Bankart Lesion: How do Code?

Bankart Lesion: How do Code?

Image result for bankart lesionA Bankart lesion is an injury of the anterior (inferior) glenoid labrum of the shoulder due to anterior shoulder dislocation. When this happens, a pocket at the front of the glenoid forms that allows the humeral head to dislocate into it.

The Bankart lesion is an injury of the glenohumeral joint. This is a ball-and-socket joint binds the scapular and the humerus. Parts of the joint are the labrum, a fibrocartilaginous structure around the glenoid, the capsule and ligaments and supporting muscle tendons.

Patients with a Bankart lesion are recognised by shoulder pain which is not localized in a specific point and the pain gets worse when the arm is held behind the back. They also feel weakness and instability of the shoulder. 

ICD-9 code designated for a Bankart lesion

CMS has not instituted an ICD-9 code for a Bankart lesion. Bankart lesions usually result from a traumatic shoulder dislocation, so we would use the dislocation code to identify the patient’s original problem.

For an acute injury, report the shoulder dislocation code, 831.0x. If the Bankart lesions appear following a chronic problem, recurrent dislocations (718.31) or shoulder instability (718.81) is usually the cause.

Bankart ICD-10

  • M24.41   – Recurrent dislocation, shoulder
  • M24.411 – Recurrent dislocation, right shoulder
  • M24.412 – Recurrent dislocation, left shoulder
  • M24.419 – Recurrent dislocation, unspecified shoulder

CPT codes

  • 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.
  • 29806 – Arthroscopy, shoulder, surgical; capsulorrhaphy

According to CPT 2004, surgeons who perform Bankart procedures through the scope to report 29806 (Arthroscopy, shoulder, surgical; capsulorrhaphy).

According to AMA , 29807 (Arthroscopy, shoulder, surgical; repair of SLAP lesion) can be used, a new parenthetical note following the open Bankart code (23455, Capsulorrhaphy, anterior; with labral repair e.g., Bankart procedure) directs coders to use 29806 for the arthroscopic version of this shoulder repair.

Because the RVUs for 29806 are higher than for 29807 (27.54 vs. 26.77), will allow orthopedic surgeons to collect more reimbursement for Bankart procedures than in the past.

15 responses to “Bankart Lesion: How do Code?”

  1. I think this is one of the most significant info for me. And i’m glad reading your article. But wanna remark on some general things, The site style is ideal, the articles is really excellent : D. Good job, cheers

  2. A formidable share, I just given this onto a colleague who was doing a little analysis on this. And he in truth purchased me breakfast as a result of I discovered it for him.. smile. So let me reword that: Thnx for the deal with! But yeah Thnkx for spending the time to debate this, I feel strongly about it and love studying more on this topic. If attainable, as you grow to be experience, would you thoughts updating your blog with more particulars? It is highly useful for me. Large thumb up for this blog publish!

  3. Excellent web site. Lots of useful info here. I抦 sending it to several friends ans also sharing in delicious. And certainly, thanks for your sweat!

  4. Thanks for your article. It’s very unfortunate that over the last decade, the travel industry has had to fight terrorism, SARS, tsunamis, influenza, swine flu, and the first ever real global tough economy. Through everthing the industry has proven to be effective, resilient along with dynamic, obtaining new approaches to deal with adversity. There are generally fresh problems and possibilities to which the sector must just as before adapt and answer.

  5. This is very interesting, You’re a very skilled blogger. I’ve joined your rss feed and stay up for looking for more of your excellent post. Additionally, I have shared your web site in my social networks!

  6. I’m really impressed with your writing skills and also with the layout on your weblog. Is this a paid theme or did you modify it yourself? Either way keep up the nice quality writing, it抯 rare to see a great blog like this one nowadays..

  7. Does your website have a contact page? I’m having trouble locating it but, I’d like to shoot you an email. I’ve got some recommendations for your blog you might be interested in hearing. Either way, great site and I look forward to seeing it expand over time.

  8. What抯 Happening i’m new to this, I stumbled upon this I’ve found It absolutely useful and it has helped me out loads. I am hoping to contribute & assist different users like its aided me. Great job.

  9. I do agree with all of the ideas you’ve presented in your post. They’re really convincing and will certainly work. Still, the posts are too short for starters. Could you please extend them a little from next time? Thanks for the post.

  10. Admiring the commitment you put into your website and in depth information you provide. It’s great to come across a blog every once in a while that isn’t the same outdated rehashed information. Wonderful read! I’ve saved your site and I’m adding your RSS feeds to my Google account.

Leave a Reply to Hairstyles Cancel reply

This site uses Akismet to reduce spam. Learn how your comment data is processed.

%d bloggers like this: