AHA Coding Clinic® for HCPCS - 2022 Issue 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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