Orthopedic Coding Alert

Reader Question:

Report Rotator Cup Open Repair

Question: Which is the correct code(s) for the procedure described below: "Arthroscopy in the right shoulder showed some grade IV bone chondromalacia and grade IV exposed bone on the anterior glenoid. The remainder of the cartilage appeared fairly intact, but there was some softening and cracking grade II type chondromalacia on the remainder of the glenoid. The biceps tendon was intact, but was frayed. The labrum was intact. The rotator cuff had a large tear. Multiple strands of suture were identified. The anterior portal was made and this was done under direct visualization with spinal needle. Small incision was made and a trocar was inserted into the joint. Once inside, the cuff and tissues were probed. No loose masses were identified. The biceps was debrided and had approximately 90% of biceps still intact. Considering the rotator cuff injury and foreign body removal, an open procedure was done. This was done [...]
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