Orthopedic Coding Alert
Differentiate 23334, 23335 From 23107
PDF
Question: Our patient had a total shoulder replacement, and the glenoid component has now deteriorated to the point where the cement cracked and is all over the glenohumeral joint. Our surgeon removed the loose bodies and the rest of the glenoid component. Should we report 23107 or 23331 for this service?
South Dakota Subscriber
Answer: Because the glenoid component of the total shoulder failed and the physician had to remove it, you should report 23334 (Removal of prosthesis, includes debridement and synovectomy when performed; humeral or glenoid component) for removal of one-component of a total shoulder or 23335 (Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components [e.g., total shoulder]) for the removal of both components.
The physician’s work picking out the cement fragments would be included in 23334 or 23335. Therefore, 23107 (Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body) won’t meet your coding needs.
Related Articles
Orthopedic Coding Alert
- Foot:
Heighten Your Chance to Heel Spur Treatment Claim Success With This Advice
Rule out fracture, and check for casts and orthotic devices. If you’re reporting heel spur [...] - Forearm:
3 Steps Help You Complete Compartment Syndrome CPT® Codes
Hint: Compartment and debridement dictate the right code. When treating compartment syndrome in the forearm, [...] - Add-On Codes:
Adopt These Tips To Improve Your Add-On Code Success
Beware of modifier 51 for add-on procedures. Add-on codes can augment your payment for additional [...] - ICD-10:
Formalize How You Assign Diagnosis Codes for Falls
You should read the rules about including Z codes—here’s why. ICD-10 may be a trip, [...] - Reader Question:
Safeguard Your Second X-Ray Claims
Question: An X-ray was taken after manipulation; the surgeon was not happy with the reduction and [...] - Reader Question:
Solve This ER, Then Assumed Care Scenario
Question: My orthopedist treated a patient who was first seen in the ER for an open [...] - Reader Question:
Differentiate 23334, 23335 From 23107
Question: Our patient had a total shoulder replacement, and the glenoid component has now deteriorated to [...] - You Be the Coder:
Post-Op Brace Fitting and Education
Question: Can my physician bill for a fitting and education of a brace during the postoperative [...]
