Removal of K-wire

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Question:
I repaired a phalangeal fracture on a patient and placed K-wires. I took them out in the office. Is this billable?

Answer:
No, removal of the K-wire is included in your global surgical package of the fracture repair. However, you may bill if you take the patient to the operating room (use modifier 58 if the removal is staged/planned or use modifier 78 if the removal is unplanned for some reason such as infection or bleeding).