What is included in CPT 23472?

What is included in CPT 23472?

arthroplasty
The AMA defines CPT code 23472 as “arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder)).” Current Procedural Terminology (CPT), Professional Edition (American Medical Association 2010).

Can CPT code 23472 and 23430 be billed together?

Capsulorrhaphy and More For Medicare patients — and any other patients covered under federally-funded healthcare programs, such as Medicaid, federal BlueCross® BlueShield®, CHAMPVA, TRICARE®, and any other healthcare program provided to federal employees — code combinations 29806/29827 and 23472/23430 will be denied.

Is 29826 an add on code?

Orthopedic physicians and support staff likely know that CPT code 29826 (arthroscopy, shoulder surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament release, when performed) became an add-on code on January 1, 2012.

What is the CPT code for reverse total shoulder arthroplasty?

Total Shoulder Arthroplasty (TSA, including Reverse TSA) is billed as CPT code 23472; Shoulder Hemi-arthroplasty is CPT code 23470; Revision Shoulder Arthroplasty (one component- ball or socket revision) is CPT code 23473; Revision Shoulder Arthroplasty (both ball and socket) is CPT code 23474.

Can you bill biceps tenodesis with shoulder arthroplasty?

Shoulder Arthroplasty is also routinely performed with stabilization of the Biceps tendon, known as a Biceps Tenodesis- this may be billed as a separate and additional CPT code 23430.

Is biceps tenodesis included in total shoulder arthroplasty?

Total shoulder arthroplasty is becoming increasingly common. A biceps tenodesis or tenotomy has become a routine part of the operation.

How do you get a CPT code?

How is a new code developed?

1. Step 1: AMA staff determines if the request is new.
2. Step 2: Refer application to the CPT Advisory Committee for evaluation and commentary.
3. Step 3: Refer application to the CPT Editorial Panel.
4. Step 4: CPT Editorial Panel takes an action and preliminary approvals.

Does CPT code 26600 need a modifier?

The closed fracture repair is reported using CPT code 26600 (closed treatment of metacarpal fracture, single, without manipulation, each bone) with modifier -LT.

What is the CPT code for arthrocentesis?

20611
The CPT code 20611 is for an arthrocentesis, aspiration and/or injection, major joint or bursa (e.g., shoulder, hip, knee or subacromial bursa with ultrasound guidance, with permanent recording and reporting). The code is billed twice because this was a bilateral procedure.