My physician performs an arthroscopic procedure for decompression, then performs an open procedure for rotator cuff repair ( 23412 , Repair of ruptured musculotendinous cuff [eg, rotator cuff] open; chronic) and claviculectomy ( 23120 , Claviculectomy; partial). However, code 29826 (REVISED IN 2012), Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separately in addition to code for primary procedure), is an add-on code. How do we report the procedure? ...
Subscribe or sign in to view the full article.
Article Overview
This coding article explains how a shoulder arthroscopy scenario is reported when an arthroscopic decompression is performed in the same operative session as open repair and clavicle surgery. It is intended for coders, billers, and orthopaedic surgery staff who need to understand the general reporting considerations, applicable CPT references, and the role of modifier usage in a multiple-procedure setting.
Why This Topic Matters
Shoulder procedures can involve both arthroscopic and open components, and accurate reporting depends on recognizing which services are separately reportable and how they are represented in CPT. This article helps readers understand the coding context for combined procedures and the documentation concepts involved.
Article Sections
-
Question and scenario
Introduces a shoulder surgery coding question involving arthroscopic and open components performed during the same operative encounter.
-
Reporting guidance
Summarizes the general reporting approach discussed for the procedures in the scenario and identifies the relevant CPT context.
-
Modifier discussion
Addresses the use of a modifier in relation to separately distinct services within the reported procedure set.
What You Will Learn
- How the article frames a combined arthroscopic and open shoulder procedure scenario.
- What general CPT reporting topics are addressed for shoulder decompression and related surgery.
- Why modifier usage is discussed in the context of separate procedures.
- How the article distinguishes broad reporting considerations from the operative details.
Who Should Read This
- Medical coders
- Billing staff
- Orthopaedic surgery practices
- Revenue cycle teams
- Auditors reviewing operative coding
Codes Discussed
Modifiers Discussed
Subscribe or sign in to view the full article.

Quick, Current, Complete - www.findacode.com