Overview of CPT Code 24343:Arthroscopy, shoulder, with rotator cuff repair

Overview of CPT Code 24343:Arthroscopy, shoulder, with rotator cuff repair

CPT Code 24343 refers to a minimally invasive surgical procedure performed on the shoulder to repair a torn rotator cuff. This procedure is typically done using an arthroscope, a small camera that allows the surgeon to visualize the inside of the shoulder joint.

When CPT Code 24343 is Used?

This procedure is indicated in various clinical scenarios.

• Significant rotator cuff tears that cause pain and limit shoulder function.
• Persistent shoulder pain despite conservative treatment options.
• Tears that are causing weakness in the shoulder.
• Acute injuries resulting in rotator cuff tears.

Symptoms Indicating This Procedure

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

• Chronic shoulder pain that worsens with activity.
• Limited range of motion in the shoulder.
• Weakness in the arm or shoulder.
• Difficulty performing overhead activities.

Causes and Risk Factors

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

• Age-related degeneration of the rotator cuff.
• Acute injuries from falls or accidents.
• Repetitive overhead activities, such as in certain sports or occupations.
• Previous shoulder injuries or surgeries.

Diagnostic Tests Before Procedure

Several diagnostic tests may be performed to confirm the need for surgery.

• MRI of the shoulder to visualize the rotator cuff.
• Ultrasound imaging to assess the extent of the tear.
• X-rays to rule out other shoulder conditions.

Procedure Description

The procedure involves several key steps.

• The patient is placed under general anesthesia.
• Small incisions are made around the shoulder joint.
• An arthroscope is inserted to visualize the rotator cuff.
• The torn edges of the rotator cuff are identified and prepared.
• Sutures are used to repair the torn rotator cuff.
• The incisions are closed with sutures or adhesive strips.

Preparation for the Procedure

Proper preparation is essential for a successful surgery.

• Avoid eating or drinking after midnight before the surgery.
• Discuss any medications with your doctor, especially blood thinners.
• Arrange for someone to drive you home after the procedure.
• Wear loose-fitting clothing on the day of surgery.

Recovery and Aftercare

Recovery can vary, but some general guidelines apply.

• Rest the shoulder and avoid lifting heavy objects for several weeks.
• Follow up with physical therapy as recommended.
• 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.

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Post-Procedure Follow-Up

Follow-up care is crucial for monitoring recovery.

• Initial follow-up appointment within 1-2 weeks post-surgery.
• Regular check-ups to assess healing and progress.
• Physical therapy sessions as prescribed.

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 over-the-counter medications.

Home Care Tips

Patients can take several steps to aid recovery at home.

• Apply ice to the shoulder to reduce swelling.
• Follow the prescribed rehabilitation exercises.
• Avoid activities that may strain the shoulder.
• Maintain a healthy diet to support healing.

Patient Education & Prevention

Education on prevention can help reduce the risk of recurrence.

• Engage in shoulder-strengthening exercises.
• Avoid repetitive overhead activities when possible.
• Use proper techniques during sports and physical activities.
• Regularly consult with a healthcare provider for shoulder health.

Billing and Coding Information

CPT Code: 24343

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 $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

• 24342 - 'Arthroscopy, shoulder, with debridement'
• 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