tci Outpatient Facility Coding Alert - 2018 Issue 8

CPT® Coding: Note These 3 NCCI Exceptions Involving Extensive Shoulder Debridement

Streamline the billing and reimbursement process by following these rules. Most coders will attest that coding arthroscopic surgeries of the shoulder is a process that takes time to get down pat. Coding different degrees of superior labral tear from anterior to posterior (SLAP) lesion repairs or shoulder synovectomies, for example, can be time-consuming and tedious. If it’s not challenging enough on its own, you’ve also got to consider what the National Correct Coding Initiative (NCCI) Policy Manual has to say on the subject. As you’ll see, you’ve got to be particularly careful coding arthroscopic debridement...

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