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