Wiki pin removal - Pt is 3 wks status post closed

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samyjm13

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Pt is 3 wks status post closed reduction & percutaneous pinning of the neck of the rt. 5th metacarpal. Pt. is in for f/u and the Dr. is removing the pin (in office) and putting gutter splint back on. This is a 90 day global for this. Dr. circled Pin/Wire removal and short arm splint along w/ x-rays on the superbill. Can these be charged or are they still under the global.
 
Splinting yes; pin removal no

Procedures are always billable in the post-operative period - visits are not.

HOWEVER ... 20670 requires an incision to access the "superficial" hardware. If the physician was able to remove the pin/screw/wire without any incision then there is no procedure performed.

Oh, and don't forget your modifier(s) ... probably -58.

Hope that helps.

F Tessa Bartels, CPC, CEMC
 
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