Advanced Search

Orthopedic Coding Alert

Reader Questions:

Avoid Rotator-Cuff Codes for Deltoid Repair

Published on Sat Aug 27, 2005

Question: Our surgeon repaired the deltoid muscle as an open procedure. We're considering 23410, but we don't think that it's close enough. Can you suggest a better code?


Tennessee Subscriber
Answer: Unless the surgeon specifically documented a musculotendinous cuff repair, you should not report 23410 (Repair of ruptured musculotendinous cuff [e.g., rotator cuff] open; acute).

Because your surgeon repaired the deltoid muscle, you should consider 24341 (Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary [excludes rotator cuff]). Compare this code's descriptor to your surgeon's documentation to confirm that it describes his services.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Orthopedic Coding Alert

View All