Marlene Posted 6 Year(s) ago
Physician repaired a right shoulder anterior labral tear. The anterior labrum was torn from about the 3 o'clock to 6 o'clock position. The tear was released from any adhesions and scar tissue with the use of small periosteal elevators through the anterior portal. A bone rasp was then introduced and used to rasp the edge of the bone along the rim of glenoid using Arthrex equipment & standarized techniques. Suture was passed around the labrum at the 5:00 possition. Suture tightened down against the labrum. Second suture passsed around the labrum at the 3:30 to 4:00 position. Drillholes were made at both positions on the lip of glenoid. A push-lock anchor was then threaded on the inferior suture and anchor was them impacted into the drill hole on the glenoid rim, carrying the suture down with it anchoring the glenoid against the rim of the bone. The inferior glenoid was pulled taught anteriorly and superiorly by the placement of this anchor holding the glenoid firmly against the edge of the bone.This was done again on the second position (3:30-4:00).
Would this procedure be coded with 29807? According to what I have read this code is for the 10:00 to 2:00 position. Cannot find anything referring to positions described above. Any help would be appreciated. Thanks.
SuperCoder Posted 6 Year(s) ago
CPT code 29806 - Arthroscopy, shoulder, surgical; capsulorrhaphy.
CPT code 29807 - Arthroscopy, surgical; repair of a superior labrum anterior/posterior (SLAP) lesion.
You can report 29806 with 29807 ONLY if the SLAP lesion repair is Type 2 or Type 4." This indicates that, for the other five types of SLAP lesions, it may not be appropriate to report 29807 along with 29806.
This seems to me to be of Type 2 SLAP, so you can use 29806 with 29807. But as I don't find capsulorrhaphy, I would like to code only 29807.
SLAP Type 2 (http://www.shoulderdoc.co.uk/article.asp?article=1027)
Type 2 is the comonest type of SLAP tear. The superior labrum is completely torn off the glenoid, due to an injury (often a shoulder dislocation). This type leaves a gap between the articular cartilage and the labral attachment to the bone. Type 2 SLAP tears can be further subdivided into (a) anterior (b) posterior, and (c) combined anterior-posterior lesions.
Treatment is reattachment of the labrum (SLAP repair). This is done arthroscopically (keyhole) using suture anchors.
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