“I have a newer associate who was taught at his previous practice, that extracting exposed K-wires after hammertoe surgery around the typical 4-week interval is a billable charge. His previous employer had him billing CPT code 20680 for this, but a biller from a different office advised him to bill CPT code 20670 instead.
He is billing the following coding scenario within the 90-day post operative global period for hammertoe correction (28285) x3: 20670 Rt, 58 M20.41, Z97.8, Z47.89 (to be listed on 3 separate lines on the claim form with the additional toe T-modifiers).
He thought it was fine since it's marked as a staged procedure. I told him I've read several coding articles over the years that say you cannot bill for this in this scenario.”
“I am using for example a pressure ulcer right forefoot, 5th mpj area stage 1 as L89.811, but my biller is telling me it is an invalid code for pressure ulcer of MPJ stage 1. Any insight on how I should go forward since my understanding that a fourth character 6 is heel and 8 is other site of foot and 9 is unspecified site which is not recommended to use?”
by Scott Brown, Senior Marketing and Communications Manager, LanguageLine Solutions
June 24, 2026
By justina
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The U.S. Commission on Civil Rights has published a sweeping new report on language access for limited English proficient (LEP) individuals that is timely and highly consequential.