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Orthopedic Coding Alert

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Arthroscopic Biceps Tenotomy

Published on Sat Jun 06, 2009

Question: My orthopedist performed an arthroscopic biceps tenotomy and tenodesis. I know the code for tenodesis is CPT 29828 , but should I assume this code also includes the tenotomy? If not, how should I report the arthroscopic bicep tenotomy? South Carolina Subscriber Answer: Code 29828 (Arthroscopy, shoulder,surgical; biceps tenodesis) covers arthroscopy of the shoulder in the biceps tenodesis region but does not include the arthroscopic bicep tenotomy. CPT does not yet include a code that describes arthroscopic biceps tenotomy. Most coders report the unlisted-procedure code 29999 (Unlisted procedure, arthroscopy) for this procedure and use 23440 (Resection or transplantation of long tendon of biceps) as a comparison code. Tip: If the surgeon performs the tenotomy as a mini-open procedure, you can report 23440 instead of the unlisted-procedure code.
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