bharathiT
Guru
Pre-operative Diagnosis: TENDINITIS LEFT RTC, Possible anterior labral tear
Post-operative Diagnosis: TENDINITIS LEFT RTC
Procedure(s):ARTHROSCOPY SHOULDER SUBACROMIAL DECOMPRESSION, ACROMIOPLASTY
Procedure details:
The patient was placed in modified beachchair position.
Patient was prepped and draped in the usual sterile manner. Standard diagnostic arthroscopic portals were created posteriorly and through the rotator interval under direct view with a spinal needle.
A full and complete diagnostic arthroscopy was carried out in the intraarticular aspect of the joint with the noted findings. The anterior and superior aspect of the labrum were thoroughly probed.
No labral tear could be appreciated, and no signs of previous instability were noted.Attention was then turned to the subacromial region. The scope was placed. A lateral portal wascreated. Gross bursectomy was carried out. This was done with a 4.5 shaver as well as an electrocautery device. With the rotator cuff intact the periosteum was burned off the undersurface of the acromion and the CA ligament released anteriorly. A subacromial decompression and acromioplasty with a 4.5 burr sequentially from laterally to medially was then carried out. There was an excellent decompression. The portals were ultimately closed with #4-0 monocryl. Adaptic, 4x4s,ABDs, and Elastoplast tape placed for dressing. The patient was awoken and transferred to PACUin apparent satisfactory condition.
What is the exact CPT for above procedure note.
Post-operative Diagnosis: TENDINITIS LEFT RTC
Procedure(s):ARTHROSCOPY SHOULDER SUBACROMIAL DECOMPRESSION, ACROMIOPLASTY
Procedure details:
The patient was placed in modified beachchair position.
Patient was prepped and draped in the usual sterile manner. Standard diagnostic arthroscopic portals were created posteriorly and through the rotator interval under direct view with a spinal needle.
A full and complete diagnostic arthroscopy was carried out in the intraarticular aspect of the joint with the noted findings. The anterior and superior aspect of the labrum were thoroughly probed.
No labral tear could be appreciated, and no signs of previous instability were noted.Attention was then turned to the subacromial region. The scope was placed. A lateral portal wascreated. Gross bursectomy was carried out. This was done with a 4.5 shaver as well as an electrocautery device. With the rotator cuff intact the periosteum was burned off the undersurface of the acromion and the CA ligament released anteriorly. A subacromial decompression and acromioplasty with a 4.5 burr sequentially from laterally to medially was then carried out. There was an excellent decompression. The portals were ultimately closed with #4-0 monocryl. Adaptic, 4x4s,ABDs, and Elastoplast tape placed for dressing. The patient was awoken and transferred to PACUin apparent satisfactory condition.
What is the exact CPT for above procedure note.