CPT^® 23395, Under Repair, Revision, and/or Reconstruction Procedures on the Shoulder

The Current Procedural Terminology (CPT^®) code 23395 as maintained by American Medical Association, is a medical procedural code under the range - Repair, Revision, and/or Reconstruction Procedures on the Shoulder.

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Summary

In this procedure, the provider transfers a muscle from another location of the patient’s body to the shoulder or upper arm. He performs this procedure to treat injuries that impair the upper extremity function due to damage of the muscle in the upper arm or shoulder.

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Arthroscopic rotator cuff repair with arthroscopic proximal biceps tendon transfer

I'd appreciate suggestions coding the above procedure. The other surgical coders and myself thought applying a 22 modifier would be sufficient, but the surgeon seems to think we should be able to bil... [ Read More ]

Open McLaughlin procedure

[b]Op report Open McLaughlin[/b] Answer: Surgeons perform McLaughlin procedures to treat posterior dislocating shoulders. During the operation, the surgeon performs a tendon transfer by moving the su... [ Read More ]

Tendon Transfer procedure

Good Morning! I have an question in regards to a procedure that I think my surgeons are billing wrong. In a nut shell the operative note states "I identified the long head of the biceps tendon and t... [ Read More ]

23395 and 23430

Good Morning, Can anyone explain the difference between 23395 and 23430? Our shoulder surgeons always use 23395 but not sure if that's correct :confused: just wondering if anyone has [B]distinct[/B] d... [ Read More ]

Need help with this 23395

Phyician did Open revision RTC repair 23412 with Open revision Deltoid repair with advancement/transfer I'm looking at 23395 for the Deltoir repair with advancement/transfer. Here is part of the op-... [ Read More ]

CPT for advancement of subscapularis

Dr. did a hemi-arthroplasty w/ subscapularis advancement. He's wanting to use 23395 for the advancement, but I'm not very familiar with this code and in reading it's description, I don't feel it's the... [ Read More ]

Help with CPT code selection

Not much info here to go on DX, etc....but look @ 23395/23397 and 23450-23466.... [ Read More ]

capsular plication

[b]Capsulorrhaphy?[/b] Might something in Musculoskelatal System > Shoulder > Repair, Revision, and/or Reconstruction (23395-23491) work? Capsular plication and interval closure is not specifically m... [ Read More ]

23395 vs 23397

The ortho doc wants to know why 23395 Muscle transfer, any type, shoulder or upper arm; single is worth more than 23397 Muscle transfer, any type, shoulder or upper arm; multiple. Im at a loss for the... [ Read More ]

23552, 23395, & 23120 billed together

23552[LT], 23395[LT], & 23120[LT] were are billed together. 23552 was paid. Under what circumstances would the others be payable? What modifiers can be used? FYI: There are no bundling issues in CCI... [ Read More ]

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