Cpt code for biceps tendon repair

As far as coding, there is no separate code for this in this case. There is for an Achilles tendon tear, but not of the biceps tendon. You will need to use modifier -22 for the additional time & skill involved with the repair, but the physician needs to do their part by including the additional work and the reason for it in the op note.

Surgical repair is traditionally recommended. Given the potential for complications, questions remain whether surgical repair is indicated. Purpose: To explore non-operative management for full distal biceps tendon ruptures. Cases: Two participants with complete tears of the distal biceps tendon confirmed with magnetic resonance imaging ...The surgical repair is necessary to enable normal movement of leg. The CPT code for this procedure is 27658. Distal Biceps Tendon Repair CPT Code Distal biceps tendons are present in the arm near elbows. The tendon may get rupture as a result of an injury and repair is required. The process of arthroscopy is performed to stitch broken tendon ...Distal biceps tendon ruptures are uncommon injuries that can cause impairment in range of motion and function. While distal bicep tendon repair to the radial tuberosity has been demonstrated to restore function and strength, there is a lack of consensus on the optimal technique. The purpose of this Technical Note and video is to provide our preferred method of repair using an open, onlay ...For example, the MRI examination may identify a superior labral tear and biceps tendinosis in addition to rotator cuff tear, but the physical examination is most consistent with rotator cuff pathology. The orthopedist may request a biceps tendon injection to determine if a biceps tenodesis at the time of rotator cuff repair is indicated.The code M66.851 is valid for submission for HIPAA-covered transactions. What is the ICD-10 code for a tendon rupture? The ICD-10-CM code M66.851 might also be used to specify conditions or terms like non-traumatic rupture of tendon of right quadriceps muscle, non-traumatic tear of right biceps femoris tendon or rupture of hamstring tendon.Files related to Reinsertion of ruptured biceps tendon, distal, with or without tendon graft (includes obtaining graft) (24342)For questions on reimbursement or to find information for a specific product, please contact the Arthrex Coding and Reimbursement Hotline at 1-844-604-6359 or email us at [email protected]. Coding Guides (30) Achilles Soft-Tissue Implants - 2024 Coding and Reimbursement Guidelines. File Type:

There is no code for arthroscopic biceps tenotomy. You report code 29999 ( Unlisted procedure, arthroscopy) with a comparison to the open code of 23440 ( Resection or transplantation of long tendon of biceps ). If it is only a tenolysis, you would report code 29822 ( Arthroscopy, shoulder, surgical; debridement, limited) or possibly …Biceps tenodesis is a treatment for chronic long head of the bicep tendon pain due to a variety of causes. This type of surgical repair can either be a stand-alone procedure or part of a larger ...Distal Biceps Repair Using the BicepsButton Implant and Tension-Slide Technique I 05 Once the tendon is fully seated, use a free needle to pass one limb through the tendon and tie a knot, using a knot pusher if necessary. Pull on the free suture limbs to seat the button against the radius. Use fluoroscopy to confirm button deployment.The clavicle (collarbone) There are two attachments of the biceps tendon at the shoulder joint: The long head attaches to the top of the shoulder socket (glenoid); the short head attaches to a bump on the shoulder blade called the coracoid process. The head, or ball, of the upper arm (humerus) bone fits into a rounded socket in the shoulder blade.This secured the. biceps very well. I then went ahead and delivered into the base of the bicipital groove to complete biceps tendon transfer. I copiously irrigated and made sure there was no bleeding and then closed in layers followed by sterile dressing and a sling." It sounds to me like a 23430 biceps tenodesis. Appreciate your help.Answer: You can use 24342 (Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft ). This code specifies the reinsertion of ruptured biceps or triceps, distal end. Orthopedic surgeons always repair triceps distally. Another code possibility is 24341 (Repair, tendon or muscle, upper arm or elbow, each tendon …The risk of complications occurrence appears to increase when the surgical repair of a ruptured distal biceps tendon is delayed . Open in a separate window. Figure 6. Antero-posterior (A) and lateral (B) radiographs of the elbow joint and proximal forearm after the surgical anatomical reinsertion of a ruptured distal biceps brachii tendon. The ...The clavicle (collarbone) There are two attachments of the biceps tendon at the shoulder joint: The long head attaches to the top of the shoulder socket (glenoid); the short head attaches to a bump on the shoulder blade called the coracoid process. The head, or ball, of the upper arm (humerus) bone fits into a rounded socket in the shoulder blade.

what cpt code would you use for bicept tendon injeciton? J. JulesofColorado Expert. Messages 251 Location Grand Junction, CO Best answers 0. Jul 6, 2010 #2 What is the substance being injected? J. JulesofColorado Expert. Messages 251 Location Grand Junction, CO Best answers 0. Jul 6, 2010 #3 Look at 20550 . E. EARREYGUE Guru.Surgical Technique. a subpectoral biceps tenodesis, given the ease of surgical access afforded by this arrangement. A mechanical arm holder, such as the Spider Limb Positioner (Smith & Nephew, Memphis, TN), may be used, or an assistant can hold and position the arm for the procedure (Fig 1).Aug 12, 2021. #1. I have a physician who is adamant that a pectoralis major tendon repair would be coded using 23412 (Repair of ruptured musculocutaneous cuff open; chronic) as opposed to 24341 (Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary) because it is a tendon repair (does not have to be just a ...Heterotopic ossification (HO) is a possible complication of distal biceps tendon repair (DBTR). Several agents can prevent HO formation, although relatively few studies have investigated prophylaxis specifically after DBTR. The purposes of this study were to survey members of the American Shoulder and Elbow Surgeons (ASES) to determine (1) what ...

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Of the 277 distal biceps repairs performed from 2011 to 2016 at our institution, 8 patients were identified as revision distal biceps repairs, for an overall revision rate of 2.9%. When analyzed by surgical technique, single- and double-incision repairs were determined to have a revision rate of 2.4% (4/166) and 3.6% (4/111), respectively.CPT Code 01716, Anesthesia, Anesthesia for Procedures on the Upper Arm and Elbow - Codify by AAPC. ... fascia, and bursae of upper arm and elbow; tenodesis, rupture of long tendon of biceps. For clinical responsibility, terminology, tips and additional info start codify free trial. ... Arthroscopic RC vs mini open Bicep Tendon Repair.There is no unique CPT code for revision biceps tendon repair, and the minimal existing data on the incidence of contralateral biceps tendon ruptures after primary repair report rates at >4-year follow-up in small cohorts. 21–23 As this study evaluated a two-year follow-up, we assumed that the risk of capturing such instances was low, and ...Video 1 This is a repair of a chronic distal biceps injury in a 53-year-old man with tendon retraction of 7 cm shown on magnetic resonance imaging. He is supine, with the arm over a hand table. Our technique for reconstruction of chronic distal biceps injuries uses an Achilles allograft through a modified Henry approach.

The long head of biceps tendon (LHBT) is a well-described source of pain in the anterior adult shoulder. Chronic LHBT pathology is seen in up to 75% of patients with rotator cuff tears. 15 Shoulder arthroscopic surgeons and surgeons who perform open procedures, such as shoulder arthroplasty and open rotator cuff repair, commonly face this condition, and trends in treatment have varied over the ...CPT 29828 is a surgical code used to describe an arthroscopic procedure performed on the shoulder joint to repair an unstable biceps tendon.Looking for DIY foundation crack repair? Continue reading to follow these steps to repair foundation cracks yourself. Expert Advice On Improving Your Home Videos Latest View All Gu...(separate procedure) 24341 : repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff) 24342 : reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft: 24343 : repair lateral collateral ligament .Best answers. 0. Mar 18, 2020. #2. I agree there is no established code for an open biceps tenolysis and would report an unlisted code. 23939 is not showing up as a valid CPT for 2020 in the CPT manual. You could consider 23929 (unlisted procedure shoulder) if this open tenolysis occurs near the long head of the biceps/up near the shoulder joint.We performed a retrospective review of patients undergoing ipsilateral primary and revision distal biceps tendon repair/reconstruction at a single institution. Between 2011 and 2016, a total of 277 patients underwent distal biceps tendon repair, with 8 patients requiring revision surgery.CPT Code 23430, Surgical Procedures on the Shoulder, Repair, Revision, and/or Reconstruction Procedures on the Shoulder - Codify by AAPC. Select. Code Sets; ... the provider surgically cleans the long tendon of the biceps from its damaged fragment and fixes the tendon to the upper end of the humerus to improve the stability of the joint. He ...Distal biceps tendon repairs were isolated using the Current Procedural Terminology (CPT) code: 24342. Distal triceps tendon injuries were excluded with International Classification of Diseases (ICD-10) codes: S46.3**. Patient demographics, intraoperative data, and surgeon fellowship training were collected.Biceps tenodesis is a treatment for chronic long head of the bicep tendon pain due to a variety of causes. This type of surgical repair can either be a stand-alone procedure or part of a larger ...Tendon Lengthening / Shortening CPT Codes. Tendon lengthening, upper arm or elbow, single, each (24305) Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon (25280) Flexor origin slide eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist (25315) Flexor origin slide for cerebral palsy ...

EPIDEMIOLOGY. Distal biceps tendon ruptures are reported as occurring on the dominant arm of male patients between the third and sixth decades of life. 3 Safran et. al projected an incidence of 1.2 distal biceps tendon ruptures per 100,000 patients per year. They found that the injury occurs in the dominant extremity 86% of the time and smokers have a 7.5 fold greater risk of injury than ...

Distal biceps tendon ruptures typically require surgical fixation to restore range of motion and strength to the elbow. This procedure is an open surgical procedure which can be performed on an outpatient basis. The goal is to reattach the tendon to the radius bone using either sutures or anchor with sutures. Proximal biceps tendon ruptures can ...Arthroscopic Biceps Tenodesis. 29828 Arthroscopy, shoulder, surgical; bi ceps t enod esi s. A procedure that cuts the biceps tendon (long head) from where it attaches to the the upper rim of the glenoid (labrum), and reinserts it in another area.It states "biceps tenotomy (the removal of damaged tissue to promote healing) also meets the definition of debridement. The release of the biceps tendon allows the inflamed tissue to leave the shoulder joint and fall into the upper arm." September 2016 Healthcare Business Monthly also had an article called "Overcome Quirky NCCI …Furthermore, obesity has been shown to decrease immune response to acute tendon injury. 15 Of patients with a distal biceps tendon rupture, 36–66% have reported to be obese. 11,12 The exact incidence of smoking in patients with distal biceps tendon ruptures is unknown, but it is widely accepted that smoking is a predisposing …Methods. The 2014 State Ambulatory Surgery and Services Databases from 6 US states were used. Cases with Current Procedural Terminology codes 23430 (tenodesis of long tendon of biceps), 29807 (shoulder arthroscopy, repair of SLAP lesion), and 29828 (shoulder arthroscopy, biceps tenodesis) were selected, excluding patients who were >50 years old or had a concomitant rotator cuff repair.Rotator cuff repair, acromioplasty, and biceps tenodesis operations have become some of the most common shoulder surgical procedures, evolving from open techniques to minimally invasive arthroscopic techniques. The use of many arthroscopic portals has been associated with surgical risks to many surrounding anatomic structures. We present an arthroscopic technique using a single anterolateral ...Biceps Tendon Tear at the Shoulder - OrthoInfo - AAOS. Diseases & Conditions. Biceps Tendon Tear at the Shoulder. Tendons attach muscles to bones. The biceps tendons …INTRODUCTION. Superior labrum anterior to posterior (SLAP) tear refers to a specific injury of the superior portion of the glenoid labrum that extends from anterior to posterior in a curved fashion. These tears are common in overhead throwing athletes and laborers involved in overhead activities. The pathophysiology, clinical presentation ...

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CPT Code 24341. CPT 24341 describes the repair of a tendon or muscle in the upper arm or elbow, either primary or secondary (excluding the rotator cuff). CPT Code 24342. CPT 24342 describes the reinsertion of a ruptured biceps or triceps tendon distally, with or without a tendon graft.Distal Biceps Repair . Clinic Practice Guideline . Background . Distal biceps tendon ruptures occur primarily in males and risk factors include smoking, corticosteroid use, and anabolic steroid use. Tears occur secondary to unexpected extension forces and are typically associated with a "pop".Oct 5, 2010. #2. 27385 Suture of Quadriceps or hamstring muscle rupture; primary procedure. The long head of the biceps femoris makes the Hamstring . So the biceps femoris can be coded for hamstring. Also note the code holds good for quadriceps also. This is a primary repair ( Suture) too. But if yu can give info about what was the actual ...When your surgeon performs flexor forearm/wrist repair, choose from the following codes, depending on encounter specifics: 25260 (Repair, tendon or muscle, flexor, forearm and/or wrist; primary, single, each tendon or muscle) 25263 (… secondary, single, each tendon or muscle) 25265 (… secondary, with free graft (includes obtaining graft ...A distal biceps tendon rupture remains challenging to diagnose, with a delay in diagnosis commonly reported. 5 -9,13 Our experience indicates that a significant number of distal biceps tendon avulsions were initially missed before referral. A prompt diagnosis is important, as complications after surgical treatment of an acute distal biceps avulsion increase as the time interval between ...Video 1 This is a repair of a chronic distal biceps injury in a 53-year-old man with tendon retraction of 7 cm shown on magnetic resonance imaging. He is supine, with the arm over a hand table. Our technique for reconstruction of chronic distal biceps injuries uses an Achilles allograft through a modified Henry approach.Answer: You can use 24342 (Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft ). This code specifies the reinsertion of ruptured biceps or triceps, distal end. Orthopedic surgeons always repair triceps distally. Another code possibility is 24341 (Repair, tendon or muscle, upper arm or elbow, each tendon or ...Mar 24, 2022 · If physical therapy, rest, and medication don’t control the pain, you might need biceps tenodesis surgery to repair or re-anchor the damaged bicep tendons to your shoulder. Traditionally, biceps tenodesis has been performed as an open shoulder surgery, requiring a 3-5 centimeter incision. Biceps tenodesis corrects instability of the biceps tendon due to biceps tendonitis, inflammation of the tendon, which tends to accompany other shoulder problems, such as chronic instability, arthritis, and impingement syndrome. ... report only the appropriate "open" CPT® code (23410 Repair of ruptured musculotendinous cuff (eg, rotator ...Foot and Ankle Systems Coding Reference Guide. Physician (cont.) CPT®Code Description Internal Fixation (cont.) 28420 Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other autogenous bone graft (includes obtaining graft) 28445 Open treatment of talus fracture, includes internal fixation ...CPT codes 29824 (Arthroscopic claviculectomy including distal articular surface), 29827 (Arthroscopic rotator cuff repair), and 29828 (Biceps tenodesis) may be reported separately with CPT code 29823 if the extensive debridement is performed in a different area of the same shoulder. ….

The long head of biceps tendon (LHBT) is a well-described source of pain in the anterior adult shoulder. Chronic LHBT pathology is seen in up to 75% of patients with rotator cuff tears. 15 Shoulder arthroscopic surgeons and surgeons who perform open procedures, such as shoulder arthroplasty and open rotator cuff repair, commonly face this condition, and trends in treatment have varied over the ... rotator cuff repair and in 63% of patients with a subscapularis tear. 8,9 Pathology of the LHB tendon, including superior labrum anterior to posterior (SLAP) tears, can be Abstract The long head of the biceps (LHB) tendon is a potential generator of pain within the shoul-der. Tenodesis of the LHB is a treatment option Once this plane was developed we identified that the biceps tendon and proceeded to perform a bicipital tenodesis to the intact pectoralis major insertion. We resected the remainder of the tendon and then placed traction sutures through the subscapularis muscle and around the lesser tuberosity fragment as well as posteriorly … Arthroscopic rotator cuff repair with arthroscopic proximal biceps tendon transfer I'd appreciate suggestions coding the above procedure. The other surgical coders and myself thought applying a 22 modifier would be sufficient, but the surgeon seems to think we should be able to bil... Aug 12, 2021. #1. I have a physician who is adamant that a pectoralis major tendon repair would be coded using 23412 (Repair of ruptured musculocutaneous cuff open; chronic) as opposed to 24341 (Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary) because it is a tendon repair (does not have to be just a ... The biceps tenodesis CPT codes 23440, 24340 and lastly you may use CPT code 29828. You can find the official long descriptions and short descriptions of the biceps tenodesis CPT codes below to use it for billing this procedure. CPT Code 23430 Long description: Tenodesis of long-tendon of the biceps. Short description: Biceps tendon Tenodesis... Which code would be more appropriate for a distal biceps rupture repair using Endobutton and FiberWire technique? I like 24342 for this, my co-worker likes 24340.Distal biceps tendon repair using endobutton fixation has shown the best biomechanical results in terms of pullout strength. Here, we compared Sethi's enhanced tension adjustable endobutton technique known as the "tension slide technique" to a new knotless endobutton fixation technique without a post-fixation screw. Our new approach is as ... Cpt code for biceps tendon repair, Our Research and Education in Distal Biceps Tendon Rupture. Learn more about our research and professional education opportunities. We can help you find a doctor. Call 646-929-7800 or. browse our specialists. NYU Langone orthopedic surgeons are experts at performing the latest reconstruction procedures for a distal biceps tendon rupture., What is the anesthesia CPT code for biceps tendon repair? Wiki User. ∙ 2013-01-10 01:15:32. Add an answer. Want this question answered? Be notified when an answer is posted. 📣 Request Answer., Learn what website maintenance is and what you can expect in terms of website maintenance costs depending on the type of site you have. Nick Schäferhoff Editor in Chief Website mai..., Rotator cuff repair Rotator cuff repair is a type of surgery to repair a torn tendon in the shoulder. This surgery is described as a mini-open repair because it is performed via a larger incision to allow the surgeon to visualise the rotator cuff rather than via the scope. ACHI Code: 48960-00 [1405] Arthroscopic reconstruction of shoulder , Reinsertion of ruptured biceps tendon, distal, with or without tendon graft (includes obtaining graft) (24342) Repair, tendon or muscle, flexor, forearm and/or wrist; primary, single, each tendon or muscle (25260) , Distal biceps tendon repair can be performed through a single-incision or double-incision approach. Because the original single-incision technique developed by Dobbie 5 resulted in an unacceptably high incidence of neurologic injury, the double-incision technique described by Boyd and Anderson, 3 later modified by Kelly et al 14 and Morrey et ..., Distal biceps ruptures are common injuries that lead to significant decrease in elbow supination strength and pain. This Technical Note describes a single-incision distal biceps tendon repair using 2 knotless suture anchors. This technique is easily reproducible, is efficient, and has the unique benefits of decreasing the risk of heterotopic ossification and damage to neurovascular structure ..., CPT code 97110 provides information about medical procedures and services to payers and indicate that the procedure involves therapeutic exercises that develop endurance, range of ..., Purpose: The purpose of this study is to evaluate the clinical outcome of patients who had excision of a radioulnar heterotopic ossification (HO) as a complication of a distal biceps tendon repair. The hypothesis is that there are no measurable clinical losses that persist after excision. Methods: Eight consecutive patients were identified between 1996 and 2005., Answer: CPT does not yet include a code that describes arthroscopic biceps tenotomy. Most coders report the unlisted-procedure code 29999 (Unlisted procedure, arthroscopy) for this procedure and use 23440 (Resection or transplantation of long tendon of biceps) as a comparison code. Tip: If the surgeon performs the tenotomy as a mini-open ..., The FiberTak Biceps implant (K181769) is used for fixation of soft tissue to bone in the shoulder and elbow. Procedures include, but are not limited to: biceps tendon repair and reattachment (distal/proximal), acromioclavicular repair, and ulnar or radial collateral ligament reconstruction. Value Analysis Significance, Tendon / Muscle Procedure CPT Codes. Injection. Lengthening / Shortening. Repair - Proximal to hand. Repair - Hand Flexor. Repair - Hand Extensors. Rod Procedures. MCP Sagittal Band Reconstruction. Synovectomy / Bursa., Injection therapy around the distal biceps tendon can be performed in patients with a partial biceps tendon tear, bicipitoradial bursitis or distal biceps tendinopathy. Injection therapy with platelet-rich plasma or glucocorticoids around the distal biceps tendon and in the bicipitoradial bursa is challenging because of the lack of clearly ..., Aug 12, 2021. #1. I have a physician who is adamant that a pectoralis major tendon repair would be coded using 23412 (Repair of ruptured musculocutaneous cuff open; chronic) as opposed to 24341 (Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary) because it is a tendon repair (does not have to be just a ..., Proximal Hamstring Repair Follow-up care. Custom hinged brace that prevents hip flexion. Crutches with foot-flat touch-down weight-bearing for two weeks. Partial weight-bearing to 25% is permitted at 2 weeks. Weight-bearing is increased weekly with a goal of full weight-bearing by six weeks., Pass an appropriately curved suture hook through a healthy portion of the most inferior edge of the subscapularis tendon. Pass a suture shuttle through the tendon and retrieve it into the anterior superior cannula with a grasper. load the suture into the shuttle and carry it back through the tendon and into and anterior mid-glenoid cannula., Background: Delayed presentation of distal biceps tendon ruptures can make primary repair difficult, in which case reconstruction using a tendon graft is an option. The aim of this study was to compare outcomes and complications between delayed distal biceps tendon ruptures managed with repair vs. semitendinosus autograft reconstruction., In endobutton repair using an anterior approach, drilling direction is chosen to reduce the risk of posterior interosseous nerve injury. 17,26 As a consequence, the transplant insertion set radially relative to the biceps footprint. 27 Anterior drilling also impacts biceps tuberosity height, 28 and thus could affect supination strength by ..., Wiki Coding for arthroscopic biceps tendon release. Thread starter ldesper; ... #1 Hello All, What code are you all using for Arthroscopic Biceps Tendon Release. I know there isn't a specific code, but I prefer not to use an unlisted code, is there any other code that you could recommend? ... with price reference to 23405. CPT 29828 is for a ..., A few of my providers are billing a Biceptal Tenodesis CPT 23430 and Total Shoulder Arthroplasty CPT 23472 but I don't feel that their documentation supports this. For one the definition of a tenodesis is the repair of a tendon to a bone and this is not being done in these cases. Does anyone know what code we should bill when the bicep tendon ..., Overall complications of distal biceps tendon repair are in the range of 16-18% with lateral antebrachial cutaneous nerve injury being the most common 2. Other complications of biceps tendon repair are partially related to the surgical approach and include the following 1,2 : posterior interosseous nerve injury. superficial radial nerve injury., The patients who underwent simultaneous biceps tendon surgery and rotator cuff repair showed poorer functional outcomes in the postoperative 6th month. 27 In our study, the elbow flexion and forearm supination values of the operated side were nearly double the preoperative values by the postoperative 6th month., Nov 16, 2009. #2. left elbow distal biceps tendon debridement. Try with this code 24341 - Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff) Code Description: The physician repairs one of the muscles or tendons in the upper arm or elbow, not including those of the rotator cuff., Repair. Repair is indicated for a history of acute rupture of biceps tendon associated with significant trauma in a patient under 50 years of age. Repair then stands a reasonable chance of success, but the final decision must be made at the time of exploration of the tendon to assess whether trauma or attrition was the major component in failure., Proximal Hamstring Repair Follow-up care. Custom hinged brace that prevents hip flexion. Crutches with foot-flat touch-down weight-bearing for two weeks. Partial weight-bearing to 25% is permitted at 2 weeks. Weight-bearing is increased weekly with a goal of full weight-bearing by six weeks., Biceps tendon rupture surgery is a minimally invasive surgery to repair a tear in the biceps tendon, the long, cord-like structure that connects the biceps muscle to the shoulder and the forearm. Repair of a biceps tear at the shoulder is called biceps tenodesis. Repair of a biceps tear at the elbow is called distal biceps repair., rotator cuff repair and in 63% of patients with a subscapularis tear. 8,9 Pathology of the LHB tendon, including superior labrum anterior to posterior (SLAP) tears, can be Abstract The long head of the biceps (LHB) tendon is a potential generator of pain within the shoul-der. Tenodesis of the LHB is a treatment option , Answer: Although most coders look to the shoulder repair codes for pectoralis muscle repairs, most experts actually advise that you report 24341 ( Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary [excludes rotator cuff]) for this procedure. Although many practices believe that the pectoralis major is ..., The official description of CPT code 23430 is: “Tenodesis of long tendon of biceps.”. 3. Procedure. The CPT 23430 procedure involves the following steps: The patient is appropriately prepped and anesthetized. The provider makes an incision in the skin and dissects down through the subcutaneous tissue to access the joint and the bicep tendon., As far as coding, there is no separate code for this in this case. There is for an Achilles tendon tear, but not of the biceps tendon. You will need to use modifier -22 for the additional time & skill involved with the repair, but the physician needs to do their part by including the additional work and the reason for it in the op note., The guide pin was placed and was drilled with a 7.5 mm drill. All bone debris was copiously irrigated with GU solution. With the elbow in full extension the biceps tendon was sized to the level of the drill hole and cut. A stitch of #2 FiberWire was placed, modified Krakow stitch, was then loaded into a 7 mm Arthrex Bio-Tenodesis screw which ..., In the ER the physician repaired the laceration and sent the IW to a surgeon for repair of the tendon laceration. The surgeon had to remove the sutures from the initial repair and then repaired the tendon as well as closed the laceration back up a few days after the initial injury. The surgeon is billing for the tendon repair, 26418 but he is ..., Complications after distal biceps tendon repair have been estimated to occur in 25% to 33% of patients, based on 3 systematic reviews that together evaluated 155 studies of 2855 elbows.1, 8, 10 Neurapraxia of the lateral antebrachial cutaneous (LABC) nerve is the most commonly encountered complication, occurring in approximately 8% of patients.1, 4, 8, 10 It is most commonly associated with ...