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Thread: Shoulder surgery

  1. #1

    Default Shoulder surgery

    AAPC: Back to School
    Hey Guys - it is the little shoulder coding chicken!!

    The payer is Blue Shieild -

    Physician performs arthroscopic rotator cuff repair, excision of distal clavicle including greater than 10 mm, subacromial decompression and debridement of Type 1 superior labral anterior and posterior tear through both the anterior and posterior portals.

    The diagnoses includ rotator cuff tear, acromioclavicular joint arthropathy, subacromial impingement and Type I SLAP tear.

    I would code 29827, 29826-51, 29824-59 and 29823-59

    Can you guys help me - I am not sure if the 29824 is billable but he did bone work greater than 10mm. The second questions is do I use 29823 or 29822 with modifier 59. Because it was both anterior and posterior portals I would conclude that is back and front and use 29823.

    What do you think?

    Thanks so much!!

    Chicken Little aka Desperate D

  2. #2


    Have you checked your NCCI edits for 29822 and 29823?

  3. #3

    Default Shoulder case


    I did check the CCI edits and it states that if the physician addresses the tear back to front then I can use 29823. 29822 would be bundled in with 29826 per AAOS - I think.

    Any help is appreciated!

    Thank you - Denise

  4. #4


    Your codes look right to me. 29824 is for a distal claviculectomy, no matter how much is removed. 29823 is good if the documentation supports it.

    Hope that helps!
    Bruce Crandall, CPC
    North Carolina Specialty Hospital
    Durham, NC

  5. #5

    Default Shoulder case

    Thanks so much for your help Bruce - really appreciate - just a little gun shy these days.

    Have a great weekend.

    MWNW Orthopedics

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