Full Answer
An arthroscopic biceps tenotomy is not reported with an unlisted code; it is considered part of a debridement service reported with CPT code 29822 or 29823 depending on the extent of work. An arthroscopic subacromial bursectomy is not reported with CPT code 29826 but is again reported as a debridement service.
Tendinosis of right shoulder ICD-10-CM M67.813 is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 557 Tendonitis, myositis and bursitis with mcc 558 Tendonitis, myositis and bursitis without mcc
Tendonitis of long head of biceps brachii of right shoulder ICD-10-CM M75.21 is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 557 Tendonitis, myositis and bursitis with mcc 558 Tendonitis, myositis and bursitis without mcc
Bicipital tendinitis, right shoulder. M75.21 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM M75.21 became effective on October 1, 2018. This is the American ICD-10-CM version of M75.21 - other international versions of ICD-10 M75.21 may differ.
Unspecified disorder of synovium and tendon, right upper arm M67. 921 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM M67. 921 became effective on October 1, 2021.
Biceps tenodesis is a common procedure performed for tendinopathy of the long head of the biceps brachii (LHB). Indications include partial-thickness LHB tear, tendon subluxation with or without subscapularis tear, and failed conservative management of bicipital tenosynovitis.
We used Current Procedural Terminology (CPT) code 23430 to determine the number of LHB tenode- sis cases, as the surgeons primarily perform an open subpectoral biceps tenodesis.
Revision biceps tenodesis was defined as patients undergoing subsequent ipsilateral arthroscopic biceps tenodesis (CPT 29828) or subsequent ipsilateral open biceps tenodesis (CPT 23430) after the index procedure.
Biceps tenodesis treats biceps tendon tears caused by injury or overuse. The procedure also treats SLAP tears — tears in your labrum (cartilage that lines the inner part of your shoulder joint.)
Biceps tenodesis involves cutting the biceps tendon off the labrum, which is the pad of cartilage inside the glenoid, and reattaching it to the humerus (upper arm bone). Biceps tenotomy means cutting off one tendon and not reattaching it, allowing it to heal to the humerus over a few weeks.
CPT 29823 — Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (e.g., humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator ...
Abstract. Total shoulder arthroplasty is becoming increasingly common. A biceps tenodesis or tenotomy has become a routine part of the operation. There are several advantages to a tenodesis or tenotomy.
CPT® Code 23430 in section: Repair, Revision, and/or Reconstruction Procedures on the Shoulder.
If the repair is a SLAP, you'd code work done on the upper half of the labrum as 29807 (Arthroscopy, shoulder, surgical; repair of SLAP lesion). If the repair was in the lower half of the labrum, you'd use instead code 29806 (Arthroscopy, shoulder, surgical; capsulorraphy).
So in general, can 29823 be billed with 29824.. It's not inclusive to this procedure? Yes as long as the debridment is unrelated to AC joint/area.
Per the 2017 CMS NCCI Surgical Policy Manual code 29823 CAN be billed with 29824, 29827 & 29828 ONLY.