tci Part B Insider - 2006 Issue 2

ORTHOPEDIC: 23470 Eases Resurfacing Hemiarthroplasty Headaches

Helpful hint:  Look for Global CAP or Copeland in documentationIf you think that the new shoulder resurfacing hemiarthroplasty procedure requires a modifier, think again. Although this type of hemiarthroplasty doesn't include humeral head removal, 23470 (Arthroplasty, glenohumeral joint; hemiarthroplasty) will suffice. Here's why.Problem: "Many coders would do a double-take when they see no mention of the humeral head being removed, which is standard practice in a normal hemiarthroplasty of the shoulder," says Heather Corcoran, coding manager at CGH Billing in Louisville, KY. "Therefore, a lot of coders are tempted to use an unlisted procedure code or to...

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