What is the CPT code for biceps tenotomy?

What is the CPT code for biceps tenotomy?

The CPT codes 23405–Tenotomy biceps tendon, 23430–Open tenodesis of long tendon of biceps (LTB), and 29828–Arthroscopic biceps tenodesis were used to represent the patient population.

Is biceps tenodesis same as tenotomy?

Biceps tenodesis involves cutting the biceps tendon off the labrum, which is the pad of cartilage inside the glenoid, and reattaching it to the humerus (upper arm bone). Biceps tenotomy means cutting off one tendon and not reattaching it, allowing it to heal to the humerus over a few weeks.

What is the difference between a tenotomy and an Tenodesis?

Whether to treat with tenodesis (anchoring the tendon to prevent any further excision) or tenotomy (dividing the tendon and enabling it to retract), however, is a matter of much debate.

Can CPT code 29827 and 29828 be billed together?

You can bill 29827 & 29828 together as there is no edit that prohibits it. In 2017 CMS stated in the NCCI Surgical Policy Manual that the shoulder is considered “one anatomical” unit or location. As such, when billing Medicare or any insurance that follows their rules, you cannot bill any coding pair that hits an edit.

Is the bicep tendon part of the rotator cuff?

A fifth muscle, the long head of biceps, while not technically part of the rotator cuff, also plays a major role. Muscles attach to bones via a tendon; the rotator cuff tendons all attach at the front shoulder on the upper arm bone called the humerus.

What is a tenotomy procedure?

Percutaneous means “affected through the skin,” and tenotomy means cutting or removal of tendon tissue. Percutaneous needle tenotomy is a procedure to pierce the damaged parts of the tendon with a needle through the skin under ultrasound guidance. The goal is to promote the body’s healing response.

Can CPT codes 29807 and 29823 be billed together?

CPT code 29823 Arthroscopy, shoulder, surgical; debridement, extensive, is bundled with CPT 29807 Shoulder Arthroscopic, repair SLAP Lesion or CPT 29806 Shoulder Arthroscopic, Capsulorrhaphy, for the same date of service, for the same shoulder, for the same beneficiary, and for the same encounter.

What is the difference between CPT 29822 and 29823?

Here is the difference between LIMITED and EXTENSIVE debridement: If the surgeon debrides 1 to 2 “discrete structures” in the shoulder, it’s limited (29822). If the surgeon debrides 3 or more, it would be coded as extensive (29823). Bone and soft tissues qualify as discrete structures.