DecisionHealth, DecisionHealth - 2026 Issue 1 (January)

Q&A: Review coding rules for acromioplasty, limited shoulder debridement

Question: I am hoping that you can assist me with a couple of questions that I have regarding CPT codes 23412, 29826 and 29822:
 
1. When 23412 (rotator cuff repair) is performed and decompression is also performed can you tell me why 29826 is not separately billable for the decompression? I am seeing that the two procedure are bundled but a modifier is allowed to override the edit.
 
2. For code 29822, if a repair is being performed, why would limited debridement not be separately billable? I am not seeing any bundling edits for codes 23412 and 29822. Should these two codes not get billed together?

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