Wiki Removal Internal Fixation Device

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Ksumansky

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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? :eek:

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.
 
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
 
There are four separate incisions, four separate toe's not related to a fracture, but a previous bunion surgery.
 
I would agree with CErben w/ regards to using the toe modifiers if the wires are not in the metatarsal as first stated.
 
These Wires Are All In The Metatarsals. First Metatarsal And Fifth Metatarsal Both Feet. So Would That Only Allow Rt Or Lt Modifier.......?
 
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