Overview of CPT Code 24344: Arthroscopic debridement of shoulder

Overview of CPT Code 24344: Arthroscopic debridement of shoulder

CPT Code 24344 refers to the surgical procedure known as arthroscopic debridement of the shoulder, which involves the removal of damaged tissue and debris from the shoulder joint using minimally invasive techniques.

When CPT Code 24344 is Used?

This procedure is indicated in various clinical scenarios.

• Chronic shoulder pain due to rotator cuff tears.
• Shoulder impingement syndrome not responding to conservative treatment.
• Loose bodies within the shoulder joint causing pain and limited motion.
• Synovitis or inflammation of the shoulder joint.

Symptoms Indicating This Procedure

Patients may report several symptoms that lead to the consideration of this procedure.

• Persistent shoulder pain that limits daily activities.
• Swelling and tenderness around the shoulder joint.
• Reduced range of motion in the shoulder.
• Popping or clicking sounds during shoulder movement.

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, especially in athletes.
• Certain medical conditions like arthritis.

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 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.
• A camera (arthroscope) is inserted to visualize the joint.
• Damaged tissue, loose bodies, and debris are removed using specialized instruments.
• The joint is irrigated to clear any remaining debris.
• Incisions are closed with sutures or adhesive strips.

Preparation for the Procedure

Proper preparation is essential for a successful outcome.

• Consult with your surgeon about medications to avoid before surgery.
• Arrange for someone to drive you home post-procedure.
• Follow fasting instructions if general anesthesia is used.
• Discuss any allergies or medical conditions with your healthcare provider.

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 to prevent infection.
• 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

There are non-surgical options available for shoulder issues.

• 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 and pain.
• 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.

• Engage in shoulder-strengthening exercises.
• Avoid repetitive overhead activities without proper conditioning.
• Maintain a healthy weight to reduce joint stress.
• Seek early treatment for shoulder injuries.

Billing and Coding Information

CPT Code: 24344

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 may cover the procedure if deemed medically necessary.
• Out-of-pocket costs depend on individual insurance plans.

Related CPT Codes

• 24345 - Arthroscopic synovectomy, elbow
• 23470 - Arthroscopic rotator cuff repair
• 23472 - Arthroscopic rotator cuff repair
• 23460 - Arthroscopic shoulder debridement
• 23462 - Arthroscopic rotator cuff repair