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29823 help

  1. Default 29823 help
    Medical Coding Books
    One of our doctors performed an open rotator cuff repair,
    open acromioplasty and distal clavicle resection, 23412, 23130 & 23120 but then he also wants to bill for an arthroscopic extensive debridement 29823-59

    arthroscope introduced , inspection revealed a complete retracted tear of the rotator cuff of the supraspinatus insertion and mild degenerative changes of the anterior labrum, using the shaving system, an extensive debridement was performed to allow identification of the extent of the rotator cuff tear and the labrum, identification revealed degeneration of the labrum and using the scope a debridement was performed. Once irrigation was completed, the arthroscope was removed and the wound was closed. and then the rest of the report goes on about the rest of the open procedures.

    my question is does the above really justify billing for the arthroscopic extensive debridement code 29823-59?

    thank you

  2. #2
    Default 29823
    Well the 29823 extensive debriment is part of the the open repair of the rotator cuff repair so the answer is no you should not bill for the 29823. hope this helps.

  3. Default
    yes but what about the debridement of degenerative labrum done arthroscopically , RCR was open? maybe at least a 29822 w/dx 718.01 & 715.31

  4. #4
    I would go with the 29822-59 forthe labral debridement.

    Mary, CPC, COSC

  5. #5
    Smile 29823
    I would then code 29822-59 which is not inclusive, but be aware when you bill 23412 you cannot bill with 29823 it would be either open or Arthroscopic. Hope this helps.

  6. Default
    thanks you guys! all of you are a blessing!

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