CPT^® 23410, Under Repair, Revision, and/or Reconstruction Procedures on the Shoulder

The Current Procedural Terminology (CPT^®) code 23410 as maintained by American Medical Association, is a medical procedural code under the range - Repair, Revision, and/or Reconstruction Procedures on the Shoulder.

Additional/Related Information

Tabs

Summary

In this procedure, the provider performs an open surgical repair of an acute tear of the rotator cuff in the shoulder. The rotator cuff is a group of four muscles that stabilizes the shoulder joint.

For clinical responsibility, terminology, tips and additional info
start codify free trial.

View any code changes for 2026 as well as historical information on code creation and revision.

Crosswalks

Tabs

MODIFIERS
ICD-10-CM

Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code.

View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more. To plug inpatient facility revenue drains, subscribe to DRG Coder today.

Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! Subscribe to Anesthesia Coder today.

View matching HCPCS Level II codes and their definitions.

Forum

Have a question about CPT Code 23410 ? Start a discussion here

Rotator Cuff Repair

What is the difference between 23406 and 23410? they both have the same description.... [ Read More ]

CPT 29826 not getting paid with 23412 and 29824

I agree with Orthocoderpgu - depending on how much debridement is performed you can bill 29823. If 29823 is not supported, then I append modifier 22 to 23410/23412 to account for the arthroscopic wor... [ Read More ]

Mini-Open Rotator Cuff Repair with Arthroscopic Shoulder Procedures... Possible to Bill?

[QUOTE="Orthocoderpgu, post: 484256, member: 29238"] General rule is that if you start a procedure arthroscopically, but complete the procedure open, you can only bill the open code, not both. That's ... [ Read More ]

Scope to Open Shoulders

HELP!! I've provided my physicians with the AAOS July 2017 AND Dec 2019 monthly articles in regards to coding shoulders. Specifically the guidelines for scope to open procedures and I'm getting some... [ Read More ]

Proximal Humeral Fracture Dislocation

23410 can be billed with 23615. However, 23605 is a column 2 code for 23615. I would not charge for the attempted reduction in the same session. If it was the day before, yes, adding a 58 modifier to ... [ Read More ]

Arthroscopic shoulder procedure w/open rotator cuff repair

I also have a dr who likes to do arthroscopic debridement along with open/ mini open rotator cuff repairs and/or tenodesis. I struggle in knowing if it is kosher to be billing 29822 along with my ope... [ Read More ]

Arthroscopic shoulder procedure w/open rotator cuff repair

Thank you.... so then if I am understanding correctly I really only want to use 23410, 29828 and 29826? and then depending on the insurance?... [ Read More ]

Arthroscopic shoulder procedure w/open rotator cuff repair

[b]Debridement can't be part of a restorative procedure[/b] Any debridement that is in preparation for a restorative procedure cannot be counted towards 29823. Let's look at the biceps tenodesis: Pe... [ Read More ]

Arthroscopic shoulder procedure w/open rotator cuff repair

Help please... I am having a issue with our Physician. He does not think he is getting paid for everything he is doing. I am trying to be vigilant in using the correct codes but these modifier edit... [ Read More ]

Orif greater tuberosity fracture with repair of rotator cuff

H.E.L.P. !!! Can I bill the rotator cuff repair with the ORIF of the greater tuberosity fracture? I checked the NCCI edits 23630 and 23410 have a 1 indicator. According to the NCCI edits I don't think... [ Read More ]

View All