Overview of CPT Code 23035:Arthroscopic shoulder debridement
CPT Code 23035 refers to arthroscopic shoulder debridement, a minimally invasive surgical procedure aimed at removing damaged tissue from the shoulder joint to alleviate pain and improve function.
When CPT Code 23035 is Used?
This procedure is indicated in various clinical scenarios.
- Chronic shoulder pain due to rotator cuff tears.
- Shoulder impingement syndrome.
- Loose bodies within the shoulder joint.
- Degenerative joint disease affecting the shoulder.
Symptoms Indicating This Procedure
Patients may report several symptoms that lead to the consideration of this procedure.
- Persistent shoulder pain that limits daily activities.
- Swelling and tenderness around the shoulder joint.
- Reduced range of motion in the shoulder.
- Clicking or popping sounds during shoulder movement.
Causes and Risk Factors
Understanding the causes and risk factors can help in prevention and management.
- Age-related wear and tear on shoulder joints.
- Previous shoulder injuries or surgeries.
- Repetitive overhead activities, such as in sports or certain occupations.
- Genetic predisposition to joint problems.
Diagnostic Tests Before Procedure
Several diagnostic tests may be performed to confirm the need for this procedure.
- X-rays to assess bone structure and joint space.
- MRI to visualize soft tissue damage and inflammation.
- Ultrasound to evaluate rotator cuff integrity.
- Physical examination to assess range of motion and pain.
Procedure Description
The procedure involves several key steps to ensure effective treatment.
- Patient is placed under general or regional anesthesia.
- Small incisions are made around the shoulder joint.
- An arthroscope is inserted to visualize the joint.
- Damaged tissue, loose bodies, and debris are removed.
- Incisions are closed with sutures or adhesive strips.
Preparation for the Procedure
Proper preparation is essential for a successful outcome.
- Discuss any medications with your doctor, especially blood thinners.
- Avoid eating or drinking for several hours before the procedure.
- Arrange for transportation home post-surgery.
- Wear loose-fitting clothing for comfort after the procedure.
Recovery and Aftercare
Recovery time varies, and proper aftercare is crucial.
- Initial recovery may take a few days to a week.
- Physical therapy is often recommended to regain strength and mobility.
- Keep the surgical area clean and dry.
- Pain management may include prescribed medications or over-the-counter pain relievers.
Possible Complications
While complications are rare, they can occur.
- Infection at the surgical site.
- Persistent pain or stiffness in the shoulder.
- Nerve or blood vessel damage.
- Recurrent shoulder problems or need for further surgery.
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Post-Procedure Follow-Up
Follow-up appointments are important for monitoring recovery.
- Initial follow-up within 1-2 weeks post-surgery.
- Regular check-ups to assess healing and physical therapy progress.
- Long-term follow-up may be needed to monitor shoulder function.
Alternative Treatments
There are non-surgical options available for shoulder issues.
- Physical therapy to strengthen shoulder muscles.
- Corticosteroid injections to reduce inflammation.
- Activity modification to avoid aggravating symptoms.
- Over-the-counter pain medications for symptom relief.
Home Care Tips
Simple home care can aid in recovery.
- Apply ice packs to reduce swelling.
- Follow prescribed exercises from your physical therapist.
- Avoid heavy lifting or strenuous activities until cleared by your doctor.
- Keep follow-up appointments to monitor recovery.
Patient Education & Prevention
Education is key to preventing future issues.
- Engage in shoulder-strengthening exercises.
- Maintain a healthy weight to reduce joint stress.
- Use proper techniques during sports and physical activities.
- Seek early treatment for shoulder pain to prevent worsening conditions.
Billing and Coding Information
CPT Code: 23035
Category: Surgery
Common Modifiers:
- 50 - Bilateral procedure
- RT - Right side
- LT - Left side
Average Cost and Insurance Coverage
Costs can vary based on several factors.
- Average cost ranges from $5,000 to $15,000.
- Insurance may cover the procedure if deemed medically necessary.
- Out-of-pocket costs depend on individual insurance plans.
Related CPT Codes
Frequently Asked Questions (FAQs)
What is arthroscopic shoulder debridement?
It is a minimally invasive procedure to remove damaged tissue from the shoulder joint.
How long does recovery take?
Recovery can take a few days to several weeks, depending on individual healing.
Will I need physical therapy after the procedure?
Yes, physical therapy is often recommended to regain strength and mobility.
Are there risks associated with this procedure?
As with any surgery, there are risks such as infection and nerve damage.
