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CPT code needed - arthroscopic subscapularis

  1. #1
    Exclamation CPT code needed - arthroscopic subscapularis
    Medical Coding Books
    I need a CPT code for a arthroscopic subscapularis repair performed in an ASC. Any ideas??

  2. #2
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    the subscapularis is part of the rotator cuff. Does that point you in the right direction??

  3. #3
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    The doc also performed a 23412 (open rotator cuff repair) along with the arthroscopic repair of the subscapularis. This repair was done, the arthroscopic procedure was concluded and then the mini open was performed. This is really confusing to me.

  4. #4
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    you will only be able to capture the open code, be sure to use the V code that states "arthroscopic converted to open". Even though he does a portion of the repair arthroscopically Depending on the documentation, you may be able to justify a modifier 22.

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