Orthopedic Coding Alert

You Be the Coder: Arthroscopic Biceps Tenotomy

- Published on Tue, May 05, 2009

Question: My orthopedist performed an arthroscopic biceps tenotomy and tenodesis. I know the code for tenodesis is CPT 29828 , but should I assume this code also includes the tenotomy? If not, how should I report the arthroscopic bicep tenotomy?

South Carolina Subscriber

Answer: Code 29828 (Arthroscopy, shoulder,surgical; biceps tenodesis) covers arthroscopy of the shoulder in the biceps tenodesis region but does not include the arthroscopic bicep tenotomy.

CPT does not yet include a code that describes arthroscopic biceps tenotomy. Most coders report the unlisted-procedure code 29999 (Unlisted procedure, arthroscopy) for this procedure and use 23440 (Resection or transplantation of long tendon of biceps) as a comparison code.

Tip: If the surgeon performs the tenotomy as a mini-open procedure, you can report 23440 instead of the unlisted-procedure code.

Orthopedic Coding Alert
Issue - May, 2009
Already a subscriber? LOGIN to read the article.