Overview of CPT Code 23071:'Arthroscopic shoulder debridement'

Overview of CPT Code 23071:'Arthroscopic shoulder debridement'

Arthroscopic shoulder debridement is a minimally invasive surgical procedure aimed at removing damaged tissue, bone spurs, or loose fragments from the shoulder joint to alleviate pain and improve function.

When CPT Code 23071 is Used?

This procedure is indicated in various clinical scenarios.

• Chronic shoulder pain due to rotator cuff tears.
• Shoulder impingement syndrome.
• Loose bodies in 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 does not improve with conservative treatment.
• Limited range of motion in the shoulder.
• Swelling and tenderness around the shoulder joint.
• Catching or locking sensation in the shoulder.

Causes and Risk Factors

Understanding the underlying causes and risk factors is crucial for prevention.

• Age-related degeneration of shoulder structures.
• Previous shoulder injuries or trauma.
• Repetitive overhead activities or sports.
• Genetic predisposition to joint issues.

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 is performed under general or regional anesthesia.

• The surgeon makes small incisions around the shoulder.
• A camera (arthroscope) is inserted to visualize the joint.
• Damaged tissue, bone spurs, or loose fragments are removed.
• The joint is irrigated to clear debris.
• 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 your doctor.
• Arrange for transportation to and from the procedure.
• Wear loose-fitting clothing on the day of surgery.

Recovery and Aftercare

Recovery varies by individual but generally follows a similar pattern.

• Rest the shoulder and avoid heavy lifting for several weeks.
• Follow prescribed physical therapy exercises.
• Keep the surgical site clean and dry.
• Take pain medications as directed.

Possible Complications

While complications are rare, they can occur.

• Infection at the surgical site.
• Nerve or blood vessel injury.
• Persistent pain or stiffness.
• Recurrent shoulder problems.

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Post-Procedure Follow-Up

Follow-up appointments are crucial 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 for chronic conditions.

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 symptoms.
• Pain management strategies including medications.

Home Care Tips

Simple home care can aid in recovery.

• Apply ice packs to reduce swelling.
• Use a sling as recommended to support the shoulder.
• Engage in gentle range-of-motion exercises as advised.
• Maintain a healthy diet to support healing.

Patient Education & Prevention

Education is key to preventing future issues.

• Understand proper shoulder mechanics during activities.
• Engage in regular shoulder-strengthening exercises.
• Avoid repetitive overhead motions without proper conditioning.
• Seek early treatment for shoulder pain to prevent worsening.

Billing and Coding Information

CPT Code: 23071

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 typically covers the procedure if medically necessary.
• Out-of-pocket costs depend on the insurance plan.

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