Arthroscopic rotator cuff repair is code 29827 (Arthroscopy, shoulder, surgical, with rotator cuff repair). If arthroscopic subacromial decompression with or without acromioplasty and/or coraco-acromial ligament release also is performed, code 29826-51 is appropriate.

Can 23412 and 29827 be billed together?

One tendon is being repaired arthroscopically and another tendon is being repaired via a mini-open procedure. I am being told that since the repairs are on different tendons that both 29827 & 23412 can both be billed. All of this is on the same shoulder.

Can CPT code 29827 and 29826 be billed together?

CPT 29826 can only be billed along with one (or more) of the following CPT codes: 29806, 29807, 29819, 29820, 29821, 29822, 29823, 29824, 29825, 29827 and 29828.

What is the difference between CPT code 23412 and 23420?

Code 23412 is more appropriately used for most of the rotator cuff tears that occur in older individuals who have sustained a tear over time, with or without a superimposed acute episode. Code 23420 is more frequently use in retraction with a large tear, extensive releases and mobilization.

Can 29822 and 29827 be billed together?

When CPT code 29822 is billed and paid with one or more of the following CPT codes: 29805, 29806, 29807, 29819, 29820, 29821, 29823, 29824, 29825, 29827, 29828 for the same date of service, for the same beneficiary, for the same shoulder, at the same encounter, if the provider or facility was paid for CPT codes 29805.

What is the difference between CPT code 23420 and 23412?

Is 29827 an add-on code?

29827, shoulder scope w/ RTC, is listed as one of the primary procedure codes you can add-on the 29826, scope SAD.

Does 23410 include Acromioplasty?

From a coding perspective, code 23410, Repair of musculotendinous cuff (eg, rotator cuff); acute, includes the work involved in performing a partial acromionectomy.

What is Acromioplasty in the shoulder?

Acromioplasty, also known as shoulder decompression surgery is a common treatment for shoulder impingement syndrome, especially if non-surgical treatment options don’t work for you. In this surgery, your doctor removes bone tissue to make more room for your muscles to relax.

What is the difference between CPT 29822 and 29823?

Code 29822 covers limited debridement of soft or hard tissue and should be used for limited labral debridement, cuff debridement or the removal of degenerative cartilage and osteophytes. Code 29823 should be used only for extensive debridement of soft or hard tissue.

What do you need to know about CPT 29827?

CODING & BILLING CPT 29827 regardless of whether the condition is acute versus chronic. The operative report should specify an acute ver- sus chronic condition. The technique (open versus arthroscopic) will need to be apparent to include a detailed description of a repair versus reconstruc- tion of the specific tendon(s) or cuff.

What does CPT code 23412 mean?

23412 Chronic Chronic tears originate from overuse or constant stress. CPT codes 23410 and 23412 describe musculotendinous cuff (eg, rotator cuff) repairs involving 1 or 2 tendons or major muscles of the rotator cuff.  Code 23412 describes repair of a chronic rupture. 

What is the CPT code for rotator cuff tear?

• Chronic tears originate from overuse or constant stress. CPT codes 23410 and 23412 describe musculotendinous cuff (eg, rotator cuff) repairs involving 1 or 2 tendons or major muscles of the rotator cuff. Code 23412 describes repair of a chronic rupture.

Should ASCR code 29827 be used for Biceps tenodesis?

It’s inappropriate to report ASCR using 29827 (either with or without modifier 22). Code 29828 Arthroscopy, shoulder, surgical; biceps tenodesis represents an arthroscopic biceps tenodesis. A mini-open biceps tenodesis should be coded as open with 23430 Tenodesis of long tendon of biceps.