tci Outpatient Facility Coding Alert - 2014 Issue 1

You Be the Coder: Best Options for Rotator Cuff Incision

Question: The surgeon performed rotator cuff surgery on a patient because of infection. . How would I code for irrigation, debridement, and removal of suture and anchor material in this region?Arizona Subscriber Answer: Whenever an arthrotomy or incision is made into the rotator cuff, you have two coding options, depending upon the joint involved. They are 23040 (Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body) and 23044 (Arthrotomy, acromioclavicular, sternoclavicular joint, including exploration, drainage, or removal of foreign body). Check the surgeon’s documentation to verify which area he treated so you can assign the correct...

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