Recommendations / 01/12/2019

What is the CPT code for a reverse total shoulder arthroplasty?

23472
Total Shoulder Arthroplasty (TSA, including Reverse TSA) is billed as CPT code 23472; Shoulder Hemi-arthroplasty is CPT code 23470; Revision Shoulder Arthroplasty (one component- ball or socket revision) is CPT code 23473; Revision Shoulder Arthroplasty (both ball and socket) is CPT code 23474.

What are the conventional and reverse shoulder prosthesis?

A conventional shoulder replacement device mimics the normal anatomy of the shoulder: a plastic “cup” is fitted into the shoulder socket (glenoid), and a metal “ball” is attached to the top of the upper arm bone (humerus). In a reverse total shoulder replacement, the socket and metal ball are switched.

What is the ICD 10 code for left shoulder hemiarthroplasty?

Z96.612
2021 ICD-10-CM Diagnosis Code Z96. 612: Presence of left artificial shoulder joint.

What happens to rotator cuff in reverse shoulder replacement?

The surgeon removes the top of the arm bone and inserts a metal stem with a ball on the end. However, if the rotator cuff is severely damaged, the joint may not be stable or work properly. In a reverse shoulder replacement, the normal ball-and-socket structure is reversed.

What is the average recovery time for a reverse shoulder replacement?

Recovery from Reverse Total Shoulder Replacement You will have outpatient physical therapy to strengthen your shoulder and improve flexibility. You should be able to eat, dress and do most daily activities within the first week after surgery. Full recovery usually takes up to four months.

What is arthroplasty of the shoulder?

Total shoulder replacement, also known as total shoulder arthroplasty, is the removal of portions of the shoulder joint, which are replaced with artificial implants to reduce pain and restore range of rotation and mobility. It is very successful for treating the severe pain and stiffness caused by end-stage arthritis.

What’s the difference between reverse and total shoulder arthroplasty?

Reverse Shoulder Arthroplasty 23472 + 23332 Revision Total Shoulder Arthroplasty + Removal of foreign body, shoulder; complicated (eg, total shoulder) 23470 Hemiarthroplasty Shoulder (w/wo Reaming) Arthroplasty, glenohumeral joint; hemiarthroplasty 23470 + 23331 Revision Shoulder Hemiarthroplasty

What is MUA of shoulder manipulation under anesthesia?

MUA of Shoulder Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded) 24300 MUA of Elbow Manipulation, elbow, under anesthesia 24006 Release elbow joint Arthrotomyof the elbow, with capsular excision for capsular release (separate procedure)

How to reconstruct the rotator cuff in the shoulder?

Reconstruction of complete shoulder [rotator] cuff avulsion, chronic [includes acromioplasty] Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty) 23130