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.

Get 14-Day Fully-Functional Free Trial of Physician Coder

Get access to all your specialty alerts and archived articles along with some comprehensive tools including:
  • Code Search for CPT®, HCPCS, ICD-9 and ICD-10
  • CCI Edits Checker
  • Part B Fees, MUEs
  • CPT-ICD-9 CrossRef
  • CPT® ↔ ICD-9 ↔ ICD-10 CM Crosswalk
  • LCD/NCD Lookup
  • CMS 1500 Claims Scrubber
  • NDC ↔ CPT/HCPCS CrossReference
First Name: *
Last Name: *
User Name: *
E-mail: *
Phone: *
Choose Speciality*
Please enter the characters shown in box*