A patient was admitted with a comminuted four part fracture of the left proximal humerus with displacement. There is also a tear of the biceps tendon. During surgery, the articular head surface was removed. An endoprosthetic stem was placed with repair of the tuberosity to the stem. Autologous bone grafts from the procedure site were placed and sutures made a solid reattachment of the tuberosity to the shaft and stem. The head was connected to the stem. The rotator cuff and tuberosity were repaired. The bicep tendon was removed from the proximal portion of the superior glenoid tubercle and reattached into soft tissues on the humeral shaft and into the tendinous portion of the pectoralis major. How should this surgery be coded?
Assign the following procedure codes for the shoulder replacement surgery and reinsertion of the bicep tendon:
0RRK0J6 Replacement of left shoulder joint with synthetic substitute, humeral surface, open approach
0LS40ZZ Reposition of left upper arm tendon, open approach
The application of local bone graft and rotator cuff repair are integral to preparing the site for a successful shoulder joint replacement procedure, and so they are not coded separately. The reinsertion of the bicep tendon is coded separately because it is a distinct procedural objective from the joint replacement procedure.