixator device if it is removed in the office by our orthopedic surgeon under a hematoma block? (is that considered anesthesia?). He dictates a detailed report and states he removes the pins, dressings, etc.
    Or does this have to be performed in the hospital with general or mac anesthesia?
    Thanks so much for any help on this.

  2. #2
    Join Date
    Apr 2007


    From the CPT asst:

    CPT code 20694, Removal, under anesthesia, of external fixation system, may be reported if the removal procedure is performed under general anesthesia. General anesthesia is not usually required to remove an external fixation system, therefore, removal not requiring anesthesia is not a separately reportable service.

    Mary, CPC, COSC

  3. #3

    Question A hematoma block (analgesic) is not anesthesia?

    So, a hematoma block, (analgesic) is not considered anesthesia?
    The removal of this external fixation device is free if done in the office under a hematoma block?
    I know it is not included in the CPT code 20690, application.
    I am just trying to justify admitting the patients or doing this for nothing in the office?
    Thanks so much.
    Lynn, CPC

  4. #4
    Join Date
    Apr 2007


    Unfortunately when its done in the office, its considered part of the global surgical package, even with the block that is being given in your scenario.

Similar Threads

  1. External Fixator in the OR
    By Reenie98 in forum Orthopaedics
    Replies: 2
    Last Post: 08-11-2015, 10:25 AM
  2. 20694 billed with dx 814.00
    By cward267 in forum Orthopaedics
    Replies: 2
    Last Post: 10-11-2012, 01:11 PM
  3. Replies: 0
    Last Post: 09-13-2011, 04:45 PM
  4. removal of fixator in office
    By taurus7694 in forum Orthopaedics
    Replies: 2
    Last Post: 05-06-2009, 08:23 AM
  5. Question: 20694 & 11044 being bundled?
    By jenpollock in forum Orthopaedics
    Replies: 3
    Last Post: 10-27-2008, 09:54 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.