Wiki 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
 
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 .
 
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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