Encounter — Michael Davis
Procedure | Dr. Sarah Chen | 2/14/2026
Pipeline Status
Received
CDI Review
AI Coding
Compliance
Denial Check
Ready
Submitted
Clinical Note
Right shoulder arthroscopic rotator cuff repair. General anesthesia, beach chair position. Diagnostic arthroscopy confirmed full-thickness supraspinatus tear measuring 2.5 cm. Debrided tear margins to healthy tissue. Repaired with double-row suture bridge technique: 2 medial PEEK anchors (5.5mm) loaded with high-strength suture, 2 lateral knotless anchors. Excellent fixation achieved. Subacromial decompression performed — type II acromion with osteophyte. Estimated blood loss minimal.
Coding Results
ICD-10-CM Diagnoses
M75.111Incomplete rotator cuff tear or rupture of right shoulder, not specified as traumatic
98%M75.41Impingement syndrome of right shoulder
88%CPT Procedures
29827Arthroscopy, shoulder, surgical; with rotator cuff repair
97%29826-59Arthroscopy, shoulder, surgical; decompression of subacromial space
89%Details
- Patient
- Michael Davis
- Provider
- Dr. Sarah Chen
- Specialty
- Orthopedic Surgery
- Payer
- UnitedHealthcare
- Visit Type
- Procedure
- Date of Service
- 2/14/2026
- Revenue Impact
- $2,840
CDI Review
PASS
Compliance Check
91/ 100
Denial RiskMedium Risk
Payer: UnitedHealthcare