shoulder

  1. M

    Wiki CPT 29823 vs 29822 & 29826

    What is the correct way to code the below op report? 29823 or 29822 with 29826? I'm thinking 29823 but am unsure. Thanks in advance! POSTOPERATIVE DIAGNOSIS: Left shoulder stiffness with partial-thickness tear of the rotator cuff with grade 2 to 3 chondromalacia of the glenoid and a...
    • MI_CODER
    • Thread
    • 29822 29823 29826 arthroscopy shoulder shoulder arthroscopy
    • Replies: 6
    • Forum: Orthopaedics
  2. KStaten

    Wiki CPT: Distal Coplaning with Subacromial Decompression

    "Distal Coplaning and with Subacromial Decompression" for treatment of Impingement Syndrome Summary of Procedures: Soft tissue was used to skeletonize the undersurface of the acromion 4.5 mm barrel was then used to remove 5 to 7 mm of the bone off the anterior and lateral border from the...
    • KStaten
    • Thread
    • 29822 29823 29824 29826 acromioplasty clavicle coplaning cpt shoulder
    • Replies: 1
    • Forum: Orthopaedics
  3. M

    Wiki Shoulder Arthroscopy

    Hi, I am new to Ortho and have a denial for 29823-51-RT. We have a billing company handling our charges/payments. I am reviewing denials and have the following billed: 29827-RT, 29828-51-RT,29823-51-RT and 219826-RT. I can't find any reason why the 29823 is denying. It is denied with a 97...
    • misnkm
    • Thread
    • arthroscopy inclusive denial shoulder
    • Replies: 5
    • Forum: Orthopaedics
  4. E

    shoulder replacement with glenoid grafting

    Hi friends, I work with some shoulder specialists who are disagreeing about if the glenoid grafting can be separately reported with their shoulders. When doing a shoulder replacement they sometimes will do some grafting to the glenoid in order for the prosthesis to sit better. I was thinking...
  5. E

    Wiki Reverse shoulder arthroscopy and bundling

    Help please please please! Our coding service said one of our docs is reporting a bunch of coding for a reverse shoulder arthroscopy that they say are bundled. I am not finding any NCCI edits, and I don't know if that means that it is such a "duh" bundle that they don't have an edit for it, or...
  6. C

    Wiki Help w/ difference in 29822 (limited) and 29823 (extensive)

    Hi, I'm hoping someone can assist me with a chart and show whether 29822 or 29823 would be the appropriate code. I've read thru multiple forum posts, but most are from 2009 and I'm not sure how accurate the information is any longer, and some links didn't work that were attached. I've also read...
  7. O

    Wiki Can you bill 29827 & 23412 for the same shoulder?

    I'm getting conflicting information. 29827 & 23412 have an NCCI edit of 1, meaning that a modifier is allowed. Does that mean that if they are performed on different tendons that both are allowed on the same shoulder? I'm getting conflicting information and some of it may be due to older...
  8. S

    Wiki lavage of calcific tendinosis - shoulder

    One of my doctors performed a ultrasound guided lavage of calcific tendinosis on the left supraspinatus tendon followed by a subacromial/subdeltoid bursa injection. I am having trouble coming up with a good CPT for the calcific lavage on the shoulder. Do I default to 20611 for the shoulder bursa...
    • sarthur
    • Thread
    • bursa calcific injection lavage shoulder
    • Replies: 0
    • Forum: Anesthesia
  9. codegirl0422

    Wiki biceps tenotomy

    I am having a problem coming up with the right code for a biceps tenotomy. PROCEDURE PERFORMED: 1. Diagnostic and surgical arthroscopy left shoulder with arthroscopic rotator cuff repair. 2. Left shoulder arthroscopic biceps tenotomy. I have seen some say to code as unlisted 29999. also...
  10. T

    Wiki Latarjet with remplissage open

    WOULD YOU CODE AS 23466??? PREOPERATIVE DIAGNOSIS: Left shoulder instability, anterior/posterior. POSTOPERATIVE DIAGNOSIS: Left shoulder instability, anterior/posterior. PROCEDURES PERFORMED: 1. Left shoulder arthroscopy. Left shoulder open Latarjet procedure. Left shoulder extensive...
  11. D

    Wiki Total Shoulder Converted to a Reverse Total Shoulder

    Has anyone every experienced this? We have a new doctor that specializes in converting total shoulders to reverse total shoulders. Would I bill it as 23474 because they are technically revising both the humeral and glenoid component or would I use an unlisted code? Thanks!
  12. A

    Wiki HPI multiple problems

    I have a question about HPI. When a physician documents multiple problems in HPI and you don’t really have enough in one problem can you use the other problems to get a comprehensive or do you need to pick one problem and focus on that? An example of what I’m talking about is: “Reports that...
    • az2tn@yahoo.com
    • Thread
    • arm hpi multiple numbness shoulder
    • Replies: 1
    • Forum: E/M
  13. T

    Wiki External cause codes

    Good Afternoon, My question is what is the proper way to handle and code no known injury. I was under the impression you had to have 3 external cause codes on any and every accident or injury. For example we see stuff like this all of the time. Wrist pain, no known injury My ankle has been...
    • TIFFANYC
    • Thread
    • don’t external injury pain shoulder
    • Replies: 3
    • Forum: ICD-10
  14. N

    Wiki Arthroscopic shoulder cpt code for biceps tenotomy, subacromial decompression with ma

    What are the correct CPT code for arthroscopic shoulder for adhesive capsulitis, biceps tendon tear, impingement I got the subcaromial decompression and he did do the acromoplasty - 29826 For the biceps tenotomy there was significant damage- the shaver was used to release the biceps tendon. I...
    • NL2022
    • Thread
    • arthroscopic biceps code cpt shoulder
    • Replies: 2
    • Forum: Orthopaedics
  15. J

    Wiki Am I giving this OP Note too much thought?!?! Help please! :)

    PREOPERATIVE DIAGNOSIS: Rotator cuff tear, right shoulder. POSTOPERATIVE DIAGNOSES: 1. Severe degenerative arthritis glenohumeral joint, right shoulder involving the humeral head and the glenoid. Photographs were taken. 2. Partial tear rotator cuff, less than 50%. No evidence of severe...
  16. T

    Wiki can e/m be billed on this as well with the injection??

    E/M can be so confusing. I came from just coding surgeries and trying to understand E/M is so confusing. I know the modifier 25 will be applied but since they are going to get her into pt and reviewed the MRI would this be enough to bill the OV?? Anyone have any examples of when an office...
    • trose45116
    • Thread
    • palpation rotator shoulder tear tenderness
    • Replies: 6
    • Forum: E/M
  17. D

    Wiki Coding of Rotator Cuff Tear

    If a patient presents with Shoulder pain and after exam the doc diagnoses the patient with a Rotator Cuff Tear but the patient did not sustain an injury and no prior shoulder surgery or pain, would this be billed with an M code or S code? I was thinking S code but there I am not able to provide...
    • dossmc
    • Thread
    • code pain patient rotator shoulder
    • Replies: 2
    • Forum: Orthopaedics
  18. M

    Wiki Coding Shoulder Surgeries

    Does anyone have any good resources they use to code shoulder surgeries. I am struggling with some of the procedures and when they can be billed with the main procedure. Any suggestions would be great.
    • Mary4410
    • Thread
    • main procedures shoulder suggestions surgeries
    • Replies: 0
    • Forum: Orthopaedics
  19. D

    Wiki 29877 and 29822

    Hi i am new to orthopedic billing does anyone know if 29822 (limited debridement) is included in 29877arthroscopy shoulder for rotator cuff thank ou
  20. G

    Wiki Is a modifier required for a shoulder injection when the ICD10 code is lateral?

    I was just informed by an auditor that I was missing the RT modifier attached to the 20610 but I'm not sure if this is right or not. The DX is M75.41 impingement syndrome of right shoulder. If the ICD10 clearly specifies which shoulder, I did not think a modifier was required. Anyone know the...
    • gr8gal61
    • Thread
    • icd10 impingement modifier required shoulder
    • Replies: 4
    • Forum: ICD-10
  21. K

    Wiki Multiple shoulder procedures - Help--shoulder surgeries are so confusing

    Help--shoulder surgeries are so confusing. I work for a payer and I have a physician billing for an arthroscopy of the shoulder. He started with diagnostic arthroscopy, then proceeded to debriding the long head of the biceps tendon. Then he moved the arthroscope to the subacromial space and...
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