Removal of Mandibular Implant

July 26, 2018

Question:
We are removing old plates from the right and left mandible.  It is ok to use 20680 x 2?

Answer:
There was just a CPT Assistant about this in January 2018. CPT 20680 (Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)) may be reported twice for removal of implants from noncontiguous sites on the same bone, such as the mandible, if separate incisions are made.  However, use 20680 only once if one incision is made to remove bilateral implants from the same bone such as the maxilla.

*This response is based on the best information available as of 07/26/18.

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