We are experiencing challenges when reporting an open rotator cuff repair (23412) with a subacromial decompression (29826). We are using modifier 51 on the second procedure and are constantly being denied. Can we report these two procedures together or are they considered bundled together?

It is correct coding to report both services assuming there is medical necessity for the surgeon for both services and the documentation supports both services.

The caveat here is that modifier 51 multiple procedure modifier will not allow the code combination to pass the edit. Append modifier 59 to CPT code 29826 when the documentation supports both procedures and medical necessity is documented.