New Jersey Subscriber
Answer: Depending on the patient's condition, you should choose from one of the following three codes for the rotator cuff repair:
23410 - Repair of ruptured musculotendinous cuff (e.g., rotator cuff) open; acute
23412 - ... chronic
23420 - Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromio-plasty). Orthopedic surgeons report that most patients who require this type of surgery have chronic conditions, so 23412 or 23420 is likely the appropriate code. But you should check the surgeon's documentation to determine which type of rotator cuff injury the patient had.
If the patient had a chronic condition, determine whether the surgeon repaired (23412) or reconstructed (23420) the rotator cuff.
You should report 23120 (Claviculectomy; partial) for the distal clavicle excision.