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I know I can bill the 29806 for the Bankart repair, but I am lost as far as the labral repair. Would I use the 29807? Or is it included in my 29806? help please!!
DESCRIPTION OF THE PROCEDURE: On the day of surgery, the patient was
identified in the preoperative area. Informed consent was obtained,
and the left shoulder was marked as the correct operative site. The
patient was then transported to the operating room, where anesthesia
was administered. Once the patient was adequately sedated, his left
upper extremity was prepped and draped in standard sterile fashion in
the lateral decubitus position. Next, a standard posterolateral portal
was made. A blunt trocar was used to enter the shoulder, and a
30-degree arthroscope was inserted. Under arthroscopic visualization,
an anterior portal was made in the rotator interval; and a 7-mm
cannula was inserted. Arthroscopic examination of the shoulder showed
a Bankart lesion with periosteal avulsion off the anteroinferior
aspect of the glenoid. There was no bony involvement. There was also a
posterior labral tear from about the 10 o'clock position to the 7
o'clock position on the posterior aspect of the glenoid.
At that point, attention was first turned to the Bankart lesion. A
periosteal elevator was used to elevate the labrum and periosteum from
the anteroinferior aspect of the glenoid. A 3-mm Arthrex FASTak was
then placed at about the 5:30 position on the glenoid. One suture was
then passed through a 7 o'clock portal and through the labrum and
capsule at about the 6:30 position. The labrum and capsule were
shifted anteriorly and medially, and the suture was tied down. Next, a
second anchor was placed at the 4:30 position. Both sutures were
passed in a mattress fashion through the labrum and periosteum using a
curved suture lasso. The sutures were tied down arthroscopically. A
bone anchor was placed at the 3:30 position. Again one suture was
passed in a simple fashion and tied down arthroscopically. A 4th
suture was placed at the 2:30 position. One suture was passed through
the labrum and the periosteum and tied down arthroscopically. That
completed the Bankart repair.
Attention was then turned to the posterior labrum. An elevator was used
to elevate the labrum and periosteum off the posterior aspect of the
glenoid neck. A 3-mm Arthrex suture anchor was then placed at about
the 7:30 position. A long suture was passed through the posterior
labrum and tied down arthroscopically. A second anchor was placed at
about the 9 o'clock position. Again, another suture was passed through
the labrum and tied down arthroscopically. That concluded the
posterior labral repair. At that time, no other pathology was seen.
All instruments were removed from the shoulder.
DESCRIPTION OF THE PROCEDURE: On the day of surgery, the patient was
identified in the preoperative area. Informed consent was obtained,
and the left shoulder was marked as the correct operative site. The
patient was then transported to the operating room, where anesthesia
was administered. Once the patient was adequately sedated, his left
upper extremity was prepped and draped in standard sterile fashion in
the lateral decubitus position. Next, a standard posterolateral portal
was made. A blunt trocar was used to enter the shoulder, and a
30-degree arthroscope was inserted. Under arthroscopic visualization,
an anterior portal was made in the rotator interval; and a 7-mm
cannula was inserted. Arthroscopic examination of the shoulder showed
a Bankart lesion with periosteal avulsion off the anteroinferior
aspect of the glenoid. There was no bony involvement. There was also a
posterior labral tear from about the 10 o'clock position to the 7
o'clock position on the posterior aspect of the glenoid.
At that point, attention was first turned to the Bankart lesion. A
periosteal elevator was used to elevate the labrum and periosteum from
the anteroinferior aspect of the glenoid. A 3-mm Arthrex FASTak was
then placed at about the 5:30 position on the glenoid. One suture was
then passed through a 7 o'clock portal and through the labrum and
capsule at about the 6:30 position. The labrum and capsule were
shifted anteriorly and medially, and the suture was tied down. Next, a
second anchor was placed at the 4:30 position. Both sutures were
passed in a mattress fashion through the labrum and periosteum using a
curved suture lasso. The sutures were tied down arthroscopically. A
bone anchor was placed at the 3:30 position. Again one suture was
passed in a simple fashion and tied down arthroscopically. A 4th
suture was placed at the 2:30 position. One suture was passed through
the labrum and the periosteum and tied down arthroscopically. That
completed the Bankart repair.
Attention was then turned to the posterior labrum. An elevator was used
to elevate the labrum and periosteum off the posterior aspect of the
glenoid neck. A 3-mm Arthrex suture anchor was then placed at about
the 7:30 position. A long suture was passed through the posterior
labrum and tied down arthroscopically. A second anchor was placed at
about the 9 o'clock position. Again, another suture was passed through
the labrum and tied down arthroscopically. That concluded the
posterior labral repair. At that time, no other pathology was seen.
All instruments were removed from the shoulder.