remove im nail and replace with a shorter nail

Can anyone help with this CPT?  The purpose of this surgery is to prepare the patient for a total knee.  I was thinking 20680 with mod 22. Thanks,


  • I have the following reference from Coding Clinic 1st qtr 2010: QUESTION #15.  Hope this helps.
    A patient who underwent an ankle fusion previously was seen at our facility with areas of localized tenderness of the medial ankle. Work-up revealed a prominent screw head as the cause of the localized tenderness. A decision was made to remove the screw and exchange it with a shorter screw. What are the appropriate code assignments for this scenario?
    Presently, there is no CPT code for exchange of hardware. Therefore, report CPT code 20680, Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate, for removal of the screw from the medial ankle. CPT code 27899, Unlisted procedure, leg or ankle, would be reported for the insertion of the shorter screw.
  • This is very helpful. Thank you so much.
  • What CPT code are you comparing the unlisted code to?
Sign In or Register to comment.