total shoulder arthroplasty cpt code

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03-11-2024

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Total Shoulder Arthroplasty: Understanding the Procedure and CPT Codes

Total shoulder arthroplasty, also known as a shoulder replacement, is a surgical procedure that replaces the damaged joint surfaces of the shoulder with artificial implants. This procedure can significantly alleviate pain and improve function for individuals suffering from severe arthritis, injuries, or other conditions affecting the shoulder joint.

When is Total Shoulder Arthroplasty Recommended?

Total shoulder arthroplasty is typically recommended for patients experiencing significant pain and limited mobility due to:

• Osteoarthritis: Wear and tear on the cartilage that cushions the joint.
• Rheumatoid arthritis: An autoimmune disease that causes inflammation and damage to the joint.
• Rotator cuff tears: Injuries to the muscles and tendons that surround the shoulder joint.
• Fractures: Severe fractures that cannot be healed by other methods.

Understanding the CPT Codes

CPT codes are numerical codes used to identify medical procedures and services for billing purposes. The specific CPT code for total shoulder arthroplasty depends on the details of the procedure performed.

Common CPT Codes for Total Shoulder Arthroplasty:

• 23410: Arthroplasty, shoulder, total (includes hemiarthroplasty); with or without prosthetic glenoid component. This code covers a standard total shoulder replacement, including both the humeral and glenoid components.
• 23412: Arthroplasty, shoulder, total, with alloplastic glenoid component (e.g., reverse total shoulder arthroplasty). This code applies to reverse total shoulder arthroplasty, where the position of the ball and socket is reversed.
• 23415: Revision arthroplasty, shoulder, total, with or without prosthetic glenoid component. This code is used for revision procedures, which involve replacing or repairing a previously implanted shoulder prosthesis.
• 23417: Revision arthroplasty, shoulder, total, with alloplastic glenoid component (e.g., reverse total shoulder arthroplasty). This code covers revision procedures involving a reverse total shoulder arthroplasty.

Considerations for Choosing the Right CPT Code:

Selecting the correct CPT code is crucial for accurate billing and reimbursement. Factors to consider include:

• Type of implant: The specific type of implant used (e.g., standard or reverse prosthesis).
• Procedure complexity: Whether the procedure is a primary or revision arthroplasty.
• Additional procedures: If any additional procedures were performed during the same surgical session.

Beyond the Code: What Else to Know

• Recovery: Recovery from total shoulder arthroplasty can take several months, with physical therapy playing a crucial role in regaining mobility and strength.
• Complications: As with any surgery, total shoulder arthroplasty can carry risks of complications, such as infection, instability, or nerve damage.
• Long-term care: Regular follow-up appointments with your surgeon are important to monitor the implant and address any potential issues.

Source:

• CPT Codes: https://www.ama-assn.org/practice-management/cpt

Additional Resources:

• American Academy of Orthopaedic Surgeons: https://www.aaos.org/
• American Shoulder and Elbow Surgeons: https://www.asse.org/

Note: This information is for educational purposes only and should not be considered medical advice. It is essential to consult with a qualified healthcare professional for any questions or concerns related to your health or treatment options.