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Thread: CPT code needed

  1. #1

    Exclamation CPT code needed

    AAPC: Back to School
    I need a CPT code for a arthroscopic subscapularis repair performed in an ASC. Any ideas??

  2. #2
    Join Date
    Apr 2007


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

  3. #3


    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
    Join Date
    Apr 2007


    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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