shoulder coding

  1. J

    Wiki Partial rotator cuff tear with dermal collagen graft application

    Hi-- If anyone has any insight with Dermal collagen grafting for rotator cuff. The provider states--"Given the appearance of the rotator cuff decision was made not to perform a takedown and repair. Decision was made to proceed with dermal collagen grafting of the bursal side of the rotator cuff...
  2. J

    Wiki Dermal Allograft with Rotator cuff tear

    What code do you use for a human dermal allograft performed with an arthroscopic rotator cuff repair? CPT 15777 is for the trunk or breast, so should CPT 17999 be used or is it bundled to the repair?
  3. J

    Wiki UHC denial Reverse total shoulder

    Hi Everyone-- I coded the OP note below as 23472 and 23405. UHC is stating that the CPT codes billed are incorrect. I feel like I am going crazy with UHC. Am I missing something? If someone could quickly review. We have have appealed twice. Procedure: 1. Right reverse total shoulder...
  4. K

    Wiki Hemi shoulder conversion

    How would you code this since there is no conversion shoulder cpt? Since it has been years since her hemi would you code a total shoulder or revision? I included a note from the last office visit plus the op note. This is from the office visit -This is a DePuy hemi. We talked about possible...
  5. J

    Wiki Shoulder Coding Question

    I am confused as to if/how to code for a open RC Repair when the Surgeon attempted to repair the Rotator Cuff but after attempting it was found to be irreparable. Any information would be extremely helpful and graciously accepted. Thank you!
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