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Shoulder labrum repair help please

  1. Post Shoulder labrum repair help please
    Medical Coding Books
    I AM STUCK ON THIS LABRUM REPAIR. DOCTOR DID A POSTERIOR LABRUM REPAIR DUE TO A FULL THICKNESS POSTERIOR LABRAL TEAR AT THE SUPERIOR QUADRANT WITH INSTABILITY.

    REPAIR WAS DONE BY PASSING A SUTURE SHUTTLE THROUGH THE TORN PORTION OF THE POSTERIOR LABRUM AND USING A SUTURE SHUTTLE TO PASS A #2 FIBERWIRE. FIBERWIRE WAS THREADED INTO A KNOTLESS ANCHOR SYSTEM AND A DRILL HOLE WAS PLACED IN THE POSTERIOR SUPERIOR GLENOID TO ALLOW PLACEMENT OF THE FIBERWIRES INCLUDING THE ANCHOR,CAPTURING THE POSTERIOR LABRUM INTO THE RIGHT POSTERIOR GLENOID. SUTURE WAS TRIMMED AND LABRUM WAS TESTED AND FOUND STABLE.

    I THINK IT SHOULD BE CODED WITH 29807 BUT DOCTOR SAYS IT IS NOT A COMPLETE SLAP REPAIR AND THINKS THIS CODE IN INCORRECT. DOES ANYONE PLEASE HAVE ANY SUGGESTIONS.

    THANKS

  2. #2
    Location
    Nashville AAPC Chapter
    Posts
    937
    Default
    Source: Ingenix Coders Desk Reference - 29807

    ....For a SLAP lesion repair, the physician makes three incisions; one for the arthroscope a second for the suture hook, and a third for a cannula. The surgeon prepares the bony bed with a small ball burr and drills orpunches a hole at the cartilage bone junction of the superior labrum. A hook is passed through the anterior superior portal and the inside limb is grasped with a suture retrieval forceps. The physician sets an anchor into the drill hole by mounting the suture anchor on the inserter and sliding it down the suture. The physician closes the loop with a slipknot that is tied and tightened outside the cannula. A knot pusher secures the knot under arthroscopic control....

    Seems to be a better fit than 29806 Bankart Repiar.
    Last edited by OCD_coder; 02-01-2012 at 09:05 AM.

  3. #3
    Default
    If your doc doesn't think it was a full SLAP repair due to reduced amount of work needed to repair, then you could always append a 52 modifier to indicate that. The insurance company will reduce payment accordingly in most cases.

  4. #4
    Default
    Does your physician reference "o'clock?" Also what is the dx? If shoulder instability that usually will be 29806.

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