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Biceps tenotomy

Wow. I am finding many differences of how to code for an arthroscopic biceps tenotomy during shoulder arthroscopy. I cannot seem to make sense of it all. Or find a conclusive, agreed upon, coding solution. Does anyone have any recent and up-to-date information?

Ortho surgeon performed:

1. Left Should arthroscopy—-debridement is indicated as "labral debridement with use of an arthroscopic shaver"…
2. Biceps tenotomy
3. Subacromial bursectomy–not reported separately
3. Subacromial decompression

I found that the biceps tenotomy is reportable as an unlisted CPT code along with 29822 (limited debridement) and 29826.

But then I found that the biceps tenotomy is considered to be a debridement procedure. So that, along with the labral debridement, and the subacromial bursectomy would justify 29823 (extensive debridement).

Does anyone have any suggestions on deciphering all of this? Does the biceps tenotomy, and labral debridement and subacromial bursectomy = an extensive debridement? Our surgeon is indicating in his procedure statement that shoulder arthroscopy was with "limited labral debridement".

One CPC suggests billing 29822, 29826, and 29999. Another CPC suggests billing 29823 and 29826. :( I’m the CPC unsure of herself!

Thank you all for any input or suggestions…..

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