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Shoulder Repair

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

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

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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