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Identify Key Differences When Billing SLAP Repairs - AAPC Look to 29807 for SLAP Repair You-ll always report 29807 when the physician repairs a SLAP lesion, which is a "tear of the antero-superior (usually) or postero-superior glenoid labrum," says Bill Mallon, MD, orthopedic surgeon and medical director at Triangle Orthopaedic Associates in Durham, N C If you aren't sure whether the physician
Update Your Understanding of Shoulder Arthroscopy Codes When an arthroscopic repair of a superior labrum anterior and posterior (SLAP) lesion is performed with debridement of the labrum and biceps tendon on the same shoulder, however, you may only report CPT® 29807 Arthroscopy, shoulder, surgical; repair of SLAP lesion Per NCCI guidelines, the debridement (29823) is considered included in the
Wiki CPT for scope repair shoulder labral tear anterior posterior - AAPC When Dr William Beach M D created the arthroscopic CPT codes for the shoulder his intention was to divide the shoulder into an upper half and lower half Work performed on the upper would be reported with 29807 and lower 29806 What your most likely dealing with is a Type II SLAP tear
Stay Current when Reporting Shoulder Procedures - AAPC For example, when performing a superior labral tear from anterior to posterior (SLAP) repair (29807 Arthroscopy, shoulder, surgical; repair of SLAP lesion) and a debridement of a rotator cuff tear and biceps tear (29823), you cannot separately report 29823, per NCCI guidelines, because the debridement is considered inclusive (unless it’s for
Follow these tips to successful labral tear coding - AAPC Documentation indicating a SLAP repair might warrant 29807, Bentin says However, other procedures performed in combination with the SLAP repair might justify 29807 in addition to other codes "With Type IV SLAP lesions, most surgeons proceed to arthroscopic biceps tenotomy or biceps tenodesis," Mallon says
Describe Labral Tear Repairs With 29807 : Reader Questions - AAPC Answer: You should report just one unit of 29807 (Arthroscopy, shoulder, surgical; repair of SLAP lesion) to cover both labral repairs if the surgeon repaired a true SLAP lesion "SLAP" stands for Superior Labral Anterior to Posterior, so one unit of 29807 describes the surgeon's work repairing both the anterior and posterior SLAP lesions
Dont Substitute Codes : Avoid SLAP and Bankart Repair Denials - AAPC What if the surgeon tackles another procedure along with a SLAP or a Bankart repair? If there is a separate incision, it merits its own code For example, partial claviculectomy (23120) would fall into the category of separate procedure In these cases, modifier -51 (multiple procedures) during the same session must also be listed
Use Proper Documentation to Ensure Payment for Arthroscopic SLAP . . . - AAPC Comparing and contrasting the SLAP lesion repair to the Bankart lesion repair for which there is an existing code gives the carrier a better idea of what reimbursement should be Because of the risk of reductions when using unlisted codes, ask for a specific amount rather than leaving it to the carrier to determine reimbursement
Bankart and SLAP Lesions : Reader Question - AAPC A Bankart lesion is an anterior-inferior lesion; a SLAP lesion is anterior-posterior CPT 2002 introduced two specific codes for reporting arthroscopy of shoulder capsule lesions: Use 29807 to report arthroscopic repair of a SLAP lesion and 29806 to report arthroscopic repair of other injuries to the shoulder capsule, including a Bankart lesion