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Removal Internal Fixation Device

  1. Default Removal Internal Fixation Device
    Medical Coding Books
    HELLO, I HAVE BEEN STUMPED ON THIS ONE.

    4 K-WIRES REMOVED IN TOTAL. FROM FIRST AND FIFTH METATARSAL BILATERAL FEET. DUE TO DEFORMITY/BUNIONS.

    I AM THINKING 20680-50 OR IS IT 20680-50 X 2?

    I AM ALITTLE CONFUSED. I KNOW YOU CODE ONCE PER FRACTURE TYPE.........BUT THESE ARE TECHNICALLY 4 DIFFERENT SITES, NOT RELATED TO A FRACTURE.

    THANKS FOR YOUR TIME.
    Kelly Sumansky, MA, CPC-H, CMC

  2. #2
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    are there 4 seperate incisions? I personally do not use the -50 modifier so this is how I would code if there are truly 4 incisions well documented and all NON FRACTURE related!

    20680-rt
    20680-59-rt
    20680-59-lt
    20680-59-lt

  3. Default
    There are four separate incisions, four separate toe's not related to a fracture, but a previous bunion surgery.
    Kelly Sumansky, MA, CPC-H, CMC

  4. #4
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    I would recommend the use of foot/toe modifiers TA thru T9 to distinquish the seperate feet and toes.

  5. #5
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    I would agree with CErben w/ regards to using the toe modifiers if the wires are not in the metatarsal as first stated.

  6. Default
    These Wires Are All In The Metatarsals. First Metatarsal And Fifth Metatarsal Both Feet. So Would That Only Allow Rt Or Lt Modifier.......?
    Kelly Sumansky, MA, CPC-H, CMC

  7. #7
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    thats correct. No "t" modifiers for the metatarsals, only digits.

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