Results 1 to 8 of 8

help Ortho Experts!

  1. #1
    Location
    Duluth, Minnesota
    Posts
    1,133
    Default help Ortho Experts!
    Exam Training Packages
    ok ortho experts - without posting the entire 3 page op report - just going by the listed procedure performed:

    PROCEDURE: Left shoulder arthroscopy and debridement with open subacromial decompression and distal clavicle excision, biceps tenodesis, and a Bankart reconstruction

    what CPT(s) do you come up with? I come up with 4 different CPT's - and the use of a modifier. I'd like to know just how far off base I am on this! LOL

    anybody care to offer their opinion ?

    thanks MUCH!
    Donna, CPC, CPC-H

  2. #2
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    Donna thats a tough one without a note..but here goes.

    29822 vs 29823 (may bundle depending on documentation and what/how much they are debriding)
    23130 vs 23415 subacromial decompression (depending on documentation)
    23120 distal clavicle
    23430 biceps tenodesis
    23455 vs 23450 Bankart (again dependent on documentation)

    Hope this helps and doesnt hinder what you already have
    Mary

  3. #3
    Location
    Duluth, Minnesota
    Posts
    1,133
    Default
    thanks Mary for responding !!- here's what I came up with (close to yours but not quite the same - I realize you were flying blind on this without the note) anyway - I came up with:
    29806 (shoulder arthroscopy)
    29823.59 (debridement)
    23430 (biceps tenodesis)
    23120 (distal clavical)

    I didn't code the Bankart because when I looked it up it said to use 29806 if arthroscopic procedure....???

    ok, so tell me how come you didn't use the 29806? what did I miss? (in that basic procedure line)...or did I read too much into it??

    and I see I totally missed coding out the decompression (23130/23415)depending ....
    Last edited by dmaec; 09-24-2008 at 04:39 PM.
    Donna, CPC, CPC-H

  4. #4
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    I only coded the debridement through the scope because the rest all followed the word "open"

  5. #5
    Location
    Duluth, Minnesota
    Posts
    1,133
    Default
    But wouldn't you still code the Left shoulder arthroscopy code 29806 (and debridement)...then the rest as they are? (open)...
    Donna, CPC, CPC-H

  6. #6
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    In order to capture the 29806, the Bankhart must be documented being done through the scope. The only thing I see in the title of the original post that was done through the scope was the debridement therefore the 29822/29823 would be the only scope codes and then it appears he converted to open to do the rest of the procedures. Its possible that the 29822/29823 will bundle so you may not be able to use any scope codes at all and have to use the V code for the "convert to open" as well.

  7. #7
    Location
    Duluth, Minnesota
    Posts
    1,133
    Default
    thanks Mary - that it explains it very well!! I get it now. I've noticed (and I just started doing this docs ortho procedures), he "always" states "shoulder arthroscopy and debridement" with ----and goes on to list other things he does. I kept wanting to code the 29806, even though he converts to open for the other procedures. I wonder why he states it that way, it makes me want to code it!

    Thanks again for your help - you've cleared my headache up!
    Donna, CPC, CPC-H

  8. #8
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    you're welcome, glad I could help

Similar Threads

  1. 23410 vs 23412 any ortho experts out there???
    By MELJNBBRB in forum Orthopaedics
    Replies: 1
    Last Post: 08-21-2014, 02:15 PM
  2. ortho to ortho 2nd opinion
    By JLM929 in forum E/M
    Replies: 3
    Last Post: 05-29-2013, 09:35 AM
  3. Ortho Experts-help foot/ankle fracture op report
    By AR2728 in forum Orthopaedics
    Replies: 1
    Last Post: 08-21-2012, 10:22 AM
  4. Ortho experts on shoulders?
    By Alta in forum Orthopaedics
    Replies: 2
    Last Post: 10-27-2009, 02:21 PM
  5. E/M experts..
    By ARCPC9491 in forum E/M
    Replies: 3
    Last Post: 03-03-2009, 03:30 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.