tci Outpatient Facility Coding Alert - 2013 Issue 8

You Be the Coder: Assess Tenotomy and Debridement Coding

Question: Is it true that we cannot bill 23405 (Tenotomy, shoulder area; single tendon) with 29822 (Arthroscopy, shoulder, surgical; debridement, limited) unless it’s a revision or a reconstruction? Our surgeon did the following procedures: Right shoulder arthroscopy with intraarticular debridement Debridement of portion of the inferior labrum Anterior labral repair Superior labral repair Rotator cuff repair Subacromial decompression with acromioplasty In addition, the operative note states: “A biceps tenotomy was performed, as the biceps had a tendency to come in and out of the bicipital groove. Using 2 corkscrews and 4 sutures, the rotator cuff was repaired...

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