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Thread: subacromial decompression/open claviculectomy

  1. #1

    Default subacromial decompression/open claviculectomy

    I am wanting to double check to see what for sure I can use.
    I've got the 23120 for the clavicle resection
    and may I use the 29822 59 with this? Or should I only use 23120? I do know I can't use 29826. Thanks for any help with this
    The scope was then placed in the subacromial space. Arthroscopic subacromial decompression was completed, removing the CA ligament and removing a generous portion of the undersurface of the acromion to a smooth surface.
    A separate incision was then made over the AC joint. Skin flaps were elevated and hemostasis was achieved with a Bovie. The capsule was identified and teed. The distal clavicle was exposed. Osteotome saw was used to remove the distal clavicle in an oblique-like fashion, removing 34 mm of distal clavicle. The capsule was repaired using 0 Monocryl. 2-0 Monocryl closed subcu and running 3-0 Prolene closed the skin. Sterile dressings were applied and a sling.

  2. #2

    Default

    I am thinking just 23120 only?

    anyone have a 2nd opinion?

  3. #3

    Default

    I am thinking you can do both 23120 and 29826-59

    You can't use 29826 with open rotator cuff repair, but I believe it is acceptable with other procedures

  4. #4

    Default

    I stand corrected :

    For scope acromioplasty with open procedures, the AMA and American Academy of Orthopaedic Surgeons (AAOS) recommend you use 29822 (Arthroscopy, shoulder, surgical; debridement, limited) or 29823 (Arthroscopy, shoulder surgical; debridement, extensive) as appropriate. Note that some payers will accept 29822 in place of 29826 but not 29823, so it’s a good idea to check

  5. #5

    Default

    thank you. appreciate it.

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