Overview of CPT Code 23460: Arthroscopic shoulder debridement
Arthroscopic shoulder debridement is a minimally invasive surgical procedure used to remove damaged tissue, bone spurs, or loose fragments from the shoulder joint. This procedure is performed using an arthroscope, a small camera that allows the surgeon to visualize the inside of the joint.
When CPT Code 23460 is Used?
Arthroscopic shoulder debridement is indicated in various clinical scenarios.
- Chronic shoulder pain due to degenerative joint disease.
- Presence of loose bodies in the shoulder joint.
- Tendonitis or bursitis that has not responded to conservative treatment.
- Shoulder impingement syndrome with associated tissue damage.
Symptoms Indicating This Procedure
Patients may report several symptoms that suggest the need for this procedure.
- Persistent shoulder pain that limits daily activities.
- Swelling and tenderness around the shoulder joint.
- Decreased range of motion in the shoulder.
- Popping or clicking 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 the shoulder joint.
- Previous shoulder injuries or trauma.
- Repetitive overhead activities, such as in certain sports or occupations.
- Genetic predisposition to joint problems.
Diagnostic Tests Before Procedure
Several diagnostic tests may be performed to evaluate the shoulder before surgery.
- X-rays to assess bone structure and detect arthritis.
- MRI to visualize soft tissue damage and inflammation.
- Ultrasound to evaluate the rotator cuff and surrounding structures.
- 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.
- An 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.
- Consult with the surgeon to discuss the procedure and risks.
- Avoid eating or drinking for at least 8 hours before surgery.
- Arrange for transportation to and from the surgical facility.
- Follow any specific instructions regarding medications.
Recovery and Aftercare
Recovery varies by individual but generally follows a similar pattern.
- Rest the shoulder and avoid heavy lifting for several weeks.
- Follow up with physical therapy to regain strength and mobility.
- Keep the surgical site clean and dry.
- Take prescribed pain medications as needed.
Possible Complications
While complications are rare, they can occur.
- Infection at the surgical site.
- Nerve or blood vessel injury.
- Persistent pain or stiffness in the shoulder.
- Recurrent symptoms requiring further treatment.
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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 necessary for ongoing symptoms.
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.
- Over-the-counter pain medications for symptom relief.
Home Care Tips
Simple home care can aid in recovery.
- Apply ice packs to reduce swelling.
- Use a sling to support the shoulder as needed.
- 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: 23460
Category: Surgery
Common Modifiers:
- 50 - Bilateral procedure
- RT - Right side
- LT - Left side
Average Cost and Insurance Coverage
Costs can vary based on location and insurance.
- Average cost ranges from $5,000 to $15,000.
- Insurance may cover the procedure if deemed medically necessary.
- Out-of-pocket costs depend on the insurance plan and deductible.
Related CPT Codes
- 23462 - Arthroscopic rotator cuff repair
- 23465 - Arthroscopic rotator cuff repair
- 23466 - Arthroscopic rotator cuff repair
- 23470 - Arthroscopic rotator cuff repair
Frequently Asked Questions (FAQs)
What is arthroscopic shoulder debridement?
It is a minimally invasive procedure to remove damaged tissue from the shoulder.
How long is the recovery period?
Recovery typically takes several weeks, depending on individual healing.
Will I need physical therapy after surgery?
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 injury.
