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Overview of CPT Code 24352: Arthroscopic debridement of shoulder

Overview of CPT Code 24352: Arthroscopic debridement of shoulder

CPT Code 24352 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 24352 is Used?

This procedure is indicated in various clinical scenarios.

  • Chronic shoulder pain due to rotator cuff tears.
  • Shoulder impingement syndrome.
  • Loose bodies within the shoulder joint.
  • Tendinitis or bursitis that has not responded to conservative treatment.

Symptoms Indicating This Procedure

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

  • Persistent shoulder pain, especially during movement.
  • Limited range of motion in the shoulder.
  • Swelling and tenderness around the shoulder joint.
  • A feeling of catching or locking 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 surgeries.
  • Repetitive overhead activities, common in athletes.
  • Certain medical conditions like diabetes or rheumatoid 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.
  • 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, loose bodies, and debris are removed.
  • The joint is irrigated to ensure cleanliness.
  • Incisions are closed with sutures or adhesive strips.

Preparation for the Procedure

Proper preparation is essential for a successful outcome.

  • Discuss any medications with your doctor, especially blood thinners.
  • Avoid eating or drinking after midnight before the surgery.
  • Arrange for transportation home post-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 up with physical therapy as recommended.
  • Keep the surgical site clean and dry.
  • Use prescribed pain medications as needed.

Possible Complications

While complications are rare, they can occur.

  • Infection at the surgical site.
  • Nerve or blood vessel damage.
  • Persistent pain or stiffness.
  • Recurrent shoulder issues.
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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 range of motion.
  • Physical therapy sessions as prescribed by the surgeon.

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 the condition.
  • Over-the-counter pain medications.

Home Care Tips

Simple home care can aid in recovery.

  • Apply ice packs to reduce swelling.
  • Keep the shoulder elevated when resting.
  • Engage in gentle range-of-motion exercises as advised.
  • Stay hydrated and maintain a balanced diet.

Patient Education & Prevention

Education is key to preventing future issues.

  • Engage in regular shoulder-strengthening exercises.
  • Avoid repetitive overhead activities without breaks.
  • Maintain a healthy weight to reduce joint stress.
  • Seek early treatment for shoulder pain to prevent worsening.

Billing and Coding Information

CPT Code: 24352

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 $5,000 to $15,000.
  • Insurance typically covers the procedure if deemed medically necessary.
  • Out-of-pocket costs depend on the insurance plan and deductible.

Frequently Asked Questions (FAQs)

What is arthroscopic debridement?

It is a minimally invasive procedure to remove damaged tissue from the shoulder.

How long does recovery take?

Recovery typically takes several weeks, depending on individual healing.

Will I need physical therapy after surgery?

Yes, physical therapy is often recommended to restore strength and mobility.

Are there risks associated with this procedure?

As with any surgery, there are risks such as infection and nerve damage.

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