Question: Our surgeon performed an anterior reconstruction of the shoulder with a capsular shift as an open procedure. How should we report this?
Answer: You should report 23466 (Capsulorrhaphy, glenohumeral joint, any type multi-directional instability) for the open procedure.
Physicians perform inferior capsular shift to treat multi-directional shoulder instability. If the physician ever performs the procedure arthroscopically, you should instead report 29806 (Arthroscopy, shoulder, surgical; capsulorrhaphy).
Pennsylvania Subscriber