S43.499A is a billable diagnosis code used to specify a medical diagnosis of other sprain of unspecified shoulder joint, initial encounter. The code S43.499A is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
Right shoulder slap lesion; ICD-10-CM S43.431A is grouped within Diagnostic Related Group(s) (MS-DRG v 38.0): 562 Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc; 563 Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc; 963 Other multiple significant trauma with mcc
One type of labral tear is known as a Bankart lesion. Within the shoulder capsule there are a number of ligaments that act as restraints, reinforcing the shoulder joint holding the humeral head in the glenolabral cup or socket. At the front lower portion of the shoulder (anteroinferior) - you will find the inferior glenohumeral ligament.
Repair of a Bankart lesion can be accomplished by either an open procedure or arthroscopic technique. There are parenthetical notes under this CPT code that instruct a coder to report 29806 for the arthroscopic procedure. I have a question regarding a Bankart tear and a SLAP.
Bankart lesion = avulsion of the anteroinferior capsulolabrum. Bony Bankart = fracture of the anteroinferior glenoid.
When an anterior shoulder dislocation occurs, the humeral head forcefully pushes against the anterior glenoid labrum at the front of the socket, tearing it. A glenoid labrum tear in the anterior joint is called a Bankart lesion or a Bankart tear.
A Bankart lesion is a shoulder injury that occurs due to a labrum tear causing instability and recurrent dislocations of the shoulder joint. Arthroscopic Bankart repair is a minimally invasive surgical procedure performed to reattach and tighten the detached labrum within the shoulder joint.
Arthroscopic Bankart repair is reported using CPT code 29806 (Arthroscopy, shoulder, surgical; capsulorrhaphy).
The Bankart lesion is named after English orthopedic surgeon Arthur Sydney Blundell Bankart (1879–1951). A bony Bankart is a Bankart lesion that includes a fracture of the anterior-inferior glenoid cavity of the scapula bone.
A Bankart lesion of the shoulder is a tear of the labrum that causes instability and recurrent dislocations of the shoulder joint. This type of injury often occurs when the shoulder pops out of joint, thereby tearing the labrum. This is quite common in younger patients.
A Bankart repair is a surgical procedure to prevent recurring anterior shoulder dislocations due to instability in the back of the shoulder. The most common form of shoulder ligament injury is the Bankart lesion, where the ligaments are torn from the front of the socket.
A SLAP (Superior Labrum Anterior to Posterior) tear, a specific type of labral tear, involves the attachment site of the biceps tendon located at the top of the shoulder joint. A Bankart tear describes a torn labrum where the humeral head shifts toward the front of the body, as an anterior labral tear.
The Arthroscopic Bankart procedure repairs this tear in the labrum and by doing so restores stability to the shoulder. This procedure can be performed either open or arthroscopically. Previously it was believed that the arthroscopic repair was not as successful as the open repair.
431A.
If the repair is a SLAP, you'd code work done on the upper half of the labrum as 29807 (Arthroscopy, shoulder, surgical; repair of SLAP lesion). If the repair was in the lower half of the labrum, you'd use instead code 29806 (Arthroscopy, shoulder, surgical; capsulorraphy).
The CPT codes are as follows: 23455 – Capsulorrhaphy, anterior; with labral repair (Bankart procedure). There are parenthetical notes under this CPT code that instruct a coder to report 29806 for the arthroscopic procedure.