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Open and arthroscopic rotator cuff repairs?

  1. #1
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    Portland Metro Chapter
    Posts
    46
    Default Open and arthroscopic rotator cuff repairs?
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    Does anyone know if there is some official rule regarding when a surgeon performs both a mini-open cuff repair and an arthroscopic repair? Has anyone billed for both and been reimbursed?

    The surgeon performed an arthroscopic repair of the subscapularis and then a mini-open repair of the supraspinatus.

    Thanks.

  2. #2
    Default
    Quote Originally Posted by mmpratt View Post
    Does anyone know if there is some official rule regarding when a surgeon performs both a mini-open cuff repair and an arthroscopic repair? Has anyone billed for both and been reimbursed?

    The surgeon performed an arthroscopic repair of the subscapularis and then a mini-open repair of the supraspinatus.

    Thanks.
    Per NCCI edits they are bundled you cannot bill them together same shoulder.

  3. #3
    Location
    Greater Pittsburgh
    Posts
    390
    Default
    I agree once you convert a scope to an open procedure for the same repair, etc...it is included and use v64.43 as the 2ndry dx.
    jdemar, CPC, CMA

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