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2025 CPT code 24006

Arthrotomy of the elbow with capsular excision for capsular release (separate procedure).

Refer to the CPT manual for detailed coding guidelines and appropriate use of modifiers. Ensure the documentation supports the medical necessity of the procedure and the use of any applied modifiers.

Modifiers, such as 50 for bilateral procedures or 22 for increased procedural services, may be applicable depending on the specific circumstances of the case. Modifier 59 may be necessary to indicate a distinct procedural service.

Medical necessity must be established by documenting the functional limitations and pain resulting from the capsular contracture or instability. Conservative treatments attempted prior to surgery should also be documented.

The physician is responsible for all aspects of the procedure, including patient evaluation, surgical planning, performing the surgery, and postoperative care.

In simple words: This procedure involves opening the elbow joint and removing a part of the joint's lining to improve movement and relieve stiffness.

Surgical incision into the elbow joint followed by the removal of a portion of the joint capsule to release contracture or improve range of motion. This is performed as a standalone procedure, not in conjunction with other elbow surgeries.

Example 1: A patient with limited elbow range of motion due to capsular contracture undergoes capsular release to improve function., A patient with recurrent elbow instability resulting from a prior injury undergoes capsular excision to tighten the joint., A patient with a stiff elbow after a fracture undergoes an arthrotomy with capsular release to regain mobility.

Documentation should include the operative report detailing the procedure performed, including the extent of capsular excision. Preoperative imaging and range of motion assessments should also be included.

** For further details, utilize a medical coding and billing resource such as the current CPT manual or a specialized coding database.

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