rotator cuff debridement

I have a case that an avulsed rotator cuff was treated by open debridement rather than repaired due to it being 'not repairable' any ideas?
-I'm not sure it would be appropriate to code a tenotomy being that it is avulsed, so its really not being released.
-repair seems out of the question
-29822 or 29823 seem appropriate, however this was done OPEN

please help!

Comments

  • got help on this from my supervisor and one of our doc's. if anyone else runs into this problem here is what we found (the rational is in the plain English or lay description)
    23107

    Description of Procedure

    Clinical Synopsis

    Using an anterior approach, a skin incision is made over the deltoid and pectoral muscles. The muscles are divided and the scapularis tendon is split to expose the glenohumeral joint capsule. The joint capsule is incised and the joint is explored. The joint is flushed with normal saline to remove any debris. The humeral head and glenoid fossa are examined for osteochondral defects. Any fraying or instability of the anterior and posterior labrum is evaluated. The anterior joint capsule and subscapularis and glenohumeral ligaments are examined for tears, adhesions, or fraying. The biceps tendon is examined for tears, inflammation, or degenerative disease. Any tearing of the rotator cuff is evaluated. The supraspinatus and infraspinatus tendons are examined as is the subacromial space. The posterior aspect of the glenohumeral joint is then examined including the axillary pouch and posterior recess. Any loose or foreign bodies within the glenohumeral joint are located and removed. The joint is again flushed with normal saline. Following completion of the procedure, the incisions are closed, and a dressing is applied.
  • Hi, what source did you get the clinical synopsis from?

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