Operative Report
Postoperative diagnosis:
1) Retained hardware, left foot.
2) Decreased range of motion, left ankle.
Procedure: The patient was placed under general anesthesia; her left lower extremity was prepped and draped in a sterile fashion. A time-out procedure was performed.
The patient then had a hardware removal performed on the transcutaneous K-wires, followed by examination of her ankle, which had approximately 5 to 10 degrees lacking of neutral. Gentle manipulation was performed, giving her dorsiflexion to 10 degrees. C- arm fluoroscopy was introduced to the field, taking confirmatory x-ray, and at this point the patient had a sterile dressing applied and was awakened from general anesthesia.
Select the appropriate CPT codes:

Question

Quizplus · Accepted Answer

The correct CPT codes are 20670-LT for the removal of superficial hardware (transcutaneous K-wires), 27860-LT for the ankle manipulation under anesthesia, and 76000-26 for the fluoroscopy (C-arm) with the professional component (indicated by -26).

Operative Report Postoperative Diagnosis