Forum - Questions & Answers

Jun 30th, 2014 - kstacey

Decompression of right shoulder

I am new to Orthopedic coding and would like some help with how to code the following:
Neer acromioplasty
Mumford Procedure
Excision of subacromial bursa
Excision of coracoacromial ligament

This was done as an open procedure. Can someone help me, Im not sure if any of these are content of service to another, or if they are 4 separate procedures. This is how I think it should be coded, but I would like professional advice as to if this is correct .I would use 23120, 23130-51, 23415. Please advise as soon as possible.. Thanks

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Jul 8th, 2014 -

re: Decompression of right shoulder

can anyone help me with this question???? Thanks

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Jul 8th, 2014 - CodapediaMsgBoard 96 

re: Decompression of right shoulder

It's hard to say without seeing the text of the surgical note how it would code out.

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Jul 9th, 2014 -

re: Decompression of right shoulder

An incision was made on top of the right shoulder, the skin and subcutaneous tissue were incised and all the bleeders were properly cauterized, meticulous attention was placed to identify the plane between deltoid anteriorly and trapezius posteriorly. We incised at the level of the acromioclavicular joint. When this was identified, , we identified the acromion and the acromion had a large osteophyte going downwards and impinging upon the rotator cuff. We proceeded to do first a Mumford procedure, and thus, excising the later 1.5 cm of the clavicle. Subsequent to this, we removed the undersurface of the acromion with the osteophyte and then, by utilizing our rods with___perfectly clear. When that had been accomplished, we removed a large and exuberant subacromial bursa as well as the coracoacromial ligament. When that had been done, we put 2 Army-Navy retractors, 1 anterior into the deltoid and 1 laterally also at the level of the ___ and acromion. We examined the rotator cuff completely. There was no evidence of any tears, only some evidence of tendonitits at the level of the impingement with no partial or complete tears all the way into the insertion of the rotator cuff into the greater tuberosity. Under these circumstances we irrigated with copious amounts of saline solution with antiobiotic and then we closed the interval between trapezius and deltoid going through the acromion and that was done with a figure-of-eight #1 Surgilon, The we closed the subcutaneous tissue with 2-0 chromic and, finally, the skin with a running stich of 3-0 nylon.

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Jul 9th, 2014 - LBAROGIANIS 250 

re: Decompression of right shoulder

My guess.. not that this is my speciality.. 29824. 29826, 23415-59

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Jul 9th, 2014 -

re: Decompression of right shoulder

How can we tell by the op report dictation if this was completed arthroscopically or by open procedure?

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Jul 9th, 2014 - LBAROGIANIS 250 

re: Decompression of right shoulder

I guess I didn't guess right..sorry.. Your doctor did an open surgery because he did not use arthroscope device, which is a fiber-optic instrument which sees inside a joint.

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Jul 9th, 2014 - LBAROGIANIS 250 

re: Decompression of right shoulder

I have AMA software and if you bill those codes bill them like this.
CPT® 23415
23130 59
23120 59

I can send you a print screen of what my software shows.. or I can fax it to you as well. Send my your email or fax.

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Jul 9th, 2014 -

re: Decompression of right shoulder

my fax is 620-653-5003.. thanks

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Jul 11th, 2014 - LBAROGIANIS 250 

re: Decompression of right shoulder

Hello, I tried faxing it but it won't go through..Can you check to see if you gave me the correct fax number?

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