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36.4.47.6 Capsulotomy
A capsulotomy is the incision of the fibrous tissues surrounding a joint. This procedure is considered part of the joint surgery.
If a surgeon bills separate charges for a capsulotomy and another joint surgery on the same day, the charges are reviewed and reimbursed only for the service with the higher of the allowed amounts.
If a capsulotomy is billed alone, use the appropriate capsulotomy procedure code.
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