I would greatly appreciate guidance on the correct way to charge (or not charge) for the in-office procedure of the removal of an external fixator. It was my understanding that it would be considered part of the global if done in office, but I am being questioned that the code says "under anesthesia" that if patient is locally anesthetized this would "count" – I would appreciate any definitive guidance and where I can PRINT out and give to those who continually question… thanks so much !!