I have been researching this subject for a while now and while I have concluded that an ASCR done with Dermal Allograft seems to have many different ways that people think it should be coded. I am under the belief that the ASCR with dermal allograft should probably be coded as an unlisted. What I am having a really hard time with, is the rotator cuff repair with the superior capsule reconstruction. My doc is under the belief he can code for the RTCR and the ASCR together if it is for a massive rotator cuff tear. I am thinking that when these procedures are done I should probably only code for the ASCR especially if no capsular defect is mentioned. Could someone PLEASE help me understand this???