Overview of CPT Code 24366:arthroscopy-shoulder-surgical-with-rotator-cuff-repair

Overview of CPT Code 24366:arthroscopy-shoulder-surgical-with-rotator-cuff-repair

CPT Code 24366 refers to a surgical procedure known as arthroscopy of the shoulder, specifically involving the repair of a torn rotator cuff. This minimally invasive technique allows surgeons to access the shoulder joint through small incisions, using a camera and specialized instruments to repair the damaged tendon.

When CPT Code 24366 is Used?

This procedure is indicated in various clinical scenarios.

• Significant rotator cuff tears that cause pain and limit shoulder function.
• Chronic shoulder pain not relieved by conservative treatments.
• Acute injuries resulting in rotator cuff tears.
• Shoulder instability associated with rotator cuff damage.

Symptoms Indicating This Procedure

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

• Persistent shoulder pain, especially during overhead activities.
• Weakness in the shoulder or arm.
• Limited range of motion in the shoulder joint.
• Pain that worsens at night or with specific movements.

Causes and Risk Factors

Understanding the causes and risk factors can help in prevention and early intervention.

• Age-related degeneration of the rotator cuff.
• Acute injuries from falls or sports activities.
• Repetitive overhead motions, common in certain occupations or sports.
• 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 and surrounding structures.
• Ultrasound imaging to assess the integrity of the rotator cuff.
• X-rays to rule out other shoulder conditions.

Procedure Description

The procedure involves several key steps to ensure successful repair.

• The patient is placed under general anesthesia.
• Small incisions are made around the shoulder joint.
• A camera (arthroscope) is inserted to visualize the inside of the shoulder.
• Damaged tissue is removed, and the torn rotator cuff is repaired using sutures.
• The incisions are closed, and the shoulder is bandaged.

Preparation for the Procedure

Proper preparation is essential for a successful surgery.

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

Recovery and Aftercare

Recovery is a crucial phase following the procedure.

• Initial recovery may take 4 to 6 months for full function.
• Follow your surgeon's instructions for wound care.
• Pain management may include prescribed medications.
• Physical therapy is often recommended to regain strength and mobility.

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 during surgery.

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Post-Procedure Follow-Up

Regular follow-up is important to monitor recovery.

• Initial follow-up appointment within 1 to 2 weeks post-surgery.
• Subsequent visits every 4 to 6 weeks to assess healing.
• Physical therapy sessions typically start within a few weeks.

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 with over-the-counter medications.

Home Care Tips

Simple home care can aid in recovery.

• Keep the surgical area clean and dry.
• Apply ice packs to reduce swelling.
• Follow prescribed exercises to improve mobility.
• Avoid heavy lifting or strenuous activities until cleared by your doctor.

Patient Education & Prevention

Education is key to preventing future injuries.

• Engage in shoulder-strengthening exercises.
• Use proper techniques during sports and physical activities.
• Take breaks during repetitive tasks to avoid strain.
• Maintain a healthy weight to reduce stress on joints.

Billing and Coding Information

CPT Code: 24366

Category: Surgical Procedures

Common Modifiers:

• -50
• -RT
• -LT

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

• 24365 - Arthroscopic shoulder 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