AHA Coding Clinic® for HCPCS - 2010 Issue 3; ASK the EDITOR

Arthroscopic Rotator Cuff Repair

This patient sustained injury to his right shoulder while placing rivets and I-beams at work. He was diagnosed with a right rotator cuff tear and impingement syndrome. The surgeon has scheduled the patient for an arthroscopic rotator cuff repair, subacromial decompression, debridement and bursectomy, of the right shoulder with injection of autologous condition plasma and plasma tissue autograft harvesting. What are the appropriate codes for the plasma tissue autograft harvesting and application? It has been suggested that we report CPT code 20926, Tissue grafts, other (eg, paratenon, fat, dermis), or CPT code 36514, Therapeutic apheresis; for plasma pheresis. ...

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