Code Details & Principles for T7942
Code details & principles for
T7942
- Chapter 16 / Repair / Reconstruction
| Code | Description | Chapter/Sub-Chapter | Code Specific Guidance |
|---|---|---|---|
| T7942 | Arthroscopic rotator cuff repair using acellular dermal matrix (ADM) - second stage | 16.7.2 Repair / Reconstruction |
Unacceptable Combinations for T7942
| CCSD Code (unacceptable combination) | Narrative (unacceptable combination) | Date Added |
|---|---|---|
| T7910 | Open subacromial decompression and rotator cuff repair +/- excision of distal clavicle | 2013-06-04 |
| T7915 | Arthroscopic rotator cuff repair greater than 2cm | 2010-01-20 |
| T7941 | Arthroscopic rotator cuff repair using acellular dermal matrix (ADM) - first stage | 2020-09-18 |
| T7981 | Extensive (greater than 2cm tear) repair of large muscle (including arthroscopic) (excluding rotator cuff) | 2011-11-15 |
| T7982 | Arthroscopic subacromial decompression and rotator cuff repair (including arthroscopic procedures in glenohumeral joint) | 2014-08-07 |
| T7990 | Revision of open or arthroscopic rotator cuff repair +/- decompression | 2010-01-20 |
| W0850 | Partial excision of bone (including exostoses) | 2012-04-04 |
| W8193 | Arthroscopic subacromial decompression | 2011-11-15 |
| W8194 | Arthroscopic subacromial decompression and excision of distal clavicle (including arthroscopic procedures in glenohumeral joint) | 2014-03-04 |
| W8603 | Therapeutic arthroscopy of shoulder (as sole procedure) | 2013-03-03 |
| W8700 | Diagnostic arthroscopic examination of joint, +/- biopsy (not otherwise specified) (as sole procedure) | 2011-11-03 |
| W8820 | Diagnostic arthroscopic examination of shoulder joint, +/- biopsy (as sole procedure) | 2011-11-03 |
| W9020 | Dynamic arthrogram of joint | 2011-09-23 |
| W9030 | Injection(s) +/- aspiration, into joint, cyst, bursa with image guidance - unilateral | 2014-04-08 |
| W9040 | Injection(s) +/- aspiration, into joint, cyst, bursa - unilateral | 2014-06-19 |
| W9112 | Manipulation of joint (including intra-articular injection) for Frozen Shoulder" (as sole procedure)" | 2013-06-04 |
Coding Principles
These coding principles set out how the authors intend that the codes and narratives within the CCSD Schedule are interpreted and used. The outputs are available to be used by all individual insurers and providers including CCSD and non-CCSD members. Please note that:
- The CCSD Group does not discuss nor determine classifcations, reimbursement or fees - all insurers will have their own view on these matters
- The inclusion of a procedure code and/or its associated coding principles in the CCSD Schedule does not necessarily mean that it is endorsed by all members of the CCSD Group and codes may or may not be included in individual insurers' own Schedules or covered
- The coding principles are non-exhaustive guidelines only - each individual insurer may choose whether or not to adopt an individual combination of codes in practice and you will need to contact the insurer for further information