AAPC - Back to school
Results 1 to 5 of 5

Thread: Just a debridement?? 29823

  1. #1

    Default Just a debridement?? 29823

    AAPC: Back to School

    posterolateral arthroscopy portal. I was able to enter the shoulder joint with a blunt cannula and trocar. I used the anterior superior viewing portal made with the 18-gauge needle to confirm the trajectory, and then with a small stab incision in the skin. This allowed me to gain access with the small cannula using the ArthroWand and shaver. Immediately, I noticed a large superior labral tear with attachment of the superior labrum and the peel back mechanism noted, and detachment of the biceps anchor. The labral tear extended anteriorly down to about the 3 o'clock position, with complete detachment. I was able to use the shaver to help delineate the remaining viable anatomy. I did trim this all down to stable peripheral rim of the labral tissue, including the superior aspect and the posterior superior portion, which was torn to about the 11 o'clock position. I obtained pictures of the inferior labrum, showing how there was really a hypoplastic labral tissue noted on the inferior aspect of the labrum, and that her shoulder was easily mobilizable and subluxable inferiorly.

    The biceps tendon was tenotomized at this point to help to trim back the labral tissue to a stable peripheral rim. I was able to use a combination of biters and shavers to help to trim this back to a stable rim. I then visualized the rotator cuff, which was noted to be intact, even through internal and external rotation of the arm.

    At this point, we suctioned the shoulder completely dry. I was able to advance with the cannula and trocar up into the subacromial space, where I was able to visualize purulent bursal material. I used the direct lateral portal to help me to remove this bursal tissue and visualize the rotator cuff. I did use a sweeping fashion with the shaver to help me to get the bursal tissue off of the rotator cuff around in the subdeltoid region, especially in the anterior and posterior aspect, and back to the musculotendinous junction. I viewed the inferior aspect of the AC joint and noted there was no evidence of prominent spurs or hyperplastic tissue in this area.

    29823 is really all I see, am I missing something?

  2. #2


    You can try 29999 for the biceps tenotomy...
    Bruce Crandall, CPC
    North Carolina Specialty Hospital
    Durham, NC

  3. #3


    yes I was going with 29823 and 29999 I just wanted to make sure that it warrents an extensive debridement.... I would feel better with someone's opinion on it.

  4. #4
    Join Date
    Apr 2007
    Long Island/New York


    Quote Originally Posted by BCrandall View Post
    You can try 29999 for the biceps tenotomy...
    you can but providers are now including the biceps tentomy in their debridement codes (29822-29823) as insurance co's are bundling this procedure with everything...

  5. #5
    Join Date
    Apr 2007
    Long Island/New York


    yes..you have documentation to support 29823.

Similar Threads

  1. I have always billed 29827, 29823,59
    By tammy roach in forum Orthopaedics
    Replies: 1
    Last Post: 12-30-2014, 11:35 AM
  2. Extensive debridement glenohumeral joint 29823 ?
    By betsycpcp in forum Orthopaedics
    Replies: 3
    Last Post: 07-19-2012, 06:02 AM
  3. I have to do an appeal on the above code
    By nikkisgranny in forum Orthopaedics
    Replies: 1
    Last Post: 02-28-2011, 08:43 AM
  4. 29823 help
    By BFAITHFUL in forum Orthopaedics
    Replies: 5
    Last Post: 03-10-2009, 08:40 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.