Overview of CPT Code 24357:Arthroscopic repair of shoulder labrum

Overview of CPT Code 24357:Arthroscopic repair of shoulder labrum

CPT Code 24357 refers to the arthroscopic repair of the shoulder labrum, a procedure performed to address tears or damage to the labrum, which is the cartilage that surrounds the shoulder joint.

When CPT Code 24357 is Used?

This procedure is indicated in various clinical scenarios.

• Shoulder instability due to labral tears.
• Recurrent shoulder dislocations.
• Pain and dysfunction related to labral injuries.
• Athletes with labral tears affecting performance.

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.
• Clicking or popping 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 and early intervention.

• Traumatic injuries from falls or accidents.
• Repetitive overhead activities, common in athletes.
• Genetic predisposition to joint laxity.
• Previous shoulder dislocations or injuries.

Diagnostic Tests Before Procedure

Several diagnostic tests may be performed to confirm the need for surgery.

• MRI to visualize the labrum and surrounding structures.
• X-rays to rule out fractures or other bone issues.
• Shoulder arthroscopy for direct visualization of the labrum.

Procedure Description

The procedure involves several key steps to repair the labrum.

• Anesthesia is administered to ensure patient comfort.
• Small incisions are made around the shoulder joint.
• A camera (arthroscope) is inserted to visualize the labrum.
• Torn labrum edges are cleaned and prepared for repair.
• Sutures or anchors are used to secure the labrum back to the bone.
• The incisions are closed, and the shoulder is bandaged.

Preparation for the Procedure

Proper preparation is essential for a successful outcome.

• Discuss any medications with your doctor, especially blood thinners.
• Arrange for someone to drive you home post-surgery.
• Follow fasting instructions if general anesthesia is used.
• Wear loose-fitting clothing for comfort after the procedure.

Recovery and Aftercare

Recovery involves several stages and care practices.

• Initial rest and immobilization of the shoulder.
• Physical therapy to regain strength and range of motion.
• Pain management with prescribed medications.
• Regular follow-up appointments to monitor healing.

Possible Complications

While complications are rare, they can occur.

• Infection at the incision site.
• Persistent pain or stiffness in the shoulder.
• Re-tear of the labrum.
• Nerve or blood vessel injury during surgery.

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Post-Procedure Follow-Up

Follow-up care is crucial for monitoring 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.

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 the injury.
• Use of braces or slings for support.

Home Care Tips

Patients can take several steps to aid recovery at home.

• Keep the surgical area clean and dry.
• Follow prescribed exercises to improve mobility.
• Apply ice to reduce swelling as needed.
• Avoid lifting heavy objects until cleared by the doctor.

Patient Education & Prevention

Education is key to preventing future injuries.

• Engage in shoulder-strengthening exercises.
• Avoid repetitive overhead activities without proper training.
• Use proper techniques in sports and physical activities.
• Stay informed about shoulder health and injury signs.

Billing and Coding Information

CPT Code: 24357

Category: Surgical Procedures

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 $10,000 to $20,000.
• Insurance may cover a significant portion if deemed medically necessary.
• Out-of-pocket costs depend on the specific insurance plan.

Related CPT Codes

• 24356 - Arthroscopy, shoulder, with synovectomy
• 23470 - Arthroscopic rotator cuff repair
• 23472 - Arthroscopic rotator cuff repair
• 23473 - Arthroscopic rotator cuff repair
• 23466 - Arthroscopic rotator cuff repair