T7942: Arthroscopic rotator cuff repair using acellular dermal matrix (ADM) - second stage
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 | Not listed | Not on the AXA Health procedure list |
| Vitality | Not routinely covered | Not routinely covered by Vitality |
| WPA | Check cover | Listed by WPA: check cover at pre-authorisation |
Codes that can't be billed with T7942
Neither code can be billed with the other
- T7990: Revision of open or arthroscopic rotator cuff repair +/- decompression
- W9030: Injection(s) +/- aspiration, into joint, cyst, bursa with image guidance - unilateral
- W9020: Dynamic arthrogram of joint
- W8194: Arthroscopic subacromial decompression and excision of distal clavicle (including arthroscopic procedures in glenohumeral joint)
- T6800: Delayed or secondary repair of tendon (including graft, transfer and/or prosthesis) (not otherwise specified)
- T7918: Arthroscopic rotator cuff repair using a biodegradable collagen based scaffold
T7942 can't be billed with
- T7910: Open subacromial decompression and rotator cuff repair +/- excision of distal clavicle
- T7915: Arthroscopic rotator cuff repair greater than 2cm
- 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)
- 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)
- W9040: Injection(s) +/- aspiration, into joint, cyst, bursa - unilateral
- W9112: Manipulation of joint (including intra-articular injection) for Frozen Shoulder" (as sole procedure)"
- W0850: Partial excision of bone (including exostoses)
Related codes
- T7941: Arthroscopic rotator cuff repair using acellular dermal matrix (ADM) - first stage
- T7918: Arthroscopic rotator cuff repair using a biodegradable collagen based scaffold
- T7982: Arthroscopic subacromial decompression and rotator cuff repair (including arthroscopic procedures in glenohumeral joint)
- T7915: Arthroscopic rotator cuff repair greater than 2cm
- T7990: Revision of open or arthroscopic rotator cuff repair +/- decompression
- T7916: Arthroscopic rotator cuff repair greater than 2cm with tenodesis of biceps tendon
Frequently asked questions
What is the procedure code for arthroscopic rotator cuff repair using acellular dermal matrix (adm) - second stage?
The procedure code is T7942: Arthroscopic rotator cuff repair using acellular dermal matrix (ADM) - second stage.
Which insurers list T7942?
T7942 is listed by Bupa. WPA lists it, but you should check cover before treatment. Vitality does not routinely cover it. It is not on the AXA Health procedure list. Always confirm the code and cover with your insurer.
Can T7942 be billed with other procedures?
The coding rules say T7942 cannot be billed together with 18 other codes, including T7990 (Revision of open or arthroscopic rotator cuff repair +/- decompression), W9030 (Injection(s) +/- aspiration, into joint, cyst, bursa with image guidance - unilateral), W9020 (Dynamic arthrogram of joint). 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