Manipulation Under Anesthesia Doesn’t Require Fixation
Question: May we report CPT® 23700 Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded) if no fixation device is used? Does “under anesthesia” mean general anesthesia?
Answer: Yes, and Yes. Per CPT Assistant:
May 2009; Volume 19: Issue 5
Question: Is it appropriate to report CPT code 23700 for manipulation of the shoulder joint under anesthesia if a fixation apparatus is not utilized?
Answer: Yes. Utilization of a fixation apparatus is not required in order to report CPT code 23700.
April 2005; Volume 15: Issue 4
Question: Is it appropriate to report CPT code 23700, Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded), when general anesthesia is not used?
AMA Comment: CPT code 23700 is intended to be reported for the manipulation only when performed under general anesthesia. The code descriptors, which include the phrase “requiring anesthesia” or “under anesthesia,” indicate that the work involved in that specific procedure requires the use of general anesthesia; therefore, it would not be appropriate to report code 23700 if general anesthesia is not provided.
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