Wiki Need Help for Arthroscopic Superior Capsule Reconstruction cpt code ???

[Evas]

he did
Arthroscopic assist superior capsular reconstruction ( 29999 ) ??? or 29806-22
open subacromial decompression ( 23130 )
distal clavicle excision ( 23120 )
biceps tenodesis ( 23430 )
open rotator cuff repair to the superior capsule ( 23412 )

any feedback on all of this.

thanks

 

[MI_CODER]

Based on the information that you provided, I agree with all of the proposed codes. However, there is a CCI edit between 23412 and 23130 so I would append modifier 51 or 59 to 23130. Also, I would code the arthroscopic superior capsular reconstruction as CPT 29999. I find that this article helps me tremendously when coding for shoulder procedures.

Per the CPT Assistant, April 2017 Page: 9 Category: Frequently Asked Questions:

Surgery: Musculoskeletal System

Question:

How should an arthroscopic superior capsular reconstruction (ASCR) for an "irreparable" supraspinatus tear in the shoulder be reported?

Answer:

Currently, there is no specific CPT code to report an arthroscopic superior capsular reconstruction (ASCR). Therefore, it is appropriate to report code 29999, Unlisted procedure, arthroscopy. When reporting an unlisted code to describe a procedure or service, it is necessary to submit supporting documentation (eg, procedure report) along with the claim to provide an adequate description of the nature, extent, and need for the procedure; and the time, effort, and equipment necessary to provide the service