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Removal Prosthesis vs Implant

  1. #1
    Unhappy Removal Prosthesis vs Implant
    Medical Coding Books
    Patient previously had procedure 27245 treatment intertrochanteric femoral fracture w intramedullary implant. She recently sustained a fall and diagnosed with a periprosthetic femur fracture at the distal tip of the femoral nail. The physiciabn performed 27506 treatment femoral shaft fracture, w insertion of intramedullary implant. He replace the previous rod with a longer rod. He also
    wants to bill procedure 27090 ( removal hip prosthesis?). First, if we could bill for removal, would 20680 be more appropriate (removal buried wire, pin, screw,metal band, nail,rod or plate. Second, would it be included? What's your take?

    Thanks for the input!

  2. #2
    He did not remove a hip prosthesis, so should not bill 27090. The removal would be 20680, however, it is included with 27506. You might try 27506-22 for increased difficulty for the procedure if a lot of extra work is documented. If the removal is relatively easy, I'd say just 27506.

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