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Shoulder Repair

L Posted Sun 01st of March, 2015 22:20:49 PM

How would I code the following:
POSTOPERATIVE DIAGNOSIS:
1.50% tear subscapularis tendon.
2.Capsulolabral insufficiency left shoulder.
3.Biceps tendinosis.
4.AC joint arthrosis.

PROCEDURE:
1.Arthroscopic subscapularis repair, left shoulder.
2.Arthroscopic biceps tenotomy.
3.Arthroscopic capsular plication.
4.Arthroscopic subacromial decompression.
5.Arthroscopic distal clavicle excision.

SuperCoder Answered Mon 02nd of March, 2015 06:18:58 AM

Hi Lindsay,
Thank you for the query.
Tear of subscapularis tendon-840.5,
Capsulolabral insufficiency left shoulder-718.81,
Biceps tendinosis-726.12,
AC joint arthrosis-715.11.

Arthroscopic subscapularis repair, left shoulder- 29827-LT,
Arthroscopic biceps tenotomy- It leads to 29999, but 29822 or 29823 may be the best way to bill for the procedure.
Arthroscopic capsular plication- During arthroscopic capsular plication, the surgeon uses sutures to tighten loose structures due to shoulder instability. Eg, surgeon did it on shoulder, so you should report 29806 (Arthroscopy, shoulder, surgical; capsulorrhaphy) for shoulder capsular plication.
Arthroscopic subacromial decompression- This is an add-on code +29826.
Arthroscopic distal clavicle excision- This is Mumford procedure- 29824.

Hope it helps you.

Thank you

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