Wiki shoulder question

[Jamie Dezenzo]

This is a commerical insurance

29824, 29826

posterior labrum (significant fraying of midportion of posterior labrum and superior posterior labrum) and 10% RTC tear debridment?

enough for 29823?

Thanks!
Jamie

 

[campy1961]

Check CCI edits. 29823 is bundled in w/ 29824

 

[sdomel159]

29823

It is my understanding that in order to bill 29823 debridement must be performed in the subacromial and glenohumeral joint. So it would depend on if the RCT is in the glenohumeral joint along with the labrum or in the subacromial space. If in both then you may be justified in billing 29823 and depending on carrier appending modifier 59. Hard to say for sure without the operative report - if your physician dictated well...

 

[Jamie Dezenzo]

thanks for the feedback ...Have a great week!