Wiki Need clarification on arthroscopic procedure

[ShobihaaS]

I have come across case where the Post operative procedures are

1. Arthroscopic with extensive debridement
2. Arthroscopic subacromial decompression
3. Open biceps tenodesis
4. Open rotator cuff repair
5. Open removal of calcified tendinitis

Do we have to report 29822 and 29826 with 23412, 23430.

 

[NRaizman]

29823 can be primary arthroscopic code for +29826 (if it is reimbursable).
23412 and 23430 are separate and reimbursable codes and the debridement of the joint cannot be performed open - this is NOT a situation where an arthroscopic procedure was -converted to open-.

All four codes can/should be coded, but you may not be able to get reimbursed for 29826 depending on payor because of lack of medical necessity.

 

[ShobihaaS]

29823 can be primary arthroscopic code for +29826 (if it is reimbursable).
23412 and 23430 are separate and reimbursable codes and the debridement of the joint cannot be performed open - this is NOT a situation where an arthroscopic procedure was -converted to open-.

All four codes can/should be coded, but you may not be able to get reimbursed for 29826 depending on payor because of lack of medical necessity.

Thank you.