Removal of Infected hardware
Surgeon performed removal of infected hardware of a distal humerus fracture and excision of heterotopic bone of the elbow. The patient had a plate both on the distal humerus and on the ulna. I coded 24149 and 20680x2. The surgeon added 23935. I don't see anywhere in the op report that he even went down to the bone. He didn't scrape it or remove any bone. I see he debrided infected tissue but I included that in the removal of hardware. I also only coded one hardware removal since it was one treatment of the fracture. Is the debridement of the infection billable separately?
Thanks in advance.