CPT code 20680

CPT Code 20680 | Removal Of Implant | Deep

CPT 20680 describes the removal of a deep implant such as a wire, pin, screw, metal band, nail, rod, or plate

What Is CPT Code 20680?

CPT code 20680 is a code that describes the removal of a deep implant. The description refers explicitly to removing an implant buried within the body, such as a wire, pin, screw, metal band, nail, rod, or plate.

The implant may have been used for various purposes, such as fixing a fracture, supporting a joint, or holding a structure in place.

An orthopedic surgeon, an oral and maxillofacial surgeon, or a general surgeon usually performs the procedure. First, they will make an incision where the implant is located, then dissect through the fascia and muscle layers to access the implant.

Once the implant is identified, the surgeon will use sharp forceps to unscrew or extract the implant from the surrounding tissue. Once the implant is removed, the wound will be closed with sutures.

Description

The CPT book defines CPT code 20680 as: “Removal of an implant; deep (e.g., buried wire, pin, screw, metal band, nail, rod or plate).”

Procedure

Skeletal deformities or injuries such as fractures often require the use of skeletal fixation devices, like pins, rods, wires, bands, or plates, to join skeletal parts and maintain their normal alignment as healing takes place.

These devices are used to immobilize the affected bones, allowing them to heal correctly without causing further damage.

Removing these devices typically occurs once the defect has healed and the patient is adequately prepared and anesthetized.

The provider will reopen the original incision and extend it as needed by dissecting through fascia and muscle layers to access the deep bone implant.

This may involve using sharp forceps to carefully extract the implant, such as a rod, pins, wire, screw, metal band, nail, rod, or plate.

Once the implant is successfully removed, the provider will close the wound with layered sutures.

This helps to ensure that the wound heals properly and that there is minimal scarring.

Following the 20680 procedure, the patient may need to undergo physical therapy to help regain mobility and strength in the affected area.

How To Use CPT 20680

You should report CPT 20680 when a procedure involves removing a deep implant such as a wire, pin, screw, metal band, nail, rod, or plate.

This procedure typically involves going through muscle layers and into the bone, requiring a more complex, layered closure. You may use CPT 20670 instead of CPT CPT 20680 for a more simple closure that requires only sutures or adhesive strips,.

Many practices can perform CPT 20680 in an office setting. However, the 20680 should be based on the type of closure performed, not the room location.

You can use CPT code 0510T for removing a sinus tarsi implant and CPT code 0511T for removing and reinserting a sinus tarsi implant.

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