AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2015 Issue 1; Ask the Editor
Reverse Total Shoulder Arthroplasty
A patient was admitted for right shoulder arthroplasty. A reverse total shoulder arthroplasty was performed, the rotator cuff was repaired, and the biceps tendon was tenodesed and secured with sutures. To achieve additional external rotation strength, the latissimus muscle was harvested and transferred around the humerus and secured to the greater tuberosity. Are the rotator cuff repair, tenodesis and latissimus dorsi transfer inherent to the arthroplasty, or should these procedures be coded separately? ...
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Article Overview
This premium article reviews reverse total shoulder arthroplasty in the context of a clinical scenario involving additional shoulder procedures. It is aimed at coders, billers, and reimbursement professionals who need to understand the scope of the procedure, the related anatomy and implant concepts, and the coding implications discussed by the article.
Why This Topic Matters
Shoulder arthroplasty cases often involve multiple operative components, and understanding how an article treats related procedures can affect coding accuracy and claim reporting.
What You Will Learn
- The general concept of reverse total shoulder arthroplasty.
- How the article frames related shoulder procedures in a surgical case scenario.
- The kinds of coding questions that arise when multiple procedures occur in the same operation.
- The implant and anatomical concepts associated with reverse shoulder replacement.
Who Should Read This
- Medical coders
- Coding auditors
- Orthopedic billing staff
- Reimbursement specialists
- Orthopedic surgery documentation reviewers
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