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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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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