Hardware Removal (Deep Implant)
What is this procedure?
Surgical removal of deep-seated orthopedic hardware such as plates, screws, rods, or pins previously implanted for fracture fixation or spinal stabilization. Performed when hardware causes pain, infection, impingement on soft tissues, or when bone healing is complete and hardware is no longer needed.
Does this require prior authorization?
Medical Necessity Tips
What clinical evidence supports approval
- Document hardware-related symptoms (pain, limited ROM, skin breakdown)
- Imaging confirming hardware position and bone healing status
- If infection suspected, include lab values (WBC, ESR, CRP)
- Demonstrate that symptoms are attributable to hardware, not underlying condition
What to Do If Denied
If your hardware removal (deep implant) is denied, you have the right to appeal. Most denials are overturned on appeal when proper documentation is provided.
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