Wiki Hardware removal with exchange of helical blade

fltbaroque

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Coders, please help!
We have a patient who has an intramedullary implant in her hip. The doctor's note states "left hip hardware removal with exchange of helical blade for shorter helical blade". Would you code this 27245-52 since he is not replacing the nail? If so, would you add 20680 for the hardware removal?
I'm new to ortho, and would appreciate your help!

Thanks in advance
 
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