CPT^® 23415, Under Repair, Revision, and/or Reconstruction Procedures on the Shoulder

The Current Procedural Terminology (CPT^®) code 23415 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 a release of the coracoacromial ligament to restore shoulder function when the patient experiences a stiff, painful, or frozen shoulder. The provider may perform acromioplasty, a process in which the provider shaves a portion of the bone from the underside of the acromion process to release the abnormal pressure that it might be causing on underlying muscle or tendon.

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23415 or 29826

Neither 23415 or 29826 is supported in that documentation. Code 29824 is supported. Code 29823 is supported. Code 23415 requires an incision which is not documented. Code 29826 requires a subacromial... [ Read More ]

23415 or 29826

Hi, Please see attachment and let me know your opinion on what code would be supported by the documentation: 23415 or 29826?... [ Read More ]

acromioplasty/RCT repair/bursectomy

[b]Open shoulder[/b] This one is tricky for me as well. I was told that if the RTC is a completion tear (avulsion) to use 23420 and this would include everything. If you use the 23410 RCR, if curren... [ Read More ]

Total shoulder

Not if the procedures were performed on the same shoulder. Per NCCI edits 23420 bundles into 23472 as inclusive unless performed on the contralateral shoulder. The 1 indictor states it is allowed... [ Read More ]

29823 and 29826

under 29826 it does say(use in conjunction with 29806-29825) so I would say 29826 is an add on code for 29823 unless its an open procedure....then use 23130 or 23415 as the notes state.... [ Read More ]

shoulder bursectomy ??

For open bursectomy, use code 23130 or 23415 if coracoacromial ligament is released. For arthroscopy procedure, use 29826; bursectomy is included but, only if another major procedure was performed sin... [ Read More ]

shoulder bursectomy ??

For open bursectomy, use code 23130 or 23415 if coracoacromial ligament is released. For arthroscopy procedure, use 29826; bursectomy is included but only if another major procedure was performed sinc... [ Read More ]

29826 with 29827

from encoder pro CPT 29826 Arthroscopic Procedures Excludes Open surgery (23130, 23415) Code first (29806-29825, 29827-29828)... [ Read More ]

Billing code 29826

[QUOTE="blasterfish, post: 208791, member: 73503"]My local Medicare carrier is denying codes 29822 & 29826 stating code 29822 requires a 59 modifier??!! I understood that with code 29826 being an add... [ Read More ]

CA Release and Acromioplasty Confusion

[QUOTE="broncsrox, post: 207464, member: 4673"]I've done quite a bit of research (incl this site) trying to distinguish the difference between 23415 and 23130. As yet I have found nothing that clears ... [ Read More ]

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