Overview of CPT Code 23412: Arthroscopic repair of shoulder labrum
CPT Code 23412 refers to the arthroscopic repair of the shoulder labrum, a procedure used to address tears in the labrum, which is the cartilage that surrounds the shoulder joint. This minimally invasive surgery is performed using an arthroscope, allowing for a quicker recovery and less postoperative pain compared to open surgery.
When CPT Code 23412 is Used?
This procedure is indicated in various clinical scenarios.
- Shoulder instability due to labral tears.
- Recurrent shoulder dislocations.
- Pain and dysfunction in the shoulder joint not responding to conservative treatment.
- Labral tears associated with rotator cuff injuries.
Symptoms Indicating This Procedure
Patients may report several symptoms that suggest the need for this procedure.
- Shoulder pain, especially during overhead activities.
- A feeling of instability or looseness in the shoulder.
- Popping or clicking sounds in the shoulder joint.
- Limited range of motion in the shoulder.
Causes and Risk Factors
Understanding the causes and risk factors can help in prevention.
- Acute injuries from falls or sports activities.
- Chronic wear and tear from repetitive overhead motions.
- Previous shoulder dislocations.
- Genetic predisposition to joint laxity.
Diagnostic Tests Before Procedure
Several diagnostic tests may be performed to confirm the need for surgery.
- MRI to visualize labral tears.
- X-rays to rule out bone abnormalities.
- Shoulder arthrogram to assess joint structures.
- Physical examination to evaluate shoulder stability.
Procedure Description
The procedure involves several key steps.
- Patient is placed under general anesthesia.
- Small incisions are made around the shoulder.
- An arthroscope is inserted to visualize the joint.
- Torn labrum is identified and repaired using sutures.
- Incisions are closed with sutures or adhesive strips.
Preparation for the Procedure
Proper preparation is essential for a successful outcome.
- Avoid eating or drinking after midnight before the surgery.
- Discuss medications with your doctor, especially blood thinners.
- Arrange for transportation home post-surgery.
- Wear loose-fitting clothing on the day of the procedure.
Recovery and Aftercare
Recovery typically involves several stages.
- Initial rest and immobilization of the shoulder for a few days.
- Gradual introduction of physical therapy to restore range of motion.
- Pain management with prescribed medications.
- Follow-up appointments to monitor healing.
Possible Complications
While complications are rare, they can occur.
- Infection at the surgical site.
- Persistent pain or stiffness in the shoulder.
- Re-tear of the labrum.
- Nerve or blood vessel injury.
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Post-Procedure Follow-Up
Follow-up care is crucial for recovery.
- First follow-up appointment within 1-2 weeks post-surgery.
- Regular check-ups every few weeks to assess healing.
- Physical therapy sessions as recommended by the surgeon.
- Long-term follow-up to monitor shoulder function.
Alternative Treatments
Non-surgical options may be considered before surgery.
- Physical therapy to strengthen shoulder muscles.
- Corticosteroid injections to reduce inflammation.
- Activity modification to avoid aggravating symptoms.
- Use of braces or slings for support.
Home Care Tips
Patients can take steps to aid recovery at home.
- Follow the prescribed rehabilitation exercises.
- Apply ice to reduce swelling and pain.
- Keep the surgical area clean and dry.
- Avoid lifting heavy objects until cleared by the doctor.
Patient Education & Prevention
Education is key to preventing future injuries.
- Engage in shoulder-strengthening exercises.
- Practice proper techniques in sports and activities.
- Avoid repetitive overhead motions without breaks.
- Stay informed about shoulder health and injury prevention.
Billing and Coding Information
CPT Code: 23412
Category: Surgery
Common Modifiers:
- 50 - Bilateral procedure
- RT - Right side
- LT - Left side
Average Cost and Insurance Coverage
Costs can vary based on several factors.
- Average cost ranges from $5,000 to $15,000.
- Insurance may cover a significant portion if deemed medically necessary.
- Out-of-pocket costs depend on the insurance plan and deductible.
Related CPT Codes
- 23410 - Repair of Rotator Cuff
Frequently Asked Questions (FAQs)
What is the recovery time for this procedure?
Recovery typically takes 4 to 6 months, depending on individual healing.
Will I need physical therapy after surgery?
Yes, physical therapy is usually recommended to regain strength and mobility.
Are there any restrictions after surgery?
You will need to avoid heavy lifting and overhead activities for a period.
What are the signs of complications?
Signs include increased pain, swelling, or fever at the surgical site.
