Wiki Total shoulder

[coders_rock!]

Can you report cpt code 23420 with 23472?

 

[OCD_coder]

Not if the procedures were performed on the same shoulder.

Per NCCI edits 23420 bundles into 23472 as inclusive unless performed on the contralateral shoulder. The 1 indictor states it is allowed, the limitation is that they are included when it's the same shoulder.

23472 23410 19960101 * 1
23472 23412 * 19960101 * 1
23472 23415 19960101 * 1
23472 23420 19960101 * 1
23472 23430 19960101 * 1
23472 23450 19960101 * 1
23472 23470 19960101 * 1

 

[coders_rock!]

Thank you