Wiki Remove antibiotic spacer in hip and replace with new antibiotic spacer same session

RebeccaMoney

Expert
Messages
295
Location
LEES SUMMIT, MO
Best answers
0
HELP! Surgery scheduled for this coming Monday, February 27.
Patient had removal of acetabular w/insertion of antibiotic spacer back in December. Now, wound has opened and infection is suspected. Physician wants to remove the old spacer and put a new antibiotic spacer in the hip. How do I code this? 20704(insertion) and 20705(removal) are both add-on codes so I need a primary CPT. I think the CPT book is directing me to using 20680 for the removal or a I&D CPT if there is infection. So far, I'm looking at maybe 10180 with 20704. Can anyone help me?
 
I just found an article from Orthopedic Coders Pink Sheet that suggest 27033 which includes both removal and reinsertion. Anyone else use this for this type of surgery?
Thank you,
 
Top