Arthroscopic shoulder impingment and rotator cuff repair

A patient is suffering from shoulder impingement and rotator cuff tear degenerative. The physician performs subacromial decompression with acromioplasty for shoulder impingement and arthroscopic rotator cuff repair. What are the appropriate ICD and CPT codes?

DX     CODE       DESCRIPTION

1        726.10        Rotator cuff tear degenerative

2        726.2          Shoulder impingment syndrome

PX      CODE      DESCRIPTION         

1         83.63        Rotator Cuff Repair

2         81.83        Shoulder Decompression with Acromioplasty



CPT   CODE      DESCRIPTION             

1        29827       Arthroscopic Rotator Cuff Repair

2        29826       Arthroscopic Shoulder Decompression with Acromioplasty          

When there is shoulder impingement and rotator cuff tear, the physician may also perform extensive debridement of the shoulder, which should be reported with additional codes as shown below. If you are coding for physician then 51 modifier should be appended to CPT 29826 and any additional CPT codes.

PX      CODE      DESCRIPTION          

 3         80.81       Repair of Shoulder NEC (Arthroscopic shoulder debridement)

PX      CODE      DESCRIPTION    

3         29823       Arthroscopic Shoulder Debridement extensive