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Thread: Hardware exchange

  1. #1
    Join Date
    Apr 2007

    Default Hardware exchange

    AAPC: Back to School
    A pt came in one week after ORIF of her lateral malleolus fx with pain & redness around the wound site. During the visit, she stated that she has an allergy to nickel (this was not related prior to her sx).
    The surgeon removed the stainless hardware & replaced it w/titanium. Because he had to remove the old hardware to put in the new hardware, I am reluctant to bill 20680 w/27792-77(diff doc).
    Does anyone have any other suggestions?

  2. #2
    Join Date
    Apr 2007


    I would be more inclined to bill the 20680 with a "22" mod, send op report, and letter stating why it was extra work than just removal.

  3. #3
    Join Date
    Apr 2007


    Thank you-that makes sense

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