spinal instrumentation insertion and removal within same operative session

boyett

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help !!

my surgeon has input bilateral pedicle screws at l2-l3 and has then removed the right side screws due to them migrating during the surgery . the dr is wanting to bill 22840 for the insertion and then also 20680 for the removal. I know am almost 100% positive 20680 is a completely wrong code and i really don't think you can bill for that removal since its within the same session. i am having trouble finding anything in black an white to discuss with my dr. if anyone can please provide me some links or any insight would be appreciated

thank you
 

boyett

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well im not sure that would apply since the instrumentation was initially put in on both the right and left and then one side taken out . he didn't reinsert the instrumentation also it was all done within the same operative session same surgery .
 

boyett

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I was thinking the same thing as well. do you have any links I can reference in order to show him in black and white .

thank you so much for your help : )
 
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