Complete ICD-10-CM coding and documentation guide for icd-10 coding for reverse total shoulder arthroplasty includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Reverse Total Shoulder Arthroplasty
Use ICD-10 code M12.511 for arthropathy, shoulder, with rotator cuff tear, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Aftercare following joint replacement
Use for follow-up care post-surgery.
The ICD-10 code for reverse total shoulder arthroplasty primarily involves M12.511 for arthropathy with rotator cuff tear, often used with procedure code 23472.
Modifier 22 is used with reverse TSA when the procedure requires significantly more time or complexity, such as in cases with severe scar tissue.