CPT code needed - arthroscopic subscapularis

lkmckenzie

Contributor
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12
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Smithfield, VA
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The doc also performed a 23412 (open rotator cuff repair) along with the arthroscopic repair of the subscapularis. This repair was done, the arthroscopic procedure was concluded and then the mini open was performed. This is really confusing to me.
 

mbort

True Blue
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2,336
Location
ENGLEWOOD/DENVER
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you will only be able to capture the open code, be sure to use the V code that states "arthroscopic converted to open". Even though he does a portion of the repair arthroscopically :( Depending on the documentation, you may be able to justify a modifier 22.
 
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