Mr. Derek is here today for open tendon surgery in his right shoulder due to a ruptured rotator cuff. Under general anesthesia an incision of 5cm was made in the shoulder. All loose fragments of tendon, bursa, and other debris were removed. There was some subacromial smoothing to make room for the tendon. The tendon was properly placed and the incision was sewn with 5.0 vicryl. The patient tolerated the procedure well and was sent to the floor. Select the appropriate CPT and ICD-10-CM codes.

Question

Quizplus · Accepted Answer

The correct CPT code for open repair of a ruptured rotator cuff is 23410, and the appropriate ICD-10-CM code for a rotator cuff tear of the right shoulder, unspecified whether it is an initial or subsequent encounter, is M75.101.

Mr Derek Is Here Today for Open Tendon Surgery in His