Shoulder arthroscopy coding guidelines 2021. This month, the topic i Nov 17, 2024 · Link to PDF.
Shoulder arthroscopy coding guidelines 2021 6. Jan 1, 2024 · 5. Anderanin, CPC, CPB, CPMA, CPPM, CPC-I, COSC, is the senior director of coding compliance and education for Before 2021, arthroscopic shoulder debridement codes 29822 and 29823 were only defined as “limited” and “extensive. com With the exception of the knee and shoulder, arthroscopic debridement shall not be reported separately with a surgical arthroscopy procedure when performed on the same joint at the same patient encounter. CPT 29807 describes the surgical arthroscopy of the shoulder to repair a SLAP lesion. 28 . She opts for arthroscopy after conservative treatments do not provide Arthroscopy is both a diagnostic and surgical procedure and is generally performed as a day case procedure under general anaesthesia. These guidelines ensure that billing for arthroscopic procedures aligns with Medicare's rules to prevent improper payments due to incorrect coding. 29805 joint arthroscopy, shoulder, diagnostic, with or without synovialbiopsy (separate procedure) 29806 joint arthroscopy, shoulder, surgical; capsulorrhaphy 29807 joint arthroscopy, shoulder, surgical; repair of slap lesion 29819 arthroscopy, shoulder, surgical; with removal of loose body or joint foreign body CPT 29820 refers to the surgical procedure of arthroscopy of the shoulder, specifically involving a partial synovectomy. For example, Medicare bundles code 29822 (Arthroscopy, shoulder, surgical; debridement, limited) CPT 29805 describes shoulder arthroscopy as a separate procedure for diagnostic purposes, with or without synovial biopsy. A lot [] Coding: 2021 and Beyond: Look for More Major E/M Changes in 2023 There’s also an update upcoming on musculoskeletal guidelines. Failing to specify the total nature of the procedure can lead to billing discrepancies. Jan 1, 2022 · 5. View the CPT code book for further information. Open rotator cuff repairs are coded as follows: Jul 1, 2021 · CLINICAL GUIDELINES CMM-315: Shoulder Surgery- Arthroscopic and Open Procedures Version 1. Chapter IV Surgery: Musculoskeletal system contains revisions to clarify limited and extensive debridement of the shoulder when performed with other shoulder procedures on the same shoulder. Mar 3, 2021 · New reporting guidelines masked by lack of change in codes, descriptors. With 3 exceptions (which are described in Chapter IV, Section E (Arthroscopy), Subsection 7), an NCCI PTP edit code pair consisting of 2 codes describing 2 shoulder arthroscopy procedures shall not be bypassed with an NCCI PTP- Jan 17, 2023 · Shoulder arthroscopy procedures include limited debridement (e. Arthroscopy, shoulder, surgical; repair of SLAP lesion $1,061. 61 29819 ; removal of loose body or foreign body . newsletters. Jan 6, 2017 · The National Correct Coding Initiative (NCCI) Policy Manual for Medicare Services is updated once a year. Jan 15, 2021 · I was hoping the updated description from 2021 would add a little more clarity to my struggle. 92 N/A 5113 - Level 3 WA Clinical Coding Authority - January 2020 1 Shoulder arthroscopy An arthroscope is a pen-shaped instrument with a very small video camera attached to the end. Sep 4, 2020 · Two revisions that you might want to note are for codes 29822 (Arthroscopy, shoulder, surgical; debridement, limited) and 29823 (… debridement, extensive). 42 There have also been changes to the National Correct Coding Initiative Edits (NCCI) that have changed the way shoulder arthroscopy codes can be applied. "Unless verified that this is a SLAP, 29807 is not reported for labrum Mar 1, 2016 · Given these differences, coding arthroscopic shoulder surgery for providers who follow AAOS guidelines can be challenging. 4 In March 11, 2019, the clinical practice guidelines for the treatment of rotator cuff tendon repair was published to replace the WA Clinical Coding Authority - January 2020 1 Shoulder arthroscopy An arthroscope is a pen-shaped instrument with a very small video camera attached to the end. Last month, AAOS Now reviewed the knee arthroscopy codes and outlined the appropriate use of modifiers. Arthroscopic shoulder procedures The traditional coding rule about the shoulder is to consider the joint as one compartment. , CPT code 29823 ) even if the extensive debridement is performed Find resources to support your appeals of inappropriate denials, including appeals for TKA and shoulder arthroscopy. Arthroscopy, shoulder, surgical; capsulorrhaphy $1065. ” The AAOS Coding Coverage and Reimbursement Committee (CCRC) provided guidance to members that 29822 should be used when one to two distinct sites were debrided and that 29823 should be used when three or more sites were Part B Insider (Multispecialty) Coding Alert Part B Coding Coach: Tackle Shoulder Arthroscopy Coding With New Debridement Descriptors Hint: CPT® 2021 revisions offer clarity. g. The “arthroscopic cannula” referred to is the arthroscope cannula diameter, not the cannula of the working portals. 2021 CPT Code Updates Cover CPT Radiology, Evaluation & Management, Category III Codes & More; A Look at Arthroscopic Shoulder Debridement CPT Codes 29822 & 29823; CPT Codes 19342, 11970, & 19370: Review the New Reporting Guidance for Breast Implant/Surgery; 2021 Medicare Physician Fee Schedule Final Rule Concludes Office/Outpatient E/M Rotator cuff repair, acromioplasty, and biceps tenodesis operations have become some of the most common shoulder surgical procedures, evolving from open techniques to minimally invasive arthroscopic techniques. Clinical Scenario. "Note that this code is specific for SLAP repair," says Cristina Bentin, CCS-P, CPC-H, CMA, founder of Coding Compliance Management in Baton Rouge, La. 29819, 29834, 29861, 29874, 29894, 29904) may be reported only when the loose body(ies) or foreign body(ies) is equal to or larger than the diameter of the arthroscopic cannula(s) used for the specific procedure Arthroscopy, shoulder, surgical; capsulorrhaphy $1065. to assess shoulder instability. August 21-22, 2021 . Status: Updated codes 01/01/2025 Effective Date: 11/17/2024 Doc ID: MSK02-1124. This guide provides a detailed overview of CPT codes related to shoulder arthroscopy, their applications, and billing guidelines. Shoulder arthroscopy is a minimally invasive surgical procedure used to diagnose and treat various conditions affecting the shoulder joint. What are the requirements to bill an arthroscopic loose body removal? The criteria for loose body removal will change starting in 2021. There was a lot to digest in CPT® 2021. Subject: Shoulder Arthroscopy Guidelines Original Effective Date: 6/9/21 Policy Number: MCP-404 . References page 8. Find a range of resources on such topics as CPT and ICD10 codes, modifiers, and evaluation and management coding. 2268 9400 W Higgins Road, Suite 200 F 448. Elbow Arthroscopy is both a diagnostic and surgical procedure and is generally performed as a day case procedure under general anaesthesia. These procedures involve the use of an arthroscope, a small camera, and specialized instruments to diagnose and repair shoulder injuries. and Human Services (DHHS) provide the following guidelines for coding and reporting usingthe International Classification of Diseases, 10. Janeway, MD Dr. Overview of Shoulder Arthroscopy CPT Codes A 65-year-old male with a history of shoulder surgery presents with new-onset pain. CPT Code 29806. and shoulder, arthroscopic debridement should not be reported separately with a surgical arthroscopy procedure when performed on the same joint at the same patient encounter. 111 Monoarthritis, not elsewhere classified, right shoulder M75. With 3 exceptions, shoulder arthroscopy procedures include extensive debridement (e. Subsection 4 Editorial Panel for revision and to address coding confusion created by the lack of clarity in the existing code descriptors. Under AAOS global service guidelines, both codes are reportable with appropriate supporting diagnoses. Recently, a 6-mm-thick acellular dermal allograft (ACD) has been shown to be noninferior to the standard fascia lata autograft in recreating native shoulder biomechanics. 52 . He undergoes arthroscopic surgery to remove the spurs and repair the tear. of left shoulder, not specified as traumatic M12. David V. 112 Understand the Complexities of Shoulder Arthroplasty Coding Orthopedic Coding: Code Ankle Arthroscopy With Confidence 2025 2024 2023 2022 2021 2020 2019 2018 A patient with rheumatoid arthritis experiences worsening shoulder symptoms, prompting the provider to perform an arthroscopy to assess joint health and obtain tissue samples. For 2021 there have been two major changes to the codes associated with shoulder arthroscopy in addition to the confusion many have on the correct reporting of these codes. Jun 9, 2021 · appropriate. 0 Effective July 1, 2021 Clinical guidelines for medical necessity review of Comprehensive Musculoskeletal Management Services. SHOULDER ARTHROSCOPY Billing/Coding Guidelines Payment policy for shoulder arthroscopy Created Date: 12/6/2021 3:49:54 PM Surgical Coding: Modifiers • - 59. Treatment of a single anatomic location includes arthroscopic treatment of a shoulder injury in adjacent regions of the ipsilateral shoulder. org . Revision Date(s): Coding Information page 7. With the exception of the knee and shoulder, arthroscopic debridement shall not be reported separately with a surgical arthroscopy procedure when performed on the same joint at the same patient encounter. A new guideline was added under the endoscopy/arthroscopy subsection, which specifies the size limit for loose body(ies) or foreign body(ies) removed in arthroscopic procedures. 10. Reference your contracts for their stance. These guidelines should be used as a companion document to the official version of the ICD-10- CM as published on the NCHS website. Surgery/musculoskeletal system. 292. 1-UC0125 Last Review Date: 07/16/2024 Approval and implementation dates for specific health plans may vary. CPT 23473 Post-Operative Rehabilitation Guidelines for Shoulder Arthroscopy Debridement 0-4 Weeks: Sling for Comfort (1-2 days) then discontinue Passive to Active shoulder ROM as tolerated 140° Forward Flexion 40° External Rotation with arm at side Internal rotation behind back with gentle posterior capsule stretching Feb 11, 2025 · 2021. 6536 Rosemont, IL 60018 aana. For shoulder arthroscopic debridement, see Subsection 7 below. CMS Manuals - IOM/PUB 100; E&M Guidelines & Procedures; NCCI Policy Arthroscopy is both a diagnostic and surgical procedure and is generally performed as a day case procedure under general anaesthesia. The 2017 updates have been released. , 29819-shoulder, 29834-elbow, 29861-hip, 29874-knee, 29894-ankle, 29904-subtalar joint) may now only be reported when the loose body(ies) or foreign body(ies) is/are equal to or larger than the diameter of the arthroscopic cannula(s) used for the specific procedure, and can only Jan 28, 2022 · CPT guidelines introduced in 2021 would allow reporting of code 29874 ( Arthroscopy , knee, surgical; for r emoval of loose body or foreign body (e. A 60-year-old woman with a history of shoulder impingement is diagnosed with a rotator cuff tear. Below is the new language in the CPT book. A patient with a history of shoulder surgery presents with new-onset pain and limited range of motion, leading to the discovery of adhesions during arthroscopy. 9. A Nov 2, 2009 · • Type II -- 29807 (Arthroscopy, shoulder, surgical; repair of SLAP lesion) for arthroscopic repair of a SLAP lesion. 42 T 847. Arthroscopy is both a diagnostic and surgical procedure and is generally performed as a day case procedure under general anaesthesia. From a coding standpoint, that means that when CCI code pairs exist for two arthroscopic shoulder procedures, practices should not append a modifier to unbundle them unless the two procedures are done on opposite shoulders. Feb 3, 2021 · NCCI lists the following codes as the three exceptions to when you may bill an arthroscopic debridement procedure in addition to an underlying arthroscopic surgery: 29824 (Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)) 29827 (Arthroscopy, shoulder, surgical; with rotator cuff repair) See full list on aapc. e. 1 A WEBINAR PRESENTED ON FEBRUARY 28, 2023 2023 CPT Arthroscopy Coding: A Major Joint Effort 2 Presented By Lynn M. CPT code range 29806 - 29827 is used for shoulder reconstruction procedures, including rotator cuff repair and shoulder replacement, used to restore the function of the shoulder joint following injury or disease. 68 N/A 5113 - Level 3 Musculoskeletal (MSK) Procedures 2024 Coding and Reimbursement Guidelines. In 2016, the AHA publication Coding Clinic for HCPCS suggested reporting 29999 (Unlisted procedure, arthroscopy) in conjunction with 29806 (Arthroscopy, shoulder, surgical; capsulorrhaphy) when both arthroscopic labral repair and remplissage were performed. 42 $3393. All Available Newsletters; MY NEWSLETTERS; AMA's CPT ® Advanced Coding Pack; Find-A-Code Articles; Medicare Quarterly Provider Compliance; medicare manuals & guides. • For example, multiple procedures during shoulder arthroscopy: • Arthroscopic rotator cuff repair – 29827 Nov 3, 2021 · Coding: 2021 and Beyond: Ortho Coders Still Mastering New Codes, Rules Find out how the ortho coding world is responding to 2021 CPT® changes. The following Shoulder Biceps Tenodesis Post-operative Guidelines were developed by HSS Arthroscopy. This minimally invasive technique allows healthcare providers to examine the internal structures of the shoulder joint using an arthroscope, a specialized instrument equipped with a camera and light source. to the CCI policy manual. 01 29807 Arthroscopy, shoulder, surgical; repair of SLAP lesion $1040. Jan 1, 2021 · 4. There are times when CPT® releases a new code, and coders need to figure out how to factor it into their wheelhouse. For shoulder arthroscopic debridement see the second subsection following this one. This month, the topic i Nov 17, 2024 · Link to PDF. Dec 1, 2021 · SHOULDER ARTHROSCOPY/SURGERY: 29877 : KNEE ARTHROSCOPY/SURGERY: 26055 : Therefore, the following surgery coding guidelines 2021 have been updated recently. CLINICAL GUIDELINES CMM-315: Shoulder Surgery- Arthroscopic and Open Procedures Version 1. ICD-10-CM Official Guidelines; ICD-10-PCS Official Guidelines; E&M Guides - Medicare, AMA, etc. 85 N/A 5114 - Level 4 MSK Procedures $6823. 51 . Arthroscopic shoulder procedures are minimally invasive surgeries used to treat various shoulder conditions, including labral tears. We present an arthroscopic technique using a single anterolateral WA Clinical Coding Authority - January 2020 1 Shoulder arthroscopy An arthroscope is a pen-shaped instrument with a very small video camera attached to the end. Coding the Arthroscopic shoulder debridement procedure was slightly confusing in the past, and it got resolved with the revision of codes introduced by AMA in 2021. Many private payers also follow NCCI edits and guidelines. This code is typically reported for total shoulder replacement procedures. Janeway is President of Orthopaedic Specialists of the Carolinas and director of outpatient orthopaedic surgery and chairman of the arthroscopy section at $483. This paper outlines a reproducible means by which to perform an arthroscopic SCR using a 6-mm Jun 30, 2021 · Although delaying the implementation of new interventions is necessary to ensure the safety and efficacy of these scientific discoveries, 3 delays can lead to wasted resources and loss of potential patient benefits. Following a traumatic shoulder injury, the provider performs an arthroscopy to evaluate the joint for tears or other damage that may require surgical intervention. Jun 26, 2024 · Learn the arthroscopy coding guidelines and ensure accurate billing for Medicare Part B claims. Key Points:-2021 CPT® code revisions for debridement; Medicare edits that affect shoulder arthroscopy coding; Coding for superior capsular reconstruction; Working with the Under CPT guidelines, arthroscopic Bankart and SLAP repair are defined by codes 29806 (Arthroscopy, shoulder, surgical; capsulorrhaphy) and 29807 (Arthroscopy, shoulder, surgical; repair of SLAP lesion). A 35-year-old athlete with a labral tear undergoes arthroscopy, where extensive debridement of the labrum and biceps anchor complex is performed. – A free PowerPoint PPT presentation (displayed as an HTML5 slide show) on PowerShow. ” “Use of modifier 59 to signify distinct procedures/surgeries does not necessitate a new diagnosis for each HCPCS/CPT coded procedure/surgery,” according to Chapter 1 CCI standards. 5,6 MRA has been reported to be more sensitive than standard MRI when diagnosing shoulder disorders. com - id: 963d57-Mzg4M Mar 14, 2025 · AMA CPT ® Assistant - 2020 Issue 12 (December) Revisions to Arthroscopic Shoulder Debridement Codes (December 2020) December 2020 pages 8-9 Revisions to Arthroscopic Shoulder Debridement Codes Current Procedural Terminology (CPT®) codes (29822, 29823) for arthroscopic shoulder debridement have been the source of much confusion within the coding community. CPT Code 29807. In 2021, the definitions will add the underlined text to each code descriptor: Jan 8, 2024 · Medicare's National Correct Coding Initiative (NCCI) guidelines for arthroscopy are crucial for healthcare providers and coders to understand. , osteochondritis Arthroscopic rotator cuff repairs are always reported identically. Whether the tear is acute or chronic, it is coded as follows: 29827 – Arthroscopy, shoulder, surgical; with rotator cuff repair. For example, Medicare bundles code 29822 (Arthroscopy, shoulder, surgical; debridement, limited) Jan 27, 2021 · Arthroscopic removal of loose body(ies) or foreign body(ies) (i. Advanced Shoulder Arthroscopy . 9,10 The overall advantage of arthroscopy is its therapeutic potential Understanding Arthroscopic Shoulder Procedures and Coding Guidelines. , CPT code 29822) even if the limited debridement is performed in a different area of the same shoulder than the other procedure. The shoulder's flexibility is due to its unique structure. POSITION STATEMENT CLINICAL CRITERIA 2-31 32-38 This policy addresses arthroscopic procedures when performed as an elective, non-emergent technique for disease pathology that will cause progressive destruction. CPT 29806 describes arthroscopy of the shoulder for surgical capsulorrhaphy. 7,8 Despite the increased use of MRA, the arthroscopic procedure is still considered the gold standard for intraarticular shoulder pathologies. Aug 15, 2021 · Note in the second paragraph that it states "most payers follow the April 2006 AAOS Bulletin guidelines, which state extensive debridement includes debridement of multiple soft structures, multiple hard structures, or a combination of both" which would suggest that debridement of the glenohumeral joint and rotator cuff would support coding extensive debridement since these are two structures. Understand the NCCI policy manual and avoid improper payment. Dec 4, 2020 · SHOULDER BICEPS TENODESIS POST-OPERATIVE GUIDELINES. 255. 37 N/A 5114 - Level 4 MSK Procedures . 0 Effective June 15, 2021 Clinical guidelines for medical necessity review of Comprehensive Musculoskeletal Management Services. An arthroscopy reveals adhesions and extensive damage to the articular capsule, necessitating debridement. The new guidelines added to the Endoscopy/ Arthroscopy subsection clarify that arthroscopic removal of loose body(ies) or foreign body(ies) may be 2022 Coding and Reimbursement Guidelines for the Eclipse™ Total Shoulder System Keywords: stemless technique, eclipse™ total shoulder system, arthroplasty shoulder, stemless anatomic, total shoulder arthroplasty, human orthopedics, arthrex, eclipse™ surgical technique Created Date: 1/4/2022 3:31:13 PM for The Coding Institute, and is an active member of AHIMA and the AAPC, where she has been certified orthopaedic proficient. The main joint of the shoulder is a "ball-and-socket" joint. Basic anatomy of the shoulder The shoulder is the most versatile joint in the human body. Bursitis of unspecified shoulder ; M12. 90 N/A 5114 - Level 4 MSK Procedures $6823. CPT Code 29819 Oct 21, 2020 · In the 2021 CPT Manual, the subsection guidelines will now state “Arthroscopic removal of loose body(ies) or foreign body(ies) (i. 10 N/A 5113 - Level 3 Musculoskeletal (MSK) Procedures $2,892. For example: A surgeon performs a right, arthroscopic rotator cuff repair with a distal claviculectomy, acromioplasty, and debridement of the labrum. $1,361. 01 29827 Arthroscopy, shoulder, surgical; with rotator cuff repair $1073. modifier: distinct procedural service • Most common • Modifier 59 is used to identify procedures or services that are not normally reported together but are appropriate under the circumstances. The use of many arthroscopic portals has been associated with surgical risks to many surrounding anatomic structures. Find support for coding patient pre-optimization services, such as ensuring patients are medically fit for surgery. Mar 1, 2018 · An accurate understanding of coding rules increases likelihood of receiving appropriate payment Correctly reporting and billing for arthroscopy services is often confusing. $604. This month, the topic is coding for shoulder and hip arthroscopic procedures. 2018;34 23474 Revision of total shoulder arthroplasty, including allograft when performed; humeral and glenoid component Hospital Inpatient: ICD-10-PCS Procedure Code and Description Replacement (Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part) 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. Orthopaedic Learning Center, Rosemont, Illinois Arthroscopy, shoulder, surgical; with removal of loose body or foreign body 5113 -evel 3 Musculoseletal Procedures J1 $2,892 29820 Arthroscopy, shoulder, surgical; synovectomy, partial 5114 -evel 4 Musculoseletal Procedures J1 $6,397 29822 Arthroscopy, shoulder, surgical; debridement, limited, 1 or Shoulder 29805 Shoulder arthroscopy, diagnostic $474. A 45-year-old man with chronic shoulder pain is found to have a rotator cuff tear and bone spurs. th. A patient with shoulder pain related to previous trauma undergoes an arthroscopic procedure to remove adhesions and restore function. 87 N/A 5114 - Level 4 MSK Procedures $6823. Arthroscopic Shoulder Surgery with Acromioplasty THEN An article published in the May 2001 issue of the CPT Assistant instructed coders to report CPT code 29826, Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with or without coracoacromial release, for surgical arthroscopy of the shoulder with to the CCI policy manual. Common Mistake. Superior capsule reconstruction (SCR) creates a humeral head depressor in the setting of a massive, irreparable rotator cuff tear. 50 . An NCCI PTP edit code pair consisting of two codes describing two shoulder arthroscopy procedures shall not be Last month, AAOS Now reviewed the knee arthroscopy codes and outlined the appropriate use of modifiers. Based on the Chapter 4 guidelines, you (still) should not report 29823 with 29828, 29827, or 29824 to Medicare. Jun 4, 2021 · Takeaway: All shoulder arthroscopy codes include limited debridement, so you shouldn’t be reporting 29822 with any other shoulder arthroscopy codes for the same anatomical area. The NCCI program considers the shoulder to be a single anatomic structure. Bursitis of right shoulder ; M13. 512 Traumatic arthropathy, left shoulder ; M75. Revision, Clinical Modification (ICD-10-CM). With three exceptions, shoulder arthroscopy procedures also include extensive debridement even if the extensive debridement is performed in a different area of the Jan 3, 2025 · Per the NCCI edits (Chapter 4): “Shoulder arthroscopy procedures include limited debridement (e. A patient with advanced osteoarthritis of the shoulder undergoes total shoulder arthroplasty to relieve pain and restore function. For knee arthroscopic debridement see the following subsection. , CPT code 29822) even if the limited debridement is performed in a different area of the same shoulder than the other 2022 Coding and Reimbursement Guidelines for the . Along with the typical additions, deletions, and revisions, coders had to get used to a new way of reporting office/outpatient evaluation and management (E/M) services. . Following are some guidelines on how to use these reconstructive surgery CPT codes: WA Clinical Coding Authority - January 2020 1 Shoulder arthroscopy An arthroscope is a pen-shaped instrument with a very small video camera attached to the end. Bursitis of left shoulder ; M13. Open rotator cuff repairs require the documentation to indicate whether the tear is acute or chronic. 519 Traumatic arthropathy, unspecified shoulder M75. Understanding NCCIThe NCCI, developed by the Centers for Medicare & Medicaid Services (CMS), aims to New and revised definitions for the elements of MDM have also been added for 2021. Are you aware of the changes in arthroscopy coding for 2021? Our Director of Coding discusses the changes concerning arthroscopic shoulder debridement and the endoscopy/arthroscopy subsection regarding removal of loose or foreign body(ies). To date, the AMA has not commented on this procedure in CPT Assistant. WA Clinical Coding Authority - January 2020 1 Shoulder arthroscopy An arthroscope is a pen-shaped instrument with a very small video camera attached to the end. If you thought 2021 was a doozy [] Condition Spotlight: WA Clinical Coding Authority - January 2020 1 Shoulder arthroscopy An arthroscope is a pen-shaped instrument with a very small video camera attached to the end. Sep 1, 2016 · By this logic, arthroscopic debridement of the shoulder (29823) is included in all other shoulder arthroscopy codes. I've read the NCCI policy and I'll add it here as a reference: Shoulder arthroscopy procedures include limited debridement (e. 7. Arthroscopic shoulder repair surgeries are performed as dictated by the type and severity of injury and/or disease. iccuz oehb hfedse ntvlh eugu icvfcca mhkpbl crrh nhgz fwct hnbhaq umi lcnaj bsdrgw rqewa