Total Shoulder Arthroplasty (TSA, including Reverse TSA) is billed as CPT code 23472; Shoulder Hemi-arthroplasty is CPT code 23470; Revision Shoulder Arthroplasty (one component- ball or socket revision) is CPT code 23473; Revision Shoulder Arthroplasty (both ball and socket) is CPT code 23474.
Presence of right artificial shoulder joint The 2022 edition of ICD-10-CM Z96. 611 became effective on October 1, 2021.
The major difference between a standard shoulder replacement and a reverse procedure is that in a reverse shoulder replacement the ball and socket parts of the shoulder joint switch sides. This means their natural position is reversed.
In a reverse shoulder replacement, the normal ball-and-socket structure is reversed. An artificial ball is attached to the shoulder blade. An artificial socket is attached to the top of the arm bone. The large deltoid muscle that covers the shoulder is typically able to move the arm.
Presence of left artificial shoulder joint Z96. 612 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 Z96. 612 became effective on October 1, 2021.
Shoulder replacement removes damaged areas of bone and replaces them with parts made of metal and plastic (implants). This surgery is called shoulder arthroplasty (ARTH-row-plas-tee). The shoulder is a ball-and-socket joint. The round head (ball) of the upper arm bone fits into a shallow socket in the shoulder.
In traditional total shoulder replacement the procedure involves replacing the ball and socket of the shoulder joint. Reverse total shoulder replacement also replaces this ball and socket.
For patients with large rotator cuff tears or shoulder arthritis, arthropathy, reverse total shoulder replacement is a better option because the rotator cuff muscles no longer function. The reverse total shoulder replacement relies on the deltoid muscle, instead of the rotator cuff, to position and power the arm.
In severe cases, the shoulder may even feel paralyzed. However, reversing the joint can take pressure off the rotator cuff, because the muscles powering the movement of the arm transfer to the shoulder's deltoid muscles rather than the rotator cuff muscles.
What to Expect. An orthopedic surgeon will replace the natural bone in the ball and socket of your shoulder joint with a material that could be metal or plastic. It's a major surgery that'll keep you in the hospital for several days. You'll also need several weeks of physical therapy afterward.
Revision to reverse shoulder arthroplasty is an option in the treatment of failed anatomic prostheses. The reverse prosthesis is designed to compensate for an insufficient rotator cuff by recruiting anterior and posterior fibers of the deltoid muscle. Restoration of deltoid tension results in lengthening of the arm.
The reverse total shoulder replacement relies on the deltoid muscle, instead of the rotator cuff, to power and position the arm. This surgery was originally designed in the 1980s in Europe.