tci Outpatient Facility Coding Alert - 2014 Issue 2

Reader Question: Look at 29828 for Tenodesis and 29825 for Lysis and Debridement

Question: The surgeon documented arthroscopic biceps tenodesis along with arthroscopic extensive debridement including posterior capsular release and debridement and lysis of subacromial postoperative adhesions. What codes should I use to cover the entire procedure? Alabama Subscriber Answer: For arthroscopic biceps tenodesis you should submit 29828 (Arthroscopy, shoulder, surgical; biceps tenodesis). Code 29825 (...with lysis and resection of adhesions, with or without manipulation) would cover the posterior capsular release, debridement, and lysis of subacromial postoperative adhesions. Remember: Surgical endoscopy/arthroscopy always includes a diagnostic endoscopy/arthroscopy, but you don’t usually report a diagnostic code with a surgical code. Nonetheless, there...

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