How do I report a superior labrum from anterior to posterior (SLAP) lesion and capsule repair?
You can report two CPT codes — 29806 and 29807 — only if the SLAP lesion repair is Type 2 or Type 4, according to the AAOS Global [Service Data guidelines]. That is, you must have two separate problems: a capsular defect, not caused by SLAP, and a SLAP tear. Documentation should support the type of SLAP lesion being repaired. 3. What is the correct usage of CPT code 23420, “reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty)”? CPT code 23420 is intended to identify an old tear. “This type of extreme tear usually requires rearrangement of the normal anatomy and sometimes grafting with either biological or nonbiological material for repair,” according to the CPT Assistant, Oct. 2005, Volume 15, Issue 10, pages 23-24. AAOS also states: “If there is significant retraction with a large tear, extensive releases and mobilization may be required, justifying the use of CPT code 23420. If fascia or synthetic material is required, CPT code 23420 also is a
You can report two CPT codes — 29806 and 29807 — only if the SLAP lesion repair is Type 2 or Type 4, according to the AAOS Global [Service Data guidelines]. That is, you must have two separate problems: a capsular defect, not caused by SLAP, and a SLAP tear. Documentation should support the type of SLAP lesion being repaired. 3. What is the correct usage of CPT code 23420, “reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty)”? CPT code 23420 is intended to identify an old tear. “This type of extreme tear usually requires rearrangement of the normal anatomy and sometimes grafting with either biological or nonbiological material for repair,” according to the CPT Assistant, Oct. 2005, Volume 15, Issue 10, pages 23-24. AAOS also states: “If there is significant retraction with a large tear, extensive releases and mobilization may be required, justifying the use of CPT code 23420. If fascia or synthetic material is required, CPT code 23420 also is a