tci Part B Insider - 2012 Issue 39

Reader Question: Shoulder Revisions Comprise Multiple Steps

Question: How would you code a right reverse total shoulder arthroplasty revision to hemiarthroplasty of an infected right reverse total shoulder arthroplasty? The humeral stem was not revised, there was a lot of glenoid bone loss and the glenoid was non-reconstructible therefore a thorough debridement of fibrous tissue was done. The surgeon placed a cap on the reverse to convert it to a hemiarthroplasty with a 52 x23 mm head and nothing was placed in the glenoid portion. Answer: You report code 23470 (Arthroplasty, glenohumeral joint; hemiarthroplasty) for the revision hemiarthroplasty and append modifier 22 (Increased procedural...

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