Repair of Rotator Cuff Due To Chronic Musculotendinous, Open
A chronic shoulder rotator cuff injury caused by musculotendinous wear and tear. This is an open surgery involving a minimal incision where the surgeon will surgically repair the torn tendon and provide debridement if necessary.
The Bundled Rate plus Outlier Per Diems includes:
1. Those comprehensive facility services, supplies, and equipment necessary to perform the Bundled Procedure and rendered by PROVIDER 2. Those professional services necessary to perform the Bundled Procedure and rendered by a Physician 3. The treatment of any complication or concurrent related illness associated with or resulting from the performance of the Bundled Procedure The Bundled Rate covers outpatient services 1 day(s) prior to the scheduled Accarent outpatient procedure through 30 calendar days. Should the patient require an inpatient admission, per diem outlier payments will be applicable for each subsequent inpatient day. The per diem applies on all inpatient days beginning on inpatient day number 1 through 30 days after your procedure.
There are no exclusions.
Candidacy for the bundled procedure will be determined by the Provider.