Delaware Subscriber
Answer: No. If the orthopedist removed the hardware through a single incision, you cannot report multiple units of 20680 (Removal of implant; deep [e.g., buried wire, pin, screw, metal band, nail, rod or plate]).
If your operative report states that the surgeon created two separate incisions to remove the screws from the separate metatarsals, you can report 20680 twice, with modifier -59 (Distinct procedural service) appended to the second listing.