Advanced Search

Orthopedic Coding Alert

Orthopedic Coding:

Pick the Right Code for Your Pre-Auth Request

Published on Mon Apr 21, 2025

Question: I’m seeking a pre-authorization for a surgical procedure, and I need help finding the correct code. The orthopedist is planning a surgical arthroscopy with lower trapezial transfer for a failed rotator cuff repair. Pennsylvania Subscriber Answer: Use 23395 (Muscle transfer, any type, shoulder or upper arm; single) in your pre-authorization request. This code is appropriate since you’re seeking pre-authorization [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Orthopedic Coding Alert