CPT^® 23412, Under Repair, Revision, and/or Reconstruction Procedures on the Shoulder

The Current Procedural Terminology (CPT^®) code 23412 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 performs an open surgical repair of a chronic, or persistent, tear of the rotator cuff in the shoulder. A rotator cuff is a group of four muscles that stabilizes the shoulder joint.

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2 primary surgeons?

You cannot have two primary surgeons on the same procedures. Codes 29807 and 23412 are both shoulder codes. Codes 29898 and 29891 are both ankle codes. I can see one doc billing the shoulder codes as ... [ Read More ]

2 primary surgeons?

Hello! I'm new to AAPC and this is my first question to forum. Is it allowed for two surgeons to both bill the same CPT codes on the same date (and place of service) without one billing as an "assista... [ Read More ]

Can 2 surgeons bill primary?

Hello! I'm new to AAPC and this is my first question to forum. Is it allowed for two surgeons to both bill the same CPT codes on the same date (and place of services) without one billing as an "as... [ Read More ]

Shoulder debridement coding

Read the NCCI manual Chapter IV Musculoskeletal, E. Arthroscopy. What diagnosis is appended to the 29822 if reported with 23412? Is it being assumed by the payer that it was a scope converted to open?... [ Read More ]

Shoulder debridement coding

I am struggling with Medicare on when(if) to code for debridement. I understand that you can not bill for limited debridement when any other ARTHROSCOPIC procedure is performed, but what if an OPEN pr... [ Read More ]

Pectoralis Major Tendon Repair 23412 vs 24341 pectoralis major tendon repair

I have a physician who is adamant that a pectoralis major tendon repair would be coded using 23412 (Repair of ruptured musculocutaneous cuff open; chronic) as opposed to 24341 (Repair, tendon or muscl... [ Read More ]

Pectoralis Major Tendon Repair ?24341 vs 23412 pectoralis major tendon rapair

CPT 29826 not getting paid with 23412 and 29824

I agree with Orthocoderpgu - depending on how much debridement is performed you can bill 29823. If 29823 is not supported, then I append modifier 22 to 23410/23412 to account for the arthroscopic wor... [ Read More ]

CPT 29826 not getting paid with 23412 and 29824

[QUOTE="Kati Achey, post: 487492, member: 59805"] I have had this same problem but only with Aetna. Could you bill 23412, 29824 and 29826-59? [/QUOTE] No because the NCCI edits does not allow modifier... [ Read More ]

CPT 29826 not getting paid with 23412 and 29824

[QUOTE="Orthocoderpgu, post: 420719, member: 29238"] [B]29824 is billable[/B] Code 29824 is billable. It does not hit an edit. But 29826 for the SAD does. So you could bill out 23412, 29823, 29824. ... [ Read More ]

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