Hardware removal ankle fx
Hello-I have a doctor that has questioned billing 20680 x2 for a bimal/trimal hardware removal and I have given him the info stating it would only be billable once. However he has sent me the 2009 CPT assistant where it does state a bimalleolar fx would be billed x2 if the hardware is removed through separate incisions from the tib and fib.......is there any other info out there to dispute this? Everything else I am finding basically states 1 code to put it in 1 code to take it out. Thanks for any input!