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

20670-LT is for removal of implant; superficial (e.g., buried wire, pin or rod) (separate procedure), which matches the removal of K-wires. 27860-LT is for manipulation of ankle under anesthesia, which matches the gentle manipulation performed. 76000-26 is for fluoroscopy, which was used during the procedure.

Operative Report Postoperative Diagnosis