AAPC - Back to school
Page 1 of 2 12 LastLast
Results 1 to 10 of 12

Thread: Need Help With Hardware Removal Code

  1. #1

    Default Need Help With Hardware Removal Code

    AAPC: Back to School
    Hi, I Am Trying To Find The Correct Code For Hardware Removal From An Ankle. I Am New To Asc Coding And Trying To Figure Out. Can Anyone Help Me?

  2. #2
    Join Date
    Apr 2007


    Application and removal of devices are usually inclusive.

  3. #3
    Join Date
    Apr 2007
    Boardman, Ohio


    Hi, i have just recently been coding for orthopedic surgeries, i am a cpc for anesthesia. I have 2 codes that would help you, one would be: V54.01 or 996.7x--this one would be for other complications of internal, prosthetic device, implant, and graft. Now if your looking for the CPT code, it would be:20694.

    Hope these help....if you need anything else, please do not hesitate to contact me
    Julie S., CPC
    Anesthesia Coder
    Education Officer, Cleveland Area Chapter 2016
    Email: medcoder05@gmail.com

  4. #4
    Join Date
    Apr 2007


    If the only procedure being performed in the ASC is "hardware removal" of the ankle, then it is billable/codable and not inclusive. If another procedure is performed as well, then I would double check the CCI edits prior to using. The most common CPT for hardware removal is 20680.

  5. #5

    Talking Hardware Help

    Thanks For Your Help, This Is Wonderful Support For Things Beyond My Specialty.:d

  6. #6


    I too use 20680 for most hardware removals in an ASC setting such as pins, screws. 20694 says specifically for removal, under anesthesia, of external fixation system which is totally different.

  7. #7


    Look for these codes 27704 for implant removal ankle. Implants are also a type of Hardware. It is a straight code which we can use here. Another scenario is to go with 20670 or 20680 depending upon the superficial and deep nature. Screws are always deep. Pin , Rods and Wires can be both. Look at the type of incision and the embedded nature of Hardware.

    Thank You
    Amit Joshi MSc,CPC,CPC-H

  8. #8
    Join Date
    Apr 2007


    here 20680 seems to be the better code.

    thank you.
    Mohd Ali Hadi- CPC-H

  9. #9


    Quote Originally Posted by smcbroom View Post
    I too use 20680 for most hardware removals in an ASC setting such as pins, screws. 20694 says specifically for removal, under anesthesia, of external fixation system which is totally different.
    I am uncertain if this code 20680 can be charged with units or not? The CPT description reads singular. I can not find any reference for this.
    Thanks ZDX0764

  10. #10
    Join Date
    Apr 2007


    Here is some info on 20680 for you taken from the AAOS website

    Hardware removal

    Q: The patient had a bimalleolar ORIF and, for whatever reason, a year or two later the physician removes the hardware. There are two plates and eight screws (four screws in each plate). Do you report:

    • 20680x10 for the two plates and eight screws?

    • 20680 just once because it is considered one internal device that was placed?

    • 20680x2 because you made two incisions to remove?

    A: Based on a discussion by the AAOS ICD-9 and CPT Coding Committee, removal of hardware used for a specific fracture type—regardless of the number of screws, plates, rods or incisions—would only be coded once. If there was an extraordinary of work involved (e.g., bone-buried screws, exceptional scar), then modifier -22 would be added with the usual accompanying note.

    Multiple use of 20680 would only be appropriate when the hardware removal was for another fracture unrelated to the first fracture (e.g.,ankle and humerus). Then modifier -59 would be used.

Page 1 of 2 12 LastLast

Similar Threads

  1. hardware infection post removal diagnosis code
    By Jersey1006 in forum ICD-10
    Replies: 0
    Last Post: 09-25-2015, 07:14 AM
  2. removal of hardware and replace hardware
    By 574coding in forum Orthopaedics
    Replies: 1
    Last Post: 07-15-2015, 06:41 AM
  3. CPT code for crani hardware removal
    By nkrush12 in forum Neurology/Neurosurgery
    Replies: 2
    Last Post: 08-23-2013, 02:29 PM
  4. Hardware removal with new hardware implantation
    By ammontagano in forum Orthopaedics
    Replies: 1
    Last Post: 11-16-2010, 09:03 AM
  5. Hardware removal with reimplantation of hardware
    By gsteeves in forum Orthopaedics
    Replies: 5
    Last Post: 05-14-2009, 02:01 PM

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.