Get payer OK in writing before using 29822, 29823 for acromioplasty

Article Overview

This brief coding update explains that payer policies should be reviewed before using certain shoulder arthroscopy debridement codes in place of another procedure code for acromioplasty scenarios, especially when open rotator cuff repair is involved. It is aimed at coders, billers, and revenue cycle staff who need to understand how payer expectations, including Medicare, can affect claim defensibility and audit risk. The article emphasizes the importance of confirming payer approval in writing before making claim-submission changes.