I am in the middle of a Blue Shield audit so I am looking for support from my colleagues to be sure I can respond with confidence and since my docs are going crazy - I would appreciate some help from colleagues.
DX: Chronic rotator cuff tear which was deemed irreparable
Biceps tendon fraying greater than 50%
Left shoulder pain
PROC: Arthroscopic subacromial decompression
coplaning distal clavicle
In the body of the operative report doc reports Grade I chondromalacial changes over the gelnoumeral surfaces, distal calvicle spur impinging on the rotator cuff. According to op note the only thing done to the rotator cuff was "extensive mobilization under tension"
Any ideas would be appreciated. I used 29828 (no arthroscopic tenotomy), 29824-59, 29826-59??????
The second one is:
DX: Impingement syndrome and Type II SLAP
PROC: Chondroplasty of the glenohumeral, repair SLAP, subacromial decompression
I coded: 29807, 29826-59 and 29822-59 ANY IDEAS
Sorry for all these shoulder things - I need some confidence and obviously a coding course - a lot has changed since last year.
Thank you from the bottom of my heart - not sure I would look good in an orange jump suit.
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