coders_rock!
Guest
- Messages
- 410
- Best answers
- 0
Surgical Arthroscopy - 29823 bundled to 29824
Hello everyone, Howare you?
I really hope someone can help me.
Op-report
Posterior incision was made and directed to glenohumeral joint.
Under direct visualization, an anterior incision and protal was made.
Extensive synovitis, as well as chondral injuries throughout the
glenohumeral joint were debrided and removed. Any identified labral
injuries including superior labral tear, anterior and posterior, and
anterior labrum torn portions were removed as well.
Rotator cuff was visualized and noted to have a full-thickness tear.
The edges were debrided. Posterior incision portal was redirected to
subacromial space, where a lateral incision portal was made.
Excessive and thickened scar tissue noted throughout the subacromial
space, including bursal and scar tissue were removed. The type 2
acromion was converted into a flattened type 1 using a bur for
subacromial decompression. Distal inferior spur at the distal
clavicle was also debrided with use of accessory portal in the AC
joint.
The edges of the rotator cuff were identified. Sutures were placed
into the rotator cuff and secured using anchors through the greater
tuberosity. Prior to securing, a bleeding bed was made using a small
bur, creating a bleeding surface of the rotator cuff insertion.
The shoulder was then drained, a single suture placed in all portals,
a sterile dressing was placed and the patient was transferred to the
recovery room without complication.
Can 29823[RT] be billed with 29827[RT], 29826[RT], & 29824[RT].
CCI states it is bundled to 29824 but a modfier is allowed.
Thanks in advance...
Hello everyone, Howare you?
I really hope someone can help me.
Op-report
Posterior incision was made and directed to glenohumeral joint.
Under direct visualization, an anterior incision and protal was made.
Extensive synovitis, as well as chondral injuries throughout the
glenohumeral joint were debrided and removed. Any identified labral
injuries including superior labral tear, anterior and posterior, and
anterior labrum torn portions were removed as well.
Rotator cuff was visualized and noted to have a full-thickness tear.
The edges were debrided. Posterior incision portal was redirected to
subacromial space, where a lateral incision portal was made.
Excessive and thickened scar tissue noted throughout the subacromial
space, including bursal and scar tissue were removed. The type 2
acromion was converted into a flattened type 1 using a bur for
subacromial decompression. Distal inferior spur at the distal
clavicle was also debrided with use of accessory portal in the AC
joint.
The edges of the rotator cuff were identified. Sutures were placed
into the rotator cuff and secured using anchors through the greater
tuberosity. Prior to securing, a bleeding bed was made using a small
bur, creating a bleeding surface of the rotator cuff insertion.
The shoulder was then drained, a single suture placed in all portals,
a sterile dressing was placed and the patient was transferred to the
recovery room without complication.
Can 29823[RT] be billed with 29827[RT], 29826[RT], & 29824[RT].
CCI states it is bundled to 29824 but a modfier is allowed.
Thanks in advance...
Last edited:
