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29825 denied

  1. Question 29825 denied
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    Hello,

    29825 was denied as bundled to 29826, can you take a look @ the op-report to help me determine whether or not they can be separately reported. Thanks in advance.

    A routine posterior arthroscopic portal was established 3 cm inferior and 2 cm medial to the posterolateral corner of the acromion. The arthroscope was introduced into the glenohumeral joint and the surgical findings noted as above.

    An anterior portal was established midway between the coracoid process and the anterolateral corner of the acromion. Through this portal, a synovial resector was used to perform a debridement of the degenerative superior labral lesion. Electrocautery was then used to perform a complete synovectomy.

    Because, there was a 50% tear of the biceps tendon, a complete tenotomy of the biceps tendon was performed using electrocautery via the anterior portal. This was performed for pain relief as well as improvement of motion as it was observed that the biceps tendon was adherent to the overlying rotator cuff.

    The arthroscope was removed from the glenohumeral joint, and via the posterior portal introduced into this subacromial space with care taken to be certain that the arthroscope was superior to the rotator cuff tendon. A lateral portal was then established 3 cm lateral to the mid-acromion, and through this portal a synovial resector was used to perform a complete bursectomy. Electrocautery was used to detach the coracoacromial ligament from the anterior acromion, and a motorized burr was then used to perform an anterior acromioplasty with care taken not to violate the deltoid origin. At the conclusion of the acromioplasty, the undersurface of the acromion was smooth and flat, and there was approximately 1.5 cm of distance between the undersurface of the acromion and the underlying surface of the rotator cuff tendon, consistent with an adequate subacromial decompression.

  2. #2
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    Quote Originally Posted by coders_rock! View Post
    Hello,

    29825 was denied as bundled to 29826, can you take a look @ the op-report to help me determine whether or not they can be separately reported. Thanks in advance.

    A routine posterior arthroscopic portal was established 3 cm inferior and 2 cm medial to the posterolateral corner of the acromion. The arthroscope was introduced into the glenohumeral joint and the surgical findings noted as above.

    An anterior portal was established midway between the coracoid process and the anterolateral corner of the acromion. Through this portal, a synovial resector was used to perform a debridement of the degenerative superior labral lesion. Electrocautery was then used to perform a complete synovectomy.

    Because, there was a 50% tear of the biceps tendon, a complete tenotomy of the biceps tendon was performed using electrocautery via the anterior portal. This was performed for pain relief as well as improvement of motion as it was observed that the biceps tendon was adherent to the overlying rotator cuff.

    The arthroscope was removed from the glenohumeral joint, and via the posterior portal introduced into this subacromial space with care taken to be certain that the arthroscope was superior to the rotator cuff tendon. A lateral portal was then established 3 cm lateral to the mid-acromion, and through this portal a synovial resector was used to perform a complete bursectomy. Electrocautery was used to detach the coracoacromial ligament from the anterior acromion, and a motorized burr was then used to perform an anterior acromioplasty with care taken not to violate the deltoid origin. At the conclusion of the acromioplasty, the undersurface of the acromion was smooth and flat, and there was approximately 1.5 cm of distance between the undersurface of the acromion and the underlying surface of the rotator cuff tendon, consistent with an adequate subacromial decompression.
    What I see more of is 29826 and a 29823 (Extensive debridement) for the labrum and synovium.

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