tci Outpatient Facility Coding Alert - 2013 Issue 5

Reader Question: Yes, You Can Report 2 Codes for Repairs of Both Shoulders

Question: Our surgeon wants to report two units of 23410 for repairs done in same shoulder. There were tears of both the teres major and latissimus dorsi. Repair was done through a single incision for full thickness of tears of 90% of the tendon with a very small slip of the upper border of the tendon remaining attached. Please recommend if we can report 2 units of 23410 or only one unit of 23410 with modifier 22 for the repair of the second tear. Ohio Subscriber Answer: CPT® code 23410 (Repair of ruptured musculotendinous cuff [e.g., rotator cuff]...

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