Wiki What's in 23420

[coders_rock!]

Does anyone know what is included in this procedure because the description in Ingenix is very limted. The insurance company is denying 23120, 23107, 23107, 29826, 29825, 29820 & 20680. CCI edit does not bundle some of these procedures and others it allows a modifier. I am thoroughly confused. Please help...

 

[maddismom]

Here's the lay description; not sure if you already have this?
The most common approach to reconstruct a complete rotator cuff avulsion tear of the shoulder is an anterior approach through an incision over the acromioclavicular joint. If the infraspinatus is to be shifted, a second incision is made along the scapular spine posteriorly, detaching a portion of the posterior deltoid if necessary. The margins of the tear are freshened and a non-absorbable suture closes the longitudinal portion of the tear. A portion of the articular cartilage on the underside of the humeral head is removed. The raw edges of the torn tendon are brought into contact with raw bone and the ends of the sutures are passed through holes drilled through the greater tuberosity and tied over its lateral aspect. The physician performs an acromioplasty. Acromioplasty involves the division of the acromioclavicular ligament followed by the use of a burr to cut away the under surface of the acromion. During acromionectomy, the distal portion of the acromion is removed. Once the reconstruction is complete, the incision is closed and the arm may be positioned in an abduction splint or pillow for protection.