Hill Sachs Lesion

Question:

I'm specifically looking for guidance on how to code for a repair of a humeral head Hill Sachs lesion when done with arthroscopic Bankart repair or SLAP repair.

Answer:

Repairing the Hill Sachs Lesion, bony defect in the humeral head, is typically performed along with a Bankart repair, with the addition of filling in the defect with the rotator cuff tendon. There are several different references on how to correctly code for this. CPT Assistant July 2015 states to code an Arthroscopic Bankart Repair with a repair of the Hill Sachs lesion by appending modifier 22 to the Bankart repair, 29806-22. The same guidance would apply for an Arthroscopic SLAP lesion repair with a Hill Sachs lesion, CPT 29807-22.

*This response is based on the best information available as of 07/09/26.