Overview of CPT Code 24079: Revision of shoulder joint capsule
CPT Code 24079 refers to the surgical procedure for the revision of the shoulder joint capsule, typically performed to correct issues related to instability or previous surgical failures.
When CPT Code 24079 is Used?
This procedure is indicated in several clinical scenarios.
- Recurrent shoulder dislocations despite previous surgical interventions.
- Significant capsular laxity leading to instability.
- Failure of previous shoulder stabilization surgeries.
- Persistent pain and dysfunction related to capsular issues.
Symptoms Indicating This Procedure
Patients may report various symptoms that suggest the need for this procedure.
- Frequent shoulder dislocations or subluxations.
- Chronic shoulder pain, especially during movement.
- Weakness in the shoulder joint.
- Limited range of motion in the shoulder.
Causes and Risk Factors
Several factors can contribute to the need for shoulder joint capsule revision.
- Previous shoulder injuries or trauma.
- Genetic predisposition to joint laxity.
- Repetitive overhead activities or sports.
- Previous unsuccessful shoulder surgeries.
Diagnostic Tests Before Procedure
Several diagnostic tests may be performed to assess the shoulder joint.
- MRI to evaluate soft tissue structures.
- X-rays to check for bone abnormalities.
- CT scans for detailed imaging of the joint.
- Physical examination to assess stability and range of motion.
Procedure Description
The procedure involves several key steps.
- Administer anesthesia to the patient.
- Make an incision around the shoulder joint.
- Access the joint capsule and assess the condition.
- Repair or reconstruct the capsule as needed.
- Close the incision with sutures or staples.
Preparation for the Procedure
Patients should follow specific guidelines before the surgery.
- Avoid eating or drinking after midnight before the procedure.
- Discuss all medications with the surgeon, including blood thinners.
- Arrange for transportation to and from the surgery center.
- Wear loose-fitting clothing on the day of the procedure.
Recovery and Aftercare
Post-operative care is crucial for recovery.
- Rest the shoulder and avoid strenuous activities for several weeks.
- Follow up with physical therapy as recommended.
- Keep the surgical site clean and dry.
- Take prescribed pain medications as needed.
Possible Complications
As with any surgical procedure, there are potential risks.
- Infection at the surgical site.
- Nerve damage leading to weakness or numbness.
- Persistent pain or stiffness in the shoulder.
- Recurrent instability despite revision.
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Post-Procedure Follow-Up
Regular follow-up is essential for monitoring recovery.
- Initial follow-up within 1-2 weeks post-surgery.
- Subsequent visits every 4-6 weeks to assess healing.
- Physical therapy sessions as prescribed 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.
- Bracing to provide support during healing.
Home Care Tips
Patients can take steps to aid their recovery at home.
- Apply ice to the shoulder to reduce swelling.
- Follow the prescribed rehabilitation exercises.
- Avoid lifting heavy objects until cleared by the doctor.
- Maintain a healthy diet to support healing.
Patient Education & Prevention
Understanding prevention can help avoid recurrence.
- Engage in shoulder-strengthening exercises.
- Avoid high-risk activities that may lead to injury.
- Stay informed about proper techniques in sports.
- Regular check-ups if you have a history of shoulder issues.
Billing and Coding Information
CPT Code: 24079
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 the procedure if deemed medically necessary.
- Out-of-pocket costs depend on the patient's insurance plan.
Related CPT Codes
Frequently Asked Questions (FAQs)
What is the recovery time for this procedure?
Recovery typically takes several weeks, with gradual return to normal activities.
Will I need physical therapy after surgery?
Yes, physical therapy is often recommended to aid recovery.
Are there risks associated with this surgery?
As with any surgery, there are risks such as infection and nerve damage.
How long will I be in the hospital?
Most patients can go home the same day or after a short hospital stay.
