T7916: Arthroscopic rotator cuff repair greater than 2cm with tenodesis of biceps tendon
For guidance only. Always check the code and obtain authorisation from your insurer before treatment. Other insurers may use different codes and coding rules.
Also known as
For guidance only. Procedure codes and descriptions on this site are provided for general guidance only and are not a guarantee of insurance cover or payment. Always check the correct code with your surgeon's secretary and obtain authorisation from your insurer before treatment. Insurers shown are examples only. Other insurers are available, and each may use the same, similar or different codes and coding rules.
Insurer listing
| Insurer | Status | Notes |
|---|---|---|
| Bupa | Listed | Listed by Bupa |
| AXA Health | Listed | Listed by AXA Health |
| Vitality | Listed | Listed by Vitality |
| WPA | Listed | Listed by WPA |
Codes that can't be billed with T7916
Neither code can be billed with the other
- T7915: Arthroscopic rotator cuff repair greater than 2cm
- T6800: Delayed or secondary repair of tendon (including graft, transfer and/or prosthesis) (not otherwise specified)
- T7910: Open subacromial decompression and rotator cuff repair +/- excision of distal clavicle
- T7941: Arthroscopic rotator cuff repair using acellular dermal matrix (ADM) - first stage
- T7981: Extensive (greater than 2cm tear) repair of large muscle (including arthroscopic) (excluding rotator cuff)
- T7982: Arthroscopic subacromial decompression and rotator cuff repair (including arthroscopic procedures in glenohumeral joint)
- W0850: Partial excision of bone (including exostoses)
- W8193: Arthroscopic subacromial decompression
- W8603: Therapeutic arthroscopy of shoulder (as sole procedure)
- W8700: Diagnostic arthroscopic examination of joint, +/- biopsy (not otherwise specified) (as sole procedure)
- W8820: Diagnostic arthroscopic examination of shoulder joint, +/- biopsy (as sole procedure)
- W9020: Dynamic arthrogram of joint
- W9030: Injection(s) +/- aspiration, into joint, cyst, bursa with image guidance - unilateral
- W9040: Injection(s) +/- aspiration, into joint, cyst, bursa - unilateral
- W9111: Manipulation of joint (including intra-articular injection) for Frozen Shoulder" (as sole procedure) - bilateral"
- W9112: Manipulation of joint (including intra-articular injection) for Frozen Shoulder" (as sole procedure)"
- T6450: Tenodesis of biceps tendon (as sole procedure)
- T6782: Repair of distal biceps tendon
- T6580: Tendon graft, or tendon transfer (as sole procedure, not otherwise specified)
- T7050: Lengthening of tendon(s) or open tenotomy
- T7918: Arthroscopic rotator cuff repair using a biodegradable collagen based scaffold
AXA Health also lists these codes as unacceptable combinations (18)
- T6450: Tenodesis of biceps tendon (as sole procedure)
- T7981: Extensive (greater than 2cm tear) repair of large muscle (including arthroscopic) (excluding rotator cuff)
- W9111: Manipulation of joint (including intra-articular injection) for Frozen Shoulder" (as sole procedure) - bilateral"
- W0850: Partial excision of bone (including exostoses)
- T7910: Open subacromial decompression and rotator cuff repair +/- excision of distal clavicle
- W9112: Manipulation of joint (including intra-articular injection) for Frozen Shoulder" (as sole procedure)"
- T7050: Lengthening of tendon(s) or open tenotomy
- W9030: Injection(s) +/- aspiration, into joint, cyst, bursa with image guidance - unilateral
- W8193: Arthroscopic subacromial decompression
- T6782: Repair of distal biceps tendon
- W9040: Injection(s) +/- aspiration, into joint, cyst, bursa - unilateral
- T6580: Tendon graft, or tendon transfer (as sole procedure, not otherwise specified)
- T7915: Arthroscopic rotator cuff repair greater than 2cm
- T6800: Delayed or secondary repair of tendon (including graft, transfer and/or prosthesis) (not otherwise specified)
- W9020: Dynamic arthrogram of joint
- W8820: Diagnostic arthroscopic examination of shoulder joint, +/- biopsy (as sole procedure)
- W8603: Therapeutic arthroscopy of shoulder (as sole procedure)
- W8700: Diagnostic arthroscopic examination of joint, +/- biopsy (not otherwise specified) (as sole procedure)
Related codes
- T7915: Arthroscopic rotator cuff repair greater than 2cm
- T7982: Arthroscopic subacromial decompression and rotator cuff repair (including arthroscopic procedures in glenohumeral joint)
- T7990: Revision of open or arthroscopic rotator cuff repair +/- decompression
- T6450: Tenodesis of biceps tendon (as sole procedure)
- T7918: Arthroscopic rotator cuff repair using a biodegradable collagen based scaffold
- T7942: Arthroscopic rotator cuff repair using acellular dermal matrix (ADM) - second stage
Frequently asked questions
What is the procedure code for arthroscopic rotator cuff repair greater than 2cm with tenodesis of biceps tendon?
The procedure code is T7916: Arthroscopic rotator cuff repair greater than 2cm with tenodesis of biceps tendon.
Which insurers list T7916?
T7916 is listed by Bupa, AXA Health, Vitality and WPA. Always confirm the code and cover with your insurer.
Can T7916 be billed with other procedures?
The coding rules say T7916 cannot be billed together with 21 other codes, including T7915 (Arthroscopic rotator cuff repair greater than 2cm), T6800 (Delayed or secondary repair of tendon (including graft, transfer and/or prosthesis) (not otherwise specified)), T7910 (Open subacromial decompression and rotator cuff repair +/- excision of distal clavicle). See the full list above.
What does my procedure code mean?
For guidance only. Procedure codes and descriptions on this site are provided for general guidance only and are not a guarantee of insurance cover or payment. Always check the correct code with your surgeon's secretary and obtain authorisation from your insurer before treatment. Insurers shown are examples only. Other insurers are available, and each may use the same, similar or different codes and coding rules.
Codes and descriptions are for guidance only. Insurer listing and cover information is taken from each insurer's published schedule and is for guidance only: always confirm the code and cover with the insurer before treatment. This site is not affiliated with CCSD or any insurer. No fees are shown.
Last checked: 2026-10-01