Overview of CPT Code 24361: Arthroscopic debridement of shoulder

Overview of CPT Code 24361: Arthroscopic debridement of shoulder

CPT Code 24361 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 24361 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 trauma.
• Repetitive overhead activities, common in athletes.
• Genetic predisposition to joint issues.

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.
• An arthroscope is inserted to visualize the joint.
• Damaged tissue, loose bodies, and debris are removed.
• The joint is irrigated to clear any remaining particles.
• Incisions are closed with sutures or adhesive strips.

Preparation for the Procedure

Proper preparation is essential for a successful outcome.

• Avoid eating or drinking after midnight before the surgery.
• Discuss current medications with your doctor.
• Arrange for transportation to and from the 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.

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.
• Over-the-counter pain medications.

Home Care Tips

Patients can take several steps to aid recovery at home.

• Apply ice packs to reduce swelling.
• Perform gentle range-of-motion exercises as advised.
• Maintain a healthy diet to support healing.
• Avoid activities that strain the shoulder.

Patient Education & Prevention

Education is key to preventing future issues.

• Engage in shoulder-strengthening exercises.
• Avoid repetitive overhead activities when possible.
• Maintain a healthy weight to reduce joint stress.
• Seek early treatment for shoulder pain.

Billing and Coding Information

CPT Code: 24361

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

Related CPT Codes

• 24360 - Injection of corticosteroid into shoulder joint
• 23410 - Repair of Rotator Cuff
• 23412 - Arthroscopic repair of shoulder labrum
• 23430 - Arthroscopy, shoulder, surgical; with rotator cuff repair
• 23440 - Repair of shoulder dislocation