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hardware removal of wrist fracture

  1. #1
    Columbus, Ohio
    Question hardware removal of wrist fracture
    Medical Coding Books
    Hello coders, the surgeon removed a screw from a wrist fracture about a week after surgery and then put another one back in a different location. I have attached the note but my question is: Do I recode the fracture care? The original surgery was 25609. Do I use 20680 and then use the same code with a modifier? What do you all think? Thanks, Paula

    1. Left distal radius removal of deep hardware.
    2. Left distal radius insertion of screw.

    She was placed under general anesthesia without complication.
    The left upper extremity was then placed on a well-padded arm table. The
    extremity was sterilely prepped and draped in normal fashion. The old suture
    from prior incision was removed. The wound was opened up. Blunt retractors
    were placed in the wound. The screw through the plate into the radial styloid
    which was prominent was removed. I did feel the track of the screw with a
    depth gauge. I also measured this. It appeared that the screw was barely
    penetrating the radial carpal joint. I do feel that if the fracture would
    have settled more than it would have been more prominent. I redirected the
    drill and drilled away from the joint into the radial styloid radially. I
    placed an 18 mm multidirectional screw in that engaged the plate in a locking
    manner. I checked multiple views under fluoroscopy and there was no screw or
    peg penetrating the joint. They were well away from the joint. There was
    good reduction of the fracture with good position of the hardware. The wound
    was copiously irrigated out with normal saline. The skin was approximated
    with 3-0 Vicryl and a running 4-0 intradermal Vicryl was placed. The suture
    was buried. Steri-Strips and Mastisol were applied. A sterile dressing was
    applied as well as the patient's brace placed back on her. The patient was
    then awoken from anesthesia without complication and transferred to the post
    anesthesia care unit in stable condition.

  2. #2
    you will use the 25609 with the 76 modifier...double check the CCI edits to see if the 20680 bundles with the 25609.

    not sure if you sent this to my e-mail today or not, but I played hookie

  3. #3
    Columbus, Ohio
    Thanks Mary, I did send an email but not this surgery.

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