CPT^® 29828, Under Endoscopy/Arthroscopy Procedures on the Musculoskeletal System

The Current Procedural Terminology (CPT^®) code 29828 as maintained by American Medical Association, is a medical procedural code under the range - Endoscopy/Arthroscopy Procedures on the Musculoskeletal System.

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Summary

The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps muscle in the forearm to its bony attachment at the shoulder join. Biceps tenodesis corrects instability of the biceps tendon due to biceps tendonitis, inflammation of the tendon, which tends to accompany other shoulder problems, such as chronic instability, arthritis, and impingement syndrome.

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Modifier 51

I need help determining when to use modifier 51. I understand that it is to be used for multiple procedures, but my question is: do I [I]always[/I] have to use it for more than two procedures? An exam... [ 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 ]

Extensive debridement CPT 29823

If you search the forums here there are a lot of discussions about this. [URL unfurl="true"]https://www.aapc.com/discuss/threads/29823-vs-29822.178020/?view=date#post-505424[/URL] You can't separate... [ Read More ]

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 ]

29823 vs 29822

These are really invaluable if you are coding orthopedic surgery. [URL]https://www5.aaos.org/store/product/?productId=18869166&_ga=2.2289328.162128983.1641496967-931131646.1640876434&ssopc=1[/URL] Yo... [ Read More ]

29823 extensive intra articular debridement

Hi, Read the CPT description of 29823 well, it was updated and now states what is required (and gives examples) to report extensive debridement. [LIST] [*]CPT 29823 — Arthroscopy, shoulder, surgic... [ Read More ]

Prior authorization

I work for an orthopedic office. We prior authorize the surgeries though turning point. We are having a hard time getting the G0289 and 29823 approved. It is mostly for Medicare plus blue. I know the ... [ Read More ]

Prior authorization

SHOULDER ARTHROSCOPY HELP

29828 - Bicep Tenodesis is often used to aid in correcting a SLAP tear. So the SLAP tear would be the dx for the Bicep Tenodesis. Also, it looks like enough was debrided to qualify for the 29823. The ... [ Read More ]

SHOULDER ARTHROSCOPY HELP

Can someone help me with the operative report below? I came up with 29828, 29823, 29826. I am confused on the diagnosis for 29828. Is it done for the SLAP? If so, can I use the 29823 for rotator cuff... [ Read More ]

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