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52099 - Buried Wire or Pin Removal (Per Bone)

MBS service description:

BURIED WIRE, PIN or SCREW, 1 or more, which were inserted for internal fixation purposes into maxilla or mandible or zygoma, removal of, requiring anaesthesia, incision, dissection and suturing, per bone, not being a service associated with a service to which item 52102 or 52105 applies (Anaes.)
Schedule Fee:
160.85
@85% Benefit Fee:
136.75
@75% Benefit Fee:
136.75
Last updated on
March 29, 2025

When is item code 52099 (Buried Wire or Pin Removal (Per Bone)) typically used?

The need for removal of one or more buried wires, pins, or screws used for internal fixation in the maxilla, mandible, or zygoma arises when these devices—previously inserted to stabilize fractures or surgical repairs—cause irritation, infection, or are no longer needed after healing, requiring surgical extraction under anesthesia with incision, dissection, and suturing per bone. This procedure is indicated for standalone removals not tied to specific other services, critical when the hardware impacts comfort or health in the maxillofacial region where bone stability supports function.

Reasons include:

  • Infection: A pin in the mandible causing swelling might need removal to stop chronic irritation.
  • Hardware failure: Loose screws in the zygoma could shift, requiring extraction to avoid damage.
  • Healing completion: Fully healed bones no longer need fixation, prompting removal for comfort.
  • Patient discomfort: Palpable or painful hardware under skin needs surgery for relief.

For instance, a patient with a mandibular screw from a past fracture causing gum pain might need this, done in a clinic. In aged care, an elderly patient with an infected maxillary pin could require this to prevent sinus issues, given their frailty. By extracting the hardware, this service resolves complications, restores comfort, and completes the healing process, making it essential for managing post-fixation issues in the maxillofacial area.

Benefits to the patient

Surgeons removing one or more buried wires, pins, or screws from the patient’s maxilla, mandible, or zygoma under anesthesia provide post-healing benefits. A primary advantage is relieving irritation. Extracting hardware eliminates the patient’s discomfort from foreign objects—key for 'internal fixation removal benefits.' It also prevents infection by removing potential bacterial sites, protecting the patient’s healed bone. Furthermore, it restores comfort by clearing unnecessary devices, enhancing the patient’s quality of life post-recovery. For surgeons researching 'buried hardware removal advantages,' this procedure ensures patients experience irritation relief, infection prevention, and improved comfort, offering a necessary step after successful bone healing.

Recovery considerations

Recovery of 1-2 weeks with swelling and suture care; quick resolution.

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