Overview of CPT Code 24365: Arthroscopic shoulder debridement
Arthroscopic shoulder debridement is a minimally invasive surgical procedure used to remove damaged tissue, bone spurs, or loose fragments from the shoulder joint. This procedure is performed using an arthroscope, a small camera that allows the surgeon to visualize the inside of the joint.
When CPT Code 24365 is Used?
Arthroscopic shoulder debridement is indicated in various clinical scenarios.
- Chronic shoulder pain due to rotator cuff tears.
- Shoulder impingement syndrome.
- Loose bodies in the shoulder joint.
- Tendinitis or bursitis that has not responded to conservative treatment.
- Degenerative joint disease affecting the shoulder.
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.
- Weakness in the shoulder or arm.
Causes and Risk Factors
Several factors can contribute to the need for arthroscopic shoulder debridement.
- Age-related degeneration of shoulder structures.
- Previous shoulder injuries or trauma.
- Repetitive overhead activities or sports.
- Genetic predisposition to joint problems.
- Underlying conditions such as arthritis.
Diagnostic Tests Before Procedure
Several diagnostic tests may be performed to evaluate the shoulder before surgery.
- X-rays to assess bone structure and joint space.
- MRI to visualize soft tissue, including tendons and ligaments.
- Ultrasound to evaluate the shoulder joint 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.
- An arthroscope is inserted to visualize the joint.
- Damaged tissue, bone spurs, or loose fragments are identified.
- Using specialized instruments, the surgeon removes the damaged tissue.
- The incisions are closed with sutures or adhesive strips.
Preparation for the Procedure
Patients should follow specific guidelines to prepare for the surgery.
- Avoid eating or drinking after midnight before the procedure.
- Discuss current 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
Recovery from arthroscopic shoulder debridement typically involves several steps.
- Rest the shoulder and avoid heavy lifting for several weeks.
- Follow a prescribed physical therapy program 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 shoulder problems or need for additional surgery.
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Post-Procedure Follow-Up
Follow-up appointments are essential for monitoring recovery.
- Initial follow-up within 1-2 weeks post-surgery.
- Regular check-ups to assess healing and progress in physical therapy.
- Long-term follow-up may be needed to monitor shoulder function.
Alternative Treatments
Before considering surgery, several non-surgical options may be explored.
- Physical therapy to strengthen shoulder muscles.
- Corticosteroid injections to reduce inflammation.
- Nonsteroidal anti-inflammatory drugs (NSAIDs) for pain relief.
- Activity modification to avoid aggravating symptoms.
Home Care Tips
Patients can take several steps at home to aid recovery.
- Apply ice packs to the shoulder to reduce swelling.
- Follow the physical therapy exercises as instructed.
- Avoid activities that may strain the shoulder during recovery.
- Keep follow-up appointments to monitor progress.
Patient Education & Prevention
Educating patients on shoulder health can help prevent future issues.
- Engage in regular shoulder-strengthening exercises.
- Avoid repetitive overhead activities without proper conditioning.
- Maintain a healthy weight to reduce joint stress.
- Seek early treatment for shoulder pain to prevent worsening conditions.
Billing and Coding Information
CPT Code: 24365
Category: Surgery
Common Modifiers:
- 50 - Bilateral procedure
- RT - Right side
- LT - Left side
Average Cost and Insurance Coverage
The cost of arthroscopic shoulder debridement can vary widely.
- Average cost ranges from $5,000 to $15,000 depending on facility and location.
- Most insurance plans cover the procedure if deemed medically necessary.
- Patients should verify coverage details with their insurance provider.
Related CPT Codes
Frequently Asked Questions (FAQs)
What is arthroscopic shoulder debridement?
It is a minimally invasive procedure to remove damaged tissue from the shoulder joint.
How long does the procedure take?
The procedure typically takes about 1 to 2 hours.
What is the recovery time?
Most patients can expect to return to normal activities within 4 to 6 weeks.
Will I need physical therapy after surgery?
Yes, physical therapy is often recommended to aid recovery.
Are there risks associated with the procedure?
As with any surgery, there are risks, including infection and nerve injury.
