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Arthroscopic assisted AC Joint Reconstruction, unlisted code?

l1ttle_0ne

Guru
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148
Location
Puyallup, WA
I'm confused on this one, and haven't coded anything like this before. Would this be an unlisted code or a 23550 since this was done with arthroscopic assistance? Op note is attached. Thank you for any help!
 

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This is generally coded 23552. The op note describes an open incision, and arthroscopic assistance is not separately considered or reimbursable, nor do we really care whether 20% of the thing was arthroscopic or 80%.
You don't get a -22 modifier for this. A standard 23552 includes the work of graft harvest, graft fixation, and reconstruction of both the AC and CC ligaments.
N.
 
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