I was given this link by one of our forum members in reference to this same question, I found it helpful.
documentation requires a DESCRIPTION of the procedure...not the name of the procedure..no he cannot say "subacromial decompression" (in body of op) he must describe everthing he did to achieve this procedure. I also know for a distal clavicle excision he must state at least 8-10 mm or 1cm of the clavicle was resected....I have been denied on both of these in the past for insufficient documentation. Remember when you were in school and your math teacher said "show your work" ....same principle.
You can charge for labral debridement so long as it is in different "area" of shoulder...the 29826 is extra-articular work so the 29822 can be used since it was done inside of the joint.
Keep in mind i have not read the op report.
There are several AAOS articles regarding the labral debridement, and distal clavicle documentation......if you dont have access ...you can send me email....i will look them up.
hope it helps!
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