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tci Outpatient Facility Coding Alert - 2012 Issue 2

Reader question: You Can Bill Together For Tenotomy and Debridement

  Question: Is it true that we cannot bill 23405 (Tenotomy, shoulder area; single tendon) with 29822 (Arthroscopy, shoulder, surgical; debridement, limited) unless it’s a revision or a reconstruction. Our surgeon did the following procedures: Right shoulder arthroscopy with intraarticular debridement Debridement of portion of the inferior labrum Anterior labral repair Superior labral repair Rotator cuff repair Subromial decompression with acromioplasty The operative note also states: “A biceps tenotomy was performed, as the biceps had a tendency to come in and out of the bicipital groove. Using 2 corkscrews and 4 sutures, the rotator cuff was repaired...

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