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Shoulder Arthroplasty +

  1. Default Shoulder Arthroplasty +
    Medical Coding Books
    Is it appropriate to append the -59 modifier to supraspinatus repair (23410) and biceps tenodesis (23430) when performed with a shoulder arthroplasty (23472) through the same incision? The biceps was documented as having "a significant intrasubstance degenerative tear" and the supraspinatus "small tear along the anterior aspect with detachment from the greater tuberosity."

    Thanks.

  2. Default
    I use mod 51 instead of mod 59 and send the op notes.

    Hope this helps.

  3. #3
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    Quote Originally Posted by etcscott View Post
    Is it appropriate to append the -59 modifier to supraspinatus repair (23410) and biceps tenodesis (23430) when performed with a shoulder arthroplasty (23472) through the same incision? The biceps was documented as having "a significant intrasubstance degenerative tear" and the supraspinatus "small tear along the anterior aspect with detachment from the greater tuberosity."

    Thanks.
    My doc will dictate that it is a separate issue from the Total Shoulder helping get the claim paid. It all comes down to the documentation..

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