Wiki I have to do an appeal on the above code

[nikkisgranny]

I have to do an appeal on the above code. What constitutes "extensive" debridement.

Op report states "The humeral head, glenoid, and glenoid labrum were debrided using a 4.0 synovial resector."

Is this enough or do I need more documentation.

 

[MARY K]

Cpt 29823

From the AAOS Bulletin-April 2006 I found the description as follows;
Code 29823 should be used only for extensive debridement of soft or hard tissue. It includes a chondroplasty of the humeral head or glenoid and associated osteophytes or multiple soft tissue strutures that are debrided such as labrum, subscapularis and supraspinatus.
Website address: www2.aaos.org/aaos/archives/bulletin/apr06/coding2.asp
Hope this helps.