Code 29806, Arthroscopy, shoulder, surgical; capsulorrhaphy covers both anterior and posterior capsulorrhaphy (29806, lower half and 29807, upper half). If a repair is done both anteriorly and posteriorly, it would be coded as 29806-22. 2017 AAPC article states: NCCI bundles codes 29806 and 29807, and only allows one per shoulder, per session
Shoulder joint replacement Short description: Joint replaced shoulder. ICD-9-CM V43.61 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, V43.61 should only be used for claims with a date of service on or before September 30, 2015. You are viewing the 2012 version of ICD-9-CM V43.61.
Other specific arthropathies, not elsewhere classified, right shoulder Oth specific arthropathies, NEC, right shoulder ICD-10-CM Diagnosis Code M12.812 [convert to ICD-9-CM] Other specific arthropathies, not elsewhere classified, left shoulder
Postdysenteric arthropathy, left shoulder Post-dysenteric arthropathy of left shoulder; Postdysenteric arthritis of bilateral shoulders; Postdysenteric arthritis of left shoulder; Postdysenteric arthropathy of left shoulder ICD-10-CM Diagnosis Code M02.219 [convert to ICD-9-CM] Postimmunization arthropathy, unspecified shoulder
CPT® code 29822 Arthroscopy, shoulder, surgical; debridement, limited includes debridement of soft or hard tissue.
Arthroscopic surgical procedure converted to open procedure The 2022 edition of ICD-10-CM Z53. 33 became effective on October 1, 2021.
Arthroscopic labrum repairs Report CPT 29806 for surgical capsular repairs when they're performed arthroscopically.
When a surgeon performs an arthroscopic rotator cuff repair, report CPT 29827 regardless of whether the condition is acute versus chronic. The operative report should specify an acute versus chronic condition.
M75. 101 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 M75. 101 became effective on October 1, 2021.
ICD-10 code Z98. 890 for Other specified postprocedural states is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
The 2022 edition of ICD-10-CM S43. 431A became effective on October 1, 2021. This is the American ICD-10-CM version of S43.
ICD-10 Code for Superior glenoid labrum lesion of left shoulder, initial encounter- S43. 432A- Codify by AAPC.
29806CPT code 29806 for Arthroscopic Posterior Labral Repair of Shoulder?
ICD-10 code M75. 121 for Complete rotator cuff tear or rupture of right shoulder, not specified as traumatic is a medical classification as listed by WHO under the range - Soft tissue disorders .
Error #3: Unbundling 29806 and 29807 for SLAP 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).
Rotator cuff tear or rupture, not specified as traumatic The 2022 edition of ICD-10-CM M75. 1 became effective on October 1, 2021. This is the American ICD-10-CM version of M75.
Do not report both the open and arthroscopic codes with modifier 59 because the work was performed in the same anatomic location during the session. Coding for arthroscopic shoulder surgery is complex, and coding errors are common. Although the information in this article is not exhaustive, it’s important.
Three areas generally recognized as part of the shoulder are the: 1 Glenohumeral joint, 2 Acromioclavicular joint, and 3 Subacromial bursal space.
CPT® code 29822 Arthroscopy, shoulder, surgical; debridement, limited includes debridement of soft or hard tissue. Debridement in a single area of the shoulder is considered limited debridement. CPT® code 29823 Arthroscopy, shoulder, surgical; debridement, extensiv e includes debridement of multiple soft structures, multiple hard structures, or a combination of both.#N#Limited and extensive debridement are included in other shoulder arthroscopy procedures, even if the debridement is performed in a different area of the same shoulder than the primary procedure. There are three exceptions to this rule. Per National Correct Coding Initiative (NCCI) edit guidelines, extensive debridement (CPT® 29823) performed in a different area of the same shoulder with any of the following arthroscopic shoulder procedures may be reported separately:#N#29824 Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)#N#29827 with rotator cuff repair#N#29828 biceps tenodesis#N#Example: When an arthroscopic rotator cuff repair with debridement of the biceps tendon and debridement of the labrum is performed, you may report 29827 and 29823 because the bundling edit is removed from this code combination.#N#When an arthroscopic repair of a superior labrum anterior and posterior (SLAP) lesion is performed with debridement of the labrum and biceps tendon on the same shoulder, however, you may only report CPT® 29807 Arthroscopy, shoulder, surgical; repair of SLAP lesion. Per NCCI guidelines, the debridement (29823) is considered included in the primary procedure when performed on the same shoulder.
Type III: A bucket-handle tear of the labrum, where the torn part of the labrum hangs into the joint. Type IV: The torn labrum extends all the way into the biceps tendon. Check the documentation to identify where on the labrum the surgery was performed. Many surgeons refer to “clock” positions.
Shoulder Anatomy. Three areas generally recognized as part of the shoulder are the: Glenohumeral joint, Acromioclavicular joint, and. Subacromial bursal space. The Centers for Medicare & Medicaid Services (CMS), however, considers the shoulder to be a single anatomic structure.
Some arthroscopic procedures require immediate conversion to an open surgical procedure. When this happens, you may only report the open surgical procedure. However, you may append modifier 22 to the open procedure code to support the additional work performed arthroscopically.
The shoulder is a complex joint, and proper coding for shoulder procedures requires a strong foundation of knowledge in anatomy and physiology. Shoulder arthroscopy codes particularly can be confusing as the guidelines for arthroscopic shoulder surgeries have changed considerably in the last decade. Here are some essential points to understand about arthroscopic shoulder surgery coding and documentation.