SomeAAOS Nowarticles are available only to AAOS members. Can anyone give suggestions if this is the correct pair of cpt codes and icd-9 codes for this procedure? Treatment may be nonoperative for nondisplaced fractures with an intact extensor mechanism. managing01. His lateral radiograph is shown in Figure A. (OBQ11.141) account for approximately 10% of upper extremity fractures, severe axial load leading to potential instability of the ulnohumeral joint due to severe intra-articular comminution of the olecranon fracture, considered an anterior dislocation of the elbow (distal humerus is driven through the olecranon), there is no disruption of Distal Triceps Repair - Shoulder & Elbow - Orthobullets. He is subsequently treated as shown in Figure B. compilation for random notes and resources. Nontraumatic tear of right triceps tendon; Nontraumatic tear of right upper arm tendon; ICD-10-CM M66.821 is grouped within Diagnostic Related Group(s) (MS-DRG v 40.0): Search across Medicare Manuals, Transmittals, and more. Codes are selected based on the . One of our orthos tried to do an open repair, but when they opened the patient, the surgeon couldn't find the tendon. I am wondering if anyone has any good, solid information regarding the difference between CPT codes 24342 (reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft) and 2 Hello, this is probably an untimely response, but I have access to encoderpro. Shoulder360 The Comprehensive Shoulder Course 2023, Type in at least one full word to see suggestions list. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code M66.821. A 24-year-old male sustains the isolated, closed injury seen in Figure A as the result of a fall. ICD 10 code for Spontaneous rupture of other tendons, right upper arm. In this procedure, the provider reattaches the torn or separated distal end of a biceps or triceps tendon back to the bone from where it detached. [includes acromioplasty], Arthroscopic Smooth and Move (with open RCR), diagnostic, with or without synovial biopsy, with removal of loose body or foreign body, Celestone (Betamethasone Injectable Suspension). Right triceps strain; Right triceps tendon tear; ICD-10-CM S46.311A is grouped within Diagnostic Related Group(s) (MS-DRG v 40.0): Fixation of an olecranon osteotomy used for distal humerus surgery in a 24-year-old male, Simple transverse olecranon fracture in 33-year-old female, Comminuted olecranon fracture in 45-year-old male, Severely comminuted proximal olecranon fracture in an osteoporotic 91-year-old female, Aphophyseal elbow fracture in 6-year-old male. View any code changes for 2023 as well as historical information on code creation and revision. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code M66.822. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code S46.312A. To plug inpatient facility revenue drains, subscribe to, Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! (OBQ04.138) This website and its contents may not be reproduced in whole or in part without written permission. Capsular shift/capsulorrhaphy for multidirectional instability, Reconstruction of complete shoulder [rotator] cuff avulsion, chronic The countdown to AAOS 2023 March 7-11 in Las Vegas is on. You indicate that the bony fragment was pulled off of the olecranon. triceps 24340 Tenodesis of biceps tendon at elbow (separate procedure) 24341 Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary . Patient having repair of distal biceps tendon rupture, CPT 24342 Should I use the biceps code (24342), or go with an unlisted procedure code? Dr. Janevicius on-demand hand coding courses are available at karenzupko.com. Multiple procedure modifier 51 would be used with code 26418 because it has a lower relative value than 24305. Answer: You can use 24342 (Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft). We see CPT code 20103 incorrectly reported in addition to the repair of a structure (tendon, nerve, etc. Diagnosis can be made clinically with the i. nability to extend the elbow against resistance. Orthopedic surgeons always repair triceps distally. Clear documentation in the operative record of indications for nerve service is mandatory. Raymond Janevicius, MD, is a plastic and hand surgeon and president of Janevicius Consulting Corp. A nationally recognized coding and reimbursement expert, he has more than 30 years of experience, including participating in the creation of numerous CPT codes and revising several sections of the CPT book. You are using an out of date browser. Location specificity also is essential in fracture management reporting. There is a risk of impaired forearm rotation after tension band fixation of an olecranon fracture with which of the following? (SBQ12TR.11) Get free rules, notes, crosswalks, synonyms, history for ICD-10 code S46.311A. Without seeing the op report it's difficult to be more accurate. I just need something to show my doctor since he thinks this is two different procedures and they should be billed accordingly. . In particular, zone 2 flexor tendon repairs in the hand are important, as a separate CPT code is used to describe such procedures. (OBQ11.135) Diagnosis can be made with plain radiographs of the elbow. Key Words: triceps rupture, suture anchor, triceps repair, elbow surgery (Tech Hand Surg 2018;22: 89-93) T riceps tendon rupture is an uncommon yet potentially American Hospital Association ("AHA"). I'm leaning towards 24342 but I would like some extra eyes on this one. Please note that information on this site was NOT authored by Wondering if I need to code the Tenodesis Brachialis separately? Fragment excision and triceps advancement. I have a provider that performed an Arthrotomy on the elbow along with repairing a triceps defect. Under AAOS guidelines, 24342 includes arthrotomy which, in some instances, includes removal of bone or cartilage fragments. Moreover, use of the term volar flap (i.e., undermining the volar tissues) does not support use of code 26952. (OBQ09.192) When it is performed in conjunction with other hand procedures, it cannot be assumed that the service is medically necessary. Radiographs are shown in Figures A and B. He said this was a chronic tear and the repair is more complicated than the 24342. If you are looking for medical information about the treatment American Hospital Association ("AHA"), Assistant Surgeon Reimbursement for CPT 24342, Exploration of proximal left forearm vasculature for orthopedic dr, Distal Biceps Repair with Tenodesis Brachialis, Distal biceps repair to the fascia of the brachialis bicep repair, Reconstruction distal biceps with Achilles allograft, Jury Convicts Physician for Misappropriating $250K From COVID-19 Relief, REVCON Wrap-up: Mastering the Revenue Cycle, OIG Audit Prompts ASPR to Improve Its Oversight of HPP, Check Out All the New Codes for Reporting Services and Supplies to Medicare. Triceps Rupture. Should I use the biceps code (24342), [], Submit One Cast Supply Code Unit Per Cast, Question: Should we use supply code Q4010 as one unit, or can we report multiple [], Beware "Separate Procedure" Codes for Rigid Mallet Toe Treatment, Question: A patient came into the office with a rigid mallet toe. You must log in or register to reply here. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code S46.302A. An example is distal radius fractures, which require documentation of whether the fracture is extra- or intra-articular. Codes are selected based on the location of the repair, not the site of tendon insertion. How should I code a triceps repair? Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes. The UW Shoulder Site @ A 35-year-old patient sustains an upper extremity injury after a motor vehicle collision. 1% (14/1499) L 1 Should I use the biceps code (24342), or go with an unlisted procedure code? Do you have access to AAOS Complete Global Service Data for Orthopedic Surgery? Michigan Subscriber CPT Codes: Common Procedures : 23472: Total Shoulder Arthroplasty: Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder)) . Hand surgeons use a range of techniques for first carpometacarpal (CMC) excisional arthroplasty. Shoulder360 The Comprehensive Shoulder Course 2023, Olecranon Fracture ORIF with Tension Band, Olecranon Fracture ORIF with Plate Fixation, Type in at least one full word to see suggestions list, 7th Annual Frontiers in Upper Extremity Surgery, Olecranon Fractures and Osteotomies - Diane Payne, MD, MPT, Open Treatment of Olecranon Fractures with Plate Fixation, Transolecranon Fx/Dislocation with Ipsilateral Distal Radius Fx in 38F. repair failure. Triceps tendon ruptures are rare injuries and are frequently missed on initial presentation to the emergency department. Actually, these sound more like loose bodies to me which would be included in the repair. Af My physician did the above but feels that CPT 24342 does not properly capture what he did. (OBQ07.204) A radiograph is provided in Figure A. Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT code. Protrusion of Kirschner wire fixation through the volar cortex of the proximal ulna, Use of ulnar intramedullary Kirschner wire fixation. We conducted a focused review of the literature and found that the acute rupture of the Achilles tendon leaves long-term changes in the structure of the triceps surae muscle, regardless of whether it was treated surgically or . The fracture reduction codes include the use of fluoroscopy to assess fracture reduction; CPT code 76000 is not separately reportable. Subscribe to Codify by AAPC and get the code details in a flash. Ms. Wiskerchen also provides education for ASSH. (OBQ11.114) View matching HCPCS Level II codes and their definitions. In this context, annotation back-references refer to codes that contain: Short description: Unsp injury of musc/fasc/tend triceps, left arm, init, This is the American ICD-10-CM version of, Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. In cases of complete rupture, surgical repair is recommended but no. CPT code 20103 is reported for wound exploration, which includes extension of wound, dbridement, removal of debris, and exploration of the wound to assess integrity of structures, if no structure is repaired. Surgery is performed to repair the tendon by stitching and joining the associated muscle with bone. Which of the following is the best treatment? Please log in to access this article. In a click, check the DRG's IPPS allowable, length of stay, and more. Codes and Tags . You Be the Coder: Pinpoint Triceps Repair Code Options Here, Pinpoint Triceps Repair Code Options Here. . 1,3 In cases of complete rupture of the triceps tendon, surgical repair is usually What is a distal biceps tendon repair surgery with an endobutton? Which of the following treatment options has a low risk of complications and a high likelihood of a functional elbow outcome? CPT Codes: 24685 Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]), includes internal fixation, when performed Olecranon Fracture ORIF with Plate Fixation . (OBQ05.181) Patient was taken to surgery for a complete tricep tendon rupture with avulsed fragment off the ulnar aspect of olecronon and small bony fragment has been pulled off the olecronon and displaced. Methods: A query of patients surgically treated at a large orthopaedic group (with > 100 surgeons) for distal triceps tendon repair from January 2005 through April 2017 was generated using the CPT code 24342 for repair of ruptured distal biceps or triceps tendon. Triceps Ruptures are rare injuries to the elbow extensor mechanism that most commonly occurs as a result of a sudden forceful elbow contraction in weightlifters or older males with underlying systemic illness. ), but such exploration is included in the structure repair codes. 2023 ICD-10-CM Diagnosis Code S46.391 Other injury of muscle, fascia and tendon of triceps, right arm 2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code S46.391 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. Sarah Wiskerchen, MBA, CPC, is a senior consultant with KarenZupko & Associates, Inc. She has more than 25 years of coding, reimbursement, and practice management experience and is a developer and instructor for the AAOS national coding and reimbursement series. (OBQ09.243) (OBQ05.266) The triceps tendons connect the triceps muscles to the shoulder blade and elbow in your arm. ICD 10 code for Spontaneous rupture of other tendons, left upper arm. Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft : 24341: Pectoralis Repair: Repair, tendon or muscle, upper arm or elbow . Or lateral CPT 24358 - tenotomy elbow, , lateral or medial, debridement soft tissue or bone, with tendon repair or American Academy of Professional Coders debride soft tissue +/bone reattachment Session 1A, 10-11:30 "American Academy of Orthopaedic Surgeons" and its associated seal and "American Association of Orthopaedic Surgeons" and its logo are all registered U.S. trademarks and may not be used without written permission. Orthopedic surgeons always repair triceps distally. Olecranon Fractures are common fractures of the elbow that lead to loss of extensor mechanism. Instead, surgeons may perform a submuscular transposition, which also is reportable as 64718. A 19-year-old male sustains the isolated, closed injury seen in Figure A. To report this scenario correctly, append modifier 51 to CPT code 25270 to indicate multiple procedures performed during the same surgical setting (Fig. Moreover, application of the initial splint or cast is part of the surgical dressing and is not separately reportable. The volar (and dorsal) tissues are mobilized in straightforward amputation closure (code 26951); dont report these maneuvers separately when reporting code 26951. Acceptable CPT codes for Orthopaedic Sports Medicine Subspecialty Case List . Knee surgery remains one of the top procedures [], Apply the Accurate Knee Repair Codes With This Chart, Match the site to the documentation and youll choose the right code every time. What surgical treatment is recommended for this fracture? Left triceps strain; Left triceps tendon tear; ICD-10-CM S46.312A is grouped within Diagnostic Related Group(s) (MS-DRG v 40.0): results from forceful eccentric contraction or FOOSH, rupture most commonly occurs at the osseous insertion of the medial or lateral head, less frequently occurs through the muscle belly or at the musculotendinous junction, originates from the posterior humerus between the insertion of the teres minor and the superior aspect of spiral groove, the lateral border of humerus, and the lateral intermuscular septum, originates from the infraglenoid tuberosity, originates from the posterior humerus distal to spiral groove, the medial humerus, and the medial intermuscular septum, insertion occurs over a wide area/footprint, 1.1 cm distal to the tip of the olecranon, confluence of tendon from all three heads, medial aspect inserts on the posterior crest of the ulna, adjacent to the medial head, lateral aspect inserts on the fascia of the extensor carpi ulnaris muscle and the deep fascia of the anconeus muscle, distal aspect inserts on the antebrachial fascia, only muscle in the posterior compartment of the arm, Can describe the characteristics of the rupture, pain, swelling, and ecchymosis over the posterior aspect of the elbow, inability to extend elbow against resistance, not always present -- some patients are able to extend elbow against resistance if intact lateral expansion or compensating anconeus muscle, patient lies prone with the elbow at the end of the table and forearm hanging down, inability to extend the elbow against gravity suggests complete disruption of triceps proper and lateral expansion, useful for determining location and severity, small fluid-filled defect within distal triceps tendon, large fluid-filled gap (paratricipital edema), partial tears and able to extend against gravity, immobilize elbow in 30 degrees of flexion for 4 weeks, partial tears (>50%) with significant weakness, no difference in biomechanical strength or f, higher re-rupture rate and complication rate, delayed reconstruction may need tendon graft, Bunnell or Krackow whipstitch technique using non-absorbable sutures secured via, direct repair to periosteal flap from the olecranon, immobilization in 30-45 degrees of flexion for 2 weeks, Glenohumeral Joint Anatomy, Stabilizer, and Biomechanics, Traumatic Anterior Shoulder Instability (TUBS), Humeral Avulsion Glenohumeral Ligament (HAGL), Posterior Shoulder Instability & Dislocation, Multidirectional Shoulder Instability (MDI), Luxatio Erecta (Inferior Glenohumeral Joint Dislocation), Glenohumeral Internal Rotation Deficit (GIRD), Brachial Neuritis (Parsonage-Turner Syndrome), Glenohumeral Arthritis (Shoulder Arthritis), Shoulder Arthroscopy: Indications & Approach, Valgus Extension Overload (Pitcher's Elbow), Lateral Ulnar Collateral Ligament Injury (PLRI), Elbow Arthroscopy: Indications & Approach. Billing for hand procedures is among the most complex types of orthopaedic coding. When a flexor carpi radialis tendon graft is harvested in the forearm for arthroplasty stabilization, the American Society of Surgery for the Hand (ASSH) has instructed its members to utilize code 26480 for reporting Transfer or transplant of tendon, carpometacarpal area or dorsum of hand without free graft, each tendon based upon directives published in CPT Assistant. This code represents the location of the tendon placement, not the location of harvesting. shoulderarthritis.blogspot.com for an index of the many blog entries by Dr. It lists arthrotomy and gives several different examples of which codes would be included. This code specifies the reinsertion of ruptured biceps or triceps, distal end. Because there is no National Correct Coding Initiative (NCCI) edit between codes 25447 and 26480, it is not necessary to use modifier 59 for this code combination. Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes. Per Medicare Fee Schedule, CPT 24342 has a surgical assistant payment indicator of 2, which means, "Payment restriction f Our physicians assistant works side by side with one of our MDs during every surgical procedure. Another code possibility is 24341 (Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary [excludes rotator cuff]). Per CPT: Dbridement is considered a separate procedure only when gross contamination requires prolonged cleansing, when appreciable amounts of devitalized or contaminated tissue are removed, or when dbridement is carried out separately without immediate primary closure. For example, separate reporting of dbridement from the 1104211047 series of CPT codes would not be allowed in conjunction with an open wound with a tendon laceration, unless the criteria above are met and well documented in the operative report. A 79-year-old woman with osteoporosis presents with a displaced, severely comminuted olecranon fracture involving the proximal 40%. If this is your first visit, be sure to check out the. Strain of muscle, fascia and tendon of triceps, right arm, initial encounter S46.311D Strain of muscle, fascia and tendon of triceps, right arm, subsequent encounter S46.311S Strain of muscle, fascia and tendon . registered for member area and forum access. The provider has coded 24342, but I don't see that an actual reinsertion was performed. The Current Procedural Terminology (CPT ) code 24342 as maintained by American Medical Association, is a medical procedural code under the range - Repair, Revision, and/or Reconstruction Procedures on the Humerus (Upper Arm) and Elbow. We illustrate a triceps repair technique with suture xation that restores the tendinous footprint without need of an adjunctive device. Conviction is just one of more than 130 such criminal cases involving 80 million A federal jury convicted a Colorado physician Jan. 13 for misappropriating about 250000 from two separate COVID19 relie Can depression increase the risk of heart disease In recent years scientists have attempted to establish a link between depression and heart disease. This code is used commonly to report simple decompression of the ulnar nerve, such as anterior transposition or subcutaneous transposition. A flap was used to close the amputation is insufficient documentation to report code 26952. This code specifies the reinsertion of ruptured biceps or triceps, distal end. uwshoulder.com. 1995-2023 by the American Academy of Orthopaedic Surgeons. Treatment is either immobilization or primary repair depending on patient age, patient underlying systemic disease, chronicity of injury and patient activity demands. Here, we highlight eight frequently encountered errors when coding hand procedures and how to fix them. When PAs serve as first assistants during [], Some Worker's Comp Insurers May Opt out of ICD-10, CMS Says, But Medicare and Medicaid plans will not give you an extension past Oct. 1, 2014, [], Question: How should I code a triceps repair? A 45-year-old male undergoes open reduction internal fixation for a displaced olecranon fracture as shown in Figure A. Triceps tendon tears are rare and can occur when there is a forced bend to a straight elbow, such as a fall onto an outstretched hand. Triceps tendon repair is a surgical procedure performed to repair a torn or ruptured tendon which attaches the triceps muscle to the ulna bone of the elbow. In this context, annotation back-references refer to codes that contain: This is the American ICD-10-CM version of, Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition, certain conditions originating in the perinatal period (, certain infectious and parasitic diseases (, complications of pregnancy, childbirth and the puerperium (, congenital malformations, deformations, and chromosomal abnormalities (, endocrine, nutritional and metabolic diseases (, injury, poisoning and certain other consequences of external causes (, symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (, rupture that occurs when a normal force is applied to tissues that are inferred to have less than normal strength, rupture where an abnormal force is applied to normal tissue - see injury of tendon by body region, Non-traumatic rupture of long head of biceps tendon of left shoulder, Non-traumatic rupture of triceps tendon of left upper limb, Nontraumatic tear of bilateral long head of biceps tendon, Nontraumatic tear of bilateral long head of biceps tendons, Nontraumatic tear of bilateral upper arm tendons, Nontraumatic tear of left long head of biceps tendon, Nontraumatic tear of left upper arm tendon. 25275 Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes . For a better experience, please enable JavaScript in your browser before proceeding. He has pain and swelling at the elbow without evidence of instability. I'm looking for opinions on a distal biceps repair that was not repaired to the bone. Tendon / Muscle Repair CPT Codes - Proximal to hand Repair, tendon or muscle, upper arm or elbow, each (24341) Reinsertion of ruptured biceps tendon, distal, with or without tendon graft (includes obtaining graft) (24342) Repair, tendon or muscle, flexor, forearm and/or wrist; primary, single, each tendon or muscle (25260) (OBQ10.38) The COVID19 pandemic and nationwide shutdown that started in March 2020 placed a spotlight on crisis preparedness within the U.S. hea Dont assume the codes youve been using to report drugs and biologicals still apply. When utilizing this technique, what forces are generated at the articular surface? Lack of triceps tendon repair. Shoulder360 The Comprehensive Shoulder Course 2023. CPT does allow separate reporting of excisional dbridement from the 1101011012 series of CPT codes in conjunction with open fractures or dislocations with appropriate documentation of medical necessity. triceps tendon repair cpt code M66.822 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Bridge plating of the olecranon is MOST appropriate in which of the following clinical scenarios? Other Articles in this issue of Orthopedic Coding Alert Knee: Issue: Mar 2019 / A 40 year-old competitive weightlifter felt a painful pop in his elbow while performing a bench press. Do you think modifier 22 We have a patient who had a ruptured bicep tendon. of shoulders, please visit Triceps tendon repair CPT, Indications, Contraindication, Alternatives, Pre-op Planning, Technique, Complications, Follow-up care, Outcomes, References ICD 10 code for Strain of muscle, fascia and tendon of triceps, right arm, initial encounter. A tendon is a tough band of fibrous tissue which connects muscle to bone and works together with muscles in moving your arms, fingers, legs, and toes. Which of the following represents the most appropriate surgical treatment? Current Procedural Terminology (CPT) includes references to specific locations in the forearm, wrist, hand, and fingers for reporting flexor and extensor tendon repair codes. Here, we highlight eight frequently encountered errors when coding hand procedures and how to fix them. Billing for hand procedures is among the most complex types of orthopaedic coding. Updated: 4/20/2020. His radiographs show a comminuted displaced olecranon fracture involving 25% of the articular surface with global osteopenia. An MRI is likely to show which of the following? One patient in particular is being seen under a workers compensation claim and had a surgical procedure Orthopedic doctor was to perform procedure 24342- Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft, but provider now wants to bill an exploratory cpt code. Multiple procedure modifier 51 would be used with code 26480 because it has a lower relative value than 25447. One thing you can look for is button, endobutton or tunnel for 24342. Tendon / Muscle Repair CPT Codes - Proximal to hand Repair, tendon or muscle, upper arm or elbow, each (24341) Reinsertion of ruptured biceps tendon, distal, with or without tendon graft (includes obtaining graft) (24342) Repair, tendon or muscle, flexor, forearm and/or wrist; primary, single, each tendon or muscle (25260) When CPT code 20103 is supported, we often find that surgeons also code for dbridement from the 1104X series of codes, or nerve neurolysis (647XX) for nerve explorations. How will my [], Chondroplasties Are Inclusive to Meniscectomies, Question: What percentage of the meniscus must the surgeon remove before we should bill the [], Question: If the surgeon fuses vertebrae L1 through L3, should I report 22612, 22614; or [], Copyright 2023. Answer: You can use 24342 (Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft). Triceps repair is a surgical procedure that involves the repair of a ruptured (torn) triceps tendon. Orthopedic surgeons always repair triceps distally. Posterior Tibial Tendon Repair CPT Code Posterior tibial tendon connects the posterior tibialis muscle to the calf bone on the back side. Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes. Nontraumatic tear of left triceps tendon; Nontraumatic tear of left upper arm tendon; ICD-10-CM M66.822 is grouped within Diagnostic Related Group(s) (MS-DRG v 40.0): Small Partial Thickness Degenerative Rotator Cuff Repair - Arthroscopic, Small-to-medium full-thickness rotator cuff repair - Arthroscopic, Medium Full-Thickness Rotator Cuff Repair, SAD, DCR, and Biceps Tenodesis - Dr. Matthew Pifer, Massive Rotator Cuff Repair with Augmentation - Arthroscopic, Subscapularis and Rotator Cuff Repair- Arthroscopic, Superior Capsular Reconstruction - Dr. Matthew Pifer, Bankart Repair - Arthroscopic - Dr. Stephen Snyder, Bankart Repair with capsular plication- Arthroscopic, Latarjet Procedure for Glenoid Deficit - Open, Total Shoulder Arthroplasty for Arthritis, Suprascapular Nerve Decompression (Suprascapular Notch), Suprascapular Nerve Decompression (Spinoglenoid Notch), Medial Ulnar Collateral Ligament Reconstruction with Palmaris Longus Graft, Distal Biceps Repair Through Single Incision, Total Elbow Arthroplasty with Triceps-Reflecting Approach, Supine.