Prior Auth Required

29822 - of the rotator cuff, subacromial bursa, foreign body[ies])

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Procedure / Serviceof the rotator cuff, subacromial bursa, foreign body[ies])
Procedure / Service Description

Extracorporeal shock wave, high energy, performed by a physician or other qualified health - bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side 29822 of the rotator cuff, subacromial bursa, foreign body[ies]) Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps

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