Texas Orthopedic
Hospital 7401 South Main Street
Houston, TX 77030
Phone: (713) 799-2300 info@drgartsman.com
Insurance
Since you (or your employer) have chosen an insurance carrier with particular benefits and because insurance coverage is a complicated business with no fixed rules, please check with your insurance carrier in regard to the specifics of your proposed shoulder surgery. Also note that the hospital bill is not something we can control, so please direct any questions regarding the specifics of the hospital, x-ray, laboratory and anesthesia bill to the hospital billing office.
Arthroscopic operations such as rotator cuff repair and ligament repair are complex and require a trained surgical team. Dr. Gartsman works with another fully trained physician who assists him during the operation. Normally this is Steven Hammerman, M.D. You will receive a bill for his services.
Insurance Codes
Rotator Cuff - the insurance codes for your surgery are 29827 and 29826.
Labrum tear - The insurance code for your surgery is 29807.
Glenohumeral Reconstruction - The insurance code for your surgery is 29806 or 23462.
Subacromial Debridement (irreparable rotator cuff) – The insurance code for your surgery is 29826.
Subacromial Decompression – The insurance code for your surgery is 29826.
Acromio-clavicular Joint Resection – The insurance code for your surgery
is 29824.
Contracture – The insurance code for your surgery is 29825 and 29823.
Shoulder Joint Arthritis – The insurance code for your surgery is 29823 and 23825.
Other:
The use of the Cryo Cuff (ice pack) may or may not be covered by the particular health insurance plan you have selected. Please check with your insurance company. The use of the CPM chair may or may not be covered by the particular health insurance plan you have selected. Please check with your insurance company.
