And from every thing I was taught or by AAOS, Ingenix coders desk reference, ortho coders pink sheets or seminars, even Medicare CCI Edits it by no means explained 23130, and 23120 are bundled rather than billable alongside one another.

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The proposed incision site in excess of the anterior facet of the acromion and clavicle was marked out and injected with 1% lidocaine with epinephrine. A linear incision was centered more than this anterior and lateral element of the acromion and introduced medially. A bovie electrocautery was used all over the situation for hemostasis. On acquiring the clavipectoral fascia, the airplane was formulated to make a cellular window plus the Bovie electrocautery was accustomed to perform deltoid on entire thickness ablation in the deltoid tendon off with the acromion plus the lateral clavicle. The anterior aspect of the acromion was observed to possess a type II acromion in addition to a Darrach retractor was inserted undersurface the coracoacromial ligament resection. The anterior element of the acromion was then resected Along with the oscillating noticed and a darrach retractor was then even further inserted underneath the acromion plus the undersurface on the acromion was resected Together with the oscillating saw.