AMA CPT® Assistant - 2017 Issue 4 (April)

Surgery: Musculoskeletal System (Q&A) (April 2017)

April 2017 page 9b Surgery: Musculoskeletal System Question: How should an arthroscopic superior capsular reconstruction (ASCR) for an "irreparable" supraspinatus tear in the shoulder be reported? Answer: Currently, there is no specific CPT code to report an arthroscopic superior capsular reconstruction (ASCR). Therefore, it is appropriate to report code 29999, Unlisted procedure, arthroscopy. When reporting an unlisted code to describe a procedure or service, it is necessary to submit supporting documentation (eg, procedure report) along with the claim to provide an adequate description of the nature, extent, and need for the procedure; and the time, effort, and equipment necessary...

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