(2022) CPT Code For Regeneten Bioinductive Implant | Description, Billing Guidelines & Modifiers

The CPT code for Regeneten Bionductive Implant depends on the procedure that is performed. CPT 29827 is often billed in combination with CPT 17999. Other codes that can be reported for regeneten are CPT 23420, CPT 23412 and CPT 23410. Below the billing guidelines for regeneten CPT codes.

What Is A Regeneten Bioinductive Implant?

The Regeneten bioinductive implant is an essential invention in clinical therapeutics as it is an important treatment option for rotator cuff diseases.

Rotator cuff muscles provide dynamic stability to the shoulder joints and are composed of four muscles: supraspinatus, infraspinatus, teres minor, and the subscapularis muscle.

Rotator cuff diseases such as full or partial thickness tears usually have profound effects on the patient, the most critical side effects being severe pain and decreased mobility. 

The Regeneten bioinductive implant is a little device derived from the bovine Achilles tendon and comprises type 1 collagen.

It is an improved solution over traditional rotator cuff surgeries, which were based mainly on mechanical repair rather than regeneration and healing of tissues. 

The Regeneten bioinductive implant induces and facilitates the natural tissue healing and growth process to halt the progression of rotator cuff diseases. 

An arthroscopic procedure involves a small incision over the injured rotator cuff muscle area. Then, the bioinductive implant is placed over the injured or diseased tendon through the incision and held with tendon anchors. 

The bioinductive implant generates a healing-friendly environment with its unique composition facilitating the growth of new tendon tissue, thereby increasing the tendon’s thickness. 

The new tendon growth is indistinguishable from the natural tendon and helps regain the architecture of the tendon’s attachment to the bone. The Regeneten Bioinductive Implant is then wholly absorbed afterward. 

Numerous individuals have reported significantly reduced pain and faster full mobility recovery after receiving therapy with the Regeneten Bioinductive Implant.

Which CPT Code For Regeneten Bioinductive Implant Should I Use?

The CPT code for regeneten bioinductive implant depends on the procedure used for the rotator cuff repair procedure.

A surgeon can begin with the arthroscopic repair of the rotator cuff tear and switch to open surgical repair mid-surgery. The CPT code for regeneten bioinductive implant can be 23410, 23411 or 23412.

CPT 29827

The 29827 CPT code describes the arthroscopic surgical repair of the shoulder joint with particular emphasis on the rotator cuff repair.

TIP: You can find the complete billing guide for CPT code 29827 here.

CPT 23410

The 23410 CPT code describes the open surgical repair of acute rupture or tear of the rotator cuff muscles of the shoulder joint. The tendons of rotator cuff muscles (supraspinatus, infraspinatus, teres minor, and subscapularis) fuse to form a cuff. The cuff is attached to the humeral head. 

The repair is made with an incision to the skin over the shoulder joint, which exposes the rotator cuff tendon.

The augmentation of this repair procedure with the implantation of the Regeneten bioinductive implant is billed with CPT code 23410 in conjuction with CPT 17999.

CPT 23412

CPT code 23412 describes the open surgical repair of chronic rupture or tear of the rotator cuff muscles of the shoulder joint.

The surgeon achieves the restoration with an incision to the skin over the shoulder joint with rotator cuff tendon exposure. Bill the augmentation of this repair procedure with the implantation of the Regeneten bioinductive implant with CPT code 23412 and CPT 17999. 

Modifier 22

Use modifier 22 to indicate the use of arthroscopy at the beginning of the procedure. Open and arthroscopic surgical repair of rotator cuff diseases can’t be reported together in the exact anatomical location according to the guidelines.

Other CPT Codes For Procedures On The Shoulder Joints

Other CPT codes for billing procures on the shoulder joints can be found below.

CPT 29828

CPT code 29828 describes the arthroscopic surgical repair of the biceps muscle, a procedure called biceps tenodesis done to correct biceps tendon instability in conditions like biceps tendonitis. 

CPT 29806

Report the 29806 CPT code for arthroscopic surgical capsulorrhaphy. Using an arthroscope, the surgeon evaluates the tissue within the shoulder joint. Then, they insert more tools to patch up any joint capsule tears.

CPT 29807

The 29807 CPT code describes arthroscopic surgical methods to treat a SLAP lesion or tear. A SLAP lesion (superior labral tear from anterior and posterior) is an injury to the glenoid labrum.

The repair of a SLAP tear and a capsular tear implies that CPT codes 29806 and 29807 should be reported distinctly by the medical coder. 

CPT 29822

The 29822 CPT code describes the limited arthroscopic surgical debridement of soft and hard tissues in the shoulder joint. In addition, it describes limited debridement of the rotator cuff, labrum, and cartilages. 

CPT 29823

The 29823 CPT code describes the extensive arthroscopic surgical debridement of soft and hard tissues in the shoulder joint.

It involves the description of extensive debridement of abrasion chondroplasty of the head humerus. It can also affect the debridement of the labrum and rotator cuff muscles. 

CPT 29824

The 29824 CPT code describes the surgical claviculectomy under the guidance of an arthroscope, including the distal articular surface. 

CPT code 29826 describes the surgical repair of the coracoacromial ligament and the shoulder blade. It is an arthroscopic procedure. 

Billing Guidelines  

It is imperative to provide adequate information to support the CPT code 17999 for the implantation procedure to be adequately billed. Payers need to be aware of the clinical devices used in the procedure.

The information required includes, 

• The patient’s diagnosis and the established indications for the procedure in the patient.
• Description of the surgery, the techniques it entails, and its possible complications
• Submission of a procedure document that contains the details of the implantation
• Give a comparable CPT code for an operation requiring comparable resources, and describe how the procedures are equivalent in terms of duration, complexity, and resource use.

Regeneten Bioinductive Implant Reimbursement

Don’t presume anything if there isn’t any indication in the clinical paperwork. For example, a Medicare patient would be underpaid by about $150 if an uncertain coder assumed they were acute. 

The bill for the rotator cuff repair procedures is as follows. 

• CPT code 29827: $1,342.79
• CPT code 23420: $1,400.39
• CPT code 23412: $1,400.39
• CPT code 23410: $1,264.85

Modifiers

The current guidelines indicate that a coder may use the following modifiers in characterizing some specific situations while reporting rotator cuff repair procedures.

Modifier 52 is mainly used when a specific procedure or service is reduced or outright eliminated at the healthcare provider’s discretion. It gives a way to disclose reduced services without affecting how the essential service is identified.

Modifier 59 can be used for situations where we must report two distinct procedures performed on the same day.

There must be adequate documentation that must indicate a separate lesion and different surgery in different sites. It is where the 59 modifier comes into play.

Modifier 73 is used to indicate a procedure canceled before the necessary patient preparation, such as induction of anesthesia or sedation.

It may be done by the surgeon in certain circumstances, such as the procedure likely to have harmful effects on the patient. In this case, the procedure is reported with its regular code but with the addition of modifier 73.

Report modifier 74 if the procedure is canceled after the induction of anesthesia. It may be done in certain circumstances at the surgeon’s discretion, such as the procedure’s harmful effects on the patient.

In this case, the procedure is reported with its standard code but with the addition of modifier 74. 

Use Modifier 78 if two procedures are related. Modifier 78 indicates a procedure during the postoperative period of the first procedure. 

Modifier 79 indicates a procedure’s performance in the postoperative period of the first procedure in which the two procedures are unrelated. 

Modifier LT indicates that a procedure was performed on the left.

Modifier RT indicates that a procedure was performed on the right. 

Example

A 53 years old man with a month history of severe right shoulder pain following a fall was diagnosed with a partial thickness tear in the rotator cuff tendon.

He subsequently underwent an arthroscopic repair of the rotator cuff muscle to repair the torn rotator cuff with a regeneten bioinductive implant.

Unfortunately, despite conservative therapy, shoulder pain has increased in severity and reduced shoulder movement. 

The procedure is coded as CPT 29827 in conjuction with CPT 17999.