Overview of CPT Code 23473: Arthroscopic rotator cuff repair
CPT Code 23473 refers to the surgical procedure of arthroscopic rotator cuff repair, which is performed to fix tears in the rotator cuff using minimally invasive techniques.
When CPT Code 23473 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 early intervention.
- Age-related degeneration of the rotator cuff.
- 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 to ensure successful repair.
- Administer anesthesia to the patient.
- Make small incisions around the shoulder joint.
- Insert an arthroscope to visualize the inside of the shoulder.
- Identify the tear in the rotator cuff.
- Use sutures or anchors to repair the torn tissue.
- Close the incisions and apply a sterile dressing.
Preparation for the Procedure
Proper preparation is essential for a successful surgery.
- Avoid eating or drinking after midnight before the surgery.
- Discuss medications with the surgeon, especially blood thinners.
- Arrange for transportation to and from the surgical facility.
- Wear loose-fitting clothing on the day of the procedure.
Recovery and Aftercare
Post-operative care is crucial for optimal recovery.
- Rest the shoulder and avoid lifting heavy objects for several weeks.
- Follow a prescribed physical therapy regimen.
- 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.
- 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
Regular follow-up is important to monitor recovery.
- Initial follow-up appointment within 1-2 weeks post-surgery.
- Physical therapy sessions typically start 4-6 weeks after surgery.
- Ongoing assessments every few weeks to monitor progress.
Alternative Treatments
There are non-surgical options available for managing rotator cuff issues.
- Physical therapy to strengthen shoulder muscles.
- Corticosteroid injections to reduce inflammation.
- Activity modification to avoid aggravating the injury.
- Pain management strategies including medications.
Home Care Tips
Patients can take several steps at home to aid recovery.
- Apply ice packs to reduce swelling.
- Follow the prescribed exercise program diligently.
- Avoid activities that strain the shoulder.
- Maintain a healthy diet to support healing.
Patient Education & Prevention
Education on prevention can help avoid future injuries.
- Engage in shoulder-strengthening exercises.
- Use proper techniques during sports and physical activities.
- Avoid repetitive overhead motions when possible.
- Stay active to maintain overall shoulder health.
Billing and Coding Information
CPT Code: 23473
Category: Surgical Procedures
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 $7,000 to $15,000.
- Insurance typically covers the procedure if deemed medically necessary.
- Out-of-pocket costs depend on the patient's insurance plan.
Related CPT Codes
- 23470 - Arthroscopic rotator cuff repair
- 23472 - Arthroscopic rotator cuff repair
- 23474 - Arthroscopic rotator cuff repair
Frequently Asked Questions (FAQs)
What is the recovery time for this procedure?
Recovery typically takes 4 to 6 months, depending on the extent of the repair.
Will I need physical therapy after surgery?
Yes, physical therapy is usually recommended to regain strength and mobility.
Can I drive after the surgery?
You should avoid driving until cleared by your surgeon, usually a few weeks post-op.
