Orthopedic Coding Alert
CCI 20.1 Adds a Handful of New Arthroplasty, FBR Edits
Question: I saw that the Correct Coding Initiative (CCI) version 20.1 came out. Was there anything specific to orthopedics?
Alabama Subscriber
Answer: CCI version 20.1 went into effect April 1, 2014 and included a handful of new musculoskeletal code pairs involving shoulder foreign body and prosthesis removal codes 23333-23335.
For instance, CPT® codes 23470 (Arthroplasty, glenohumeral joint; hemiarthroplasty) and 23472 (Arthroplasty, glenohumeral joint; total shoulder [glenoid and proximal humeral replacement (e.g., total shoulder)]) include removal of native joint or a failed prosthesis and replacement with a new prosthesis.
Also, codes 23333 (Removal of foreign body, shoulder; deep [subfascial or intramuscular]), 23334 (Removal of prosthesis, includes debridement and synovectomy when performed; humeral or glenoid component), or 23335 (Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components [e.g., total shoulder]) should not be reported separately with 23470 or 23472 for removal of a prior failed prosthetic joint.
Orthopedic Coding Alert
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