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Thread: Shoulder surgery - Haglund Lesion

  1. #1

    Default Shoulder surgery - Haglund Lesion

    AAPC: Back to School
    Please help!!!!

    Shoulder procedure: open capsular shift with anterior ligament repair
    I know what an arthroscopic capsular release is but this one has me stumped.

    The diagnoses include Haglund lesion and Hill Sachs Deformity. Any idea on ICD.9 codes for these.

    The physician's dx description "... anterior ligamentous structures detached from the humerus..."

    Any ideas would be greatly appreciated. The carrier is Blue Shield of MA.

    Thank you so much!!!

  2. #2
    Join Date
    Apr 2007
    Bangor, Maine


    Is the patient a child?

    As far as the deformity, is it acquired or is it congenital? Depending on that answer, try to look at these codes: 736.89 (acquired) or 755.50 (congenital). That was the closet that I could come for that Dx without seeing any op notes.
    Last edited by LTibbetts; 11-04-2009 at 10:49 AM.

  3. #3

    Default Haglund lesion


    Thank you for your help with the ICD.9. The patient is actually is 25 years old. Any ideas on the CPT code for this one?

    As noted he did an open capsular shift with a anterior ligament repair.

    This one still has me stumped.

    Thanks again.


  4. #4


    Anyone have any ideas on the coding for an OPEN capsular shift with an anterior ligament repair in the shoulder?

  5. #5


    Look in the 23450-23466 range of codes and see if they apply.

  6. #6

    Default coderguy939

    Thanks coderguy939 -

    The doc wants to use an unlisted code and I don't because it seems like it has to be there somewhere. I would have thought it was easier since they have an arthroscopic capsular shift.

    Appreciate the help!!


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