Rotator Cuff Repair, Tenodesis, Decompression, Acromioplasty and Coracoplasty

A female patient diagnosed with tear of the subscapularis tendon, biceps tendonitis, subacromial and subcoracoid impingement, underwent arthroscopic rotator cuff repair of the subscapularis tendon, open subpectoral biceps tenodesis with PEEK tenodesis screw, and arthroscopic subacromial and subcoracoid decompressions with acromioplasty and coracoplasty. When rotator cuff repair is performed, are the subacromial and subcoracoid decompression with acromioplasty and coracoplasty coded separately? If the tenodesis is coded separately, how is the PEEK tenodesis screw captured? ...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This premium article reviews a shoulder surgery case involving rotator cuff repair, biceps tenodesis, and decompression procedures. It is aimed at coders and billing professionals who need to understand how the operative services are represented in procedure coding and how related supply issues are handled at a high level. The article focuses on coding scope and code assignment for the services discussed in the case.

Why This Topic Matters

Shoulder procedures often involve multiple related services that can affect how the operative case is coded and reported. This article helps readers evaluate whether the full surgical package should be captured separately or as part of the primary procedure.

What You Will Learn

  • How a shoulder operative case is framed for coding review
  • How related arthroscopic and open services are grouped in a coding discussion
  • How implant or supply items are considered at a general level in procedure coding
  • How to evaluate whether additional shoulder procedures are addressed separately

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing specialists
  • Orthopedic surgery coding staff

Codes Discussed

  • ICD-10-PCS: 0LQ14ZZ
  • ICD-10-PCS: 0RNJ4ZZ

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