Shoulder scope help!!


Cedar Hill, MO
Best answers

I have a doctor that does a lot of shoulder scopes. He generally does a subacromial decompression with most of the procedures. My question is would I bill the 29826 or 29823 if other debridement was performed along with the subacromial decompression and parent code i.e 29827 or 29824 or both? We generally perform a bursectomy as well. This particular one had distal clavicle resection, subacromial decompression, bursectomy and debridement of labral tearing.

Thank you in advance,
Katherine Ellis C.P.C.
First of all, 29826 requires an acromioplasty. No acromioplasty, no 29826 (read description of code). If debridement is done in preparation for a procedure such as rotator cuff, tenodesis, that debridement is not counted towards 29822 & 29823. You will need to read the op note carefully and count only the debridement that is not related to a procedure and count that towards 29822 & 29823. 29822 is always bundled by the way. Per a recent article in AAPC Magazine, you need three areas of debridement in the shoulder to report 29823.