Orthopedic surgery is becoming more complicated as prior-authorization and medical necessity continue to increase in demand among insurance companies. Coding these cases is critical to obtain the proper reimbursement for the procedures performed. This webinar will look specifically at shoulder arthroscopy and the elements that make the coding more complicated than arthroscopy performed in other body areas. We will also look at how these cases should be reimbursed based on endoscopic payment rules, and how you can make sure insurance companies are following the current editing rules they claim to be following. One other thing, 2021 CPT® came with code revisions that affect shoulder arthroscopy that attendees need to know to ensure their providers are documenting what is required.

Key Points:-

• 2021 CPT® code revisions for debridement
• Medicare edits that affect shoulder arthroscopy coding
• Coding for superior capsular reconstruction
• Working with the edits
• Reimbursement for shoulder arthroscopy and how it differs
• Procedures performed with an open approach vs. arthroscopy
• Coding for arthroscopic biceps tenotomy
• Appeals for claim denied inappropriately

Who Will Benefit?

• Orthopedic Surgery offices
• Billing companies
• Insurance companies
• Consulting firms
• Consultants
• Auditors
• Compliance officer
• Physician
• PA
• Nurse
• Biller
• Coder
• Collector
• Claims representative
• Claims adjuster
• Claims processor
• Manager
• Supervisor
• Administrator
• Medical assistants
• Office staff
• Anyone who codes and bills for Orthopedic Surgeons