AHA Coding Clinic® for HCPCS - 2022 Quarter 4; Ask the Editor
Bankart repair with GLAD
A patient with a complete tear of the anterior inferior labrum and a posterior glenolabral articular disruption (GLAD) of the left shoulder, presented for Bankart and GLAD lesion repair. Through anterior portals, the anterior glenoid was prepared by rasp and shaver to increase the bleeding bone exposure. The tear of the anterior inferior labrum was then mobilized with an elevator and rasp. The labral tear was then reduced and stabilized three anchors were used and placed into the anterior glenoid from the 6 o’clock to 9 o’clock position. Anchors were placed into the prepared anterior glenoid face edge to anchor the labrum and anterior capsule back superiorly and to re-create the anterior soft tissue bumper. The anterior capsule was now re-tensioned and stable. The posterior GLAD lesion was identified at the mid-glenoid level. The labrum remained solidly attached. The lesion was debrided with a shaver. To fill the disrupted lesion a knotless suture anchor was placed in the defect. The labrum was then advanced into the defect and secured. Is the repair of the GLAD lesion coded in addition to the Bankart repair? How is this procedure reported? ...
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Article Overview
This premium article covers an arthroscopic shoulder repair case focused on labral stabilization and management of a GLAD lesion. It is relevant for orthopedic and surgical coding audiences who need to understand the procedural context, anatomy involved, and the type of operative guidance discussed in the full article.
Why This Topic Matters
Shoulder arthroscopy cases can involve multiple related repair steps and documentation details that affect code selection and procedural interpretation. This article helps readers understand the scope of the operative work discussed in the source.
Article Sections
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Operative description
The article presents the operative context for a shoulder repair case and describes the main arthroscopic steps performed. It focuses on the overall procedure narrative and associated anatomic structures.
What You Will Learn
- The general arthroscopic approach used for a shoulder labral repair case
- How the operative narrative describes treatment of related glenolabral pathology
- What types of procedural documentation details are emphasized in this case report-style article
- How shoulder anatomy and lesion location are discussed in the context of coding reference material
Who Should Read This
- Medical coders
- Orthopedic surgery coders
- Clinical documentation improvement specialists
- Auditors
- Orthopedic surgeons
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