Overview of CPT Code 23066:arthroscopic-repair-of-shoulder-rotator-cuff

Overview of CPT Code 23066:arthroscopic-repair-of-shoulder-rotator-cuff

CPT Code 23066 refers to the arthroscopic repair of a shoulder rotator cuff, a minimally invasive surgical procedure aimed at repairing tears in the rotator cuff tendons. This procedure is performed using small incisions and specialized instruments, allowing for reduced recovery time and less postoperative pain compared to open surgery.

When CPT Code 23066 is Used?

This procedure is indicated in various clinical scenarios.

• Full-thickness rotator cuff tears confirmed by imaging.
• Partial-thickness rotator cuff tears that cause significant pain or dysfunction.
• Chronic shoulder pain not responding to conservative treatments.
• Shoulder instability associated with rotator cuff tears.

Symptoms Indicating This Procedure

Patients may report several symptoms that suggest the need for this procedure.

• Persistent shoulder pain, especially during overhead activities.
• Weakness in the shoulder or arm.
• Limited range of motion in the shoulder joint.
• Pain at night or while resting.

Causes and Risk Factors

Understanding the causes and risk factors can help in prevention and management.

• Age-related degeneration of the rotator cuff tendons.
• Acute injuries from falls or accidents.
• Repetitive overhead activities, common in athletes and certain occupations.
• Previous shoulder injuries or surgeries.

Diagnostic Tests Before Procedure

Several diagnostic tests are utilized to confirm the need for surgery.

• MRI or ultrasound imaging to visualize the rotator cuff.
• X-rays to rule out other shoulder conditions.
• Physical examination to assess range of motion and strength.

Procedure Description

The procedure involves several key steps.

• Patient is placed under general anesthesia.
• Small incisions are made around the shoulder joint.
• A camera (arthroscope) is inserted to visualize the inside of the shoulder.
• Torn tendons are identified and repaired using sutures.
• The incisions are closed with sutures or adhesive strips.

Preparation for the Procedure

Proper preparation is essential for a successful outcome.

• Avoid eating or drinking after midnight before the surgery.
• Discuss current medications with the surgeon, especially blood thinners.
• Arrange for transportation home post-surgery.
• Wear loose-fitting clothing on the day of the procedure.

Recovery and Aftercare

Recovery involves several important steps.

• Initial recovery period of 4 to 6 months for full healing.
• Physical therapy to regain strength and mobility.
• Pain management with prescribed medications.
• Regular follow-up appointments to monitor healing.

Possible Complications

While complications are rare, they can occur.

• Infection at the surgical site.
• Persistent pain or stiffness in the shoulder.
• Re-tear of the rotator cuff.
• Nerve or blood vessel injury during surgery.

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Post-Procedure Follow-Up

Follow-up care is crucial for recovery.

• First follow-up appointment within 1 to 2 weeks post-surgery.
• Regular visits every 4 to 6 weeks during recovery.
• Assessment of shoulder function and pain levels.

Alternative Treatments

Non-surgical options may be considered before surgery.

• Physical therapy to strengthen shoulder muscles.
• Corticosteroid injections to reduce inflammation.
• Activity modification to avoid aggravating the injury.
• Pain management with over-the-counter medications.

Home Care Tips

Patients can take steps to aid recovery at home.

• Apply ice to the shoulder to reduce swelling.
• Keep the arm elevated to minimize discomfort.
• Follow prescribed physical therapy exercises diligently.
• Avoid heavy lifting or overhead activities during recovery.

Patient Education & Prevention

Education is key to preventing future injuries.

• Engage in shoulder-strengthening exercises.
• Practice proper techniques in sports and activities.
• Avoid repetitive overhead motions without breaks.
• Maintain a healthy weight to reduce joint stress.

Billing and Coding Information

CPT Code: 23066

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 $10,000 to $20,000.
• Insurance typically covers the procedure if deemed medically necessary.
• Out-of-pocket costs depend on the insurance plan and deductible.

Related CPT Codes

• 23410 - Repair of Rotator Cuff
• 23412 - Arthroscopic repair of shoulder labrum
• 23420 - Arthroscopic Shoulder Surgery for Rotator Cuff Repair
• 23430 - Arthroscopy, shoulder, surgical; with rotator cuff repair
• 23440 - Repair of shoulder dislocation