Anterior and posterior shoulder instability

Hi fellow coders,

I have a question about shoulder surgery. I know there is an exception when coding 29807 and 29806. I am wondering if you experts could take a look at this operative report and let me know if 29807 and 29806 applies in this case.

Thank you so much.

POSTOPERATIVE DIAGNOSIS: Left shoulder anterior instability plus
posterior instability.

PROCEDURE: Left shoulder arthroscopy, arthroscopic Bankart
reconstruction with posterior capsular plication.

DESCRIPTION OF PROCEDURE: The patient was brought to the operating
room, placed supine on the operating room table. After induction of
general anesthetic, he was placed in the beach chair position, all
bony prominences were padded. His left shoulder was prepped and
draped in the standard surgical fashion. Posterior portal was
created. Examination of the joint showed anterior inferior labral
tear. Subscapularis was intact. Biceps and superior labrum was
intact. Posterior labrum had fraying with increased capsular volume
posteriorly and inferiorly. The supraspinatus, infraspinatus, teres
minor were intact. There was a Hill-Sachs lesion seen on the
posterior humeral head. The camera was switched posteriorly,
confirming the posterior labrum fraying with increased capsular
volume. A capsular plication was carried out posteriorly with #2
FiberWire. The camera was then switched and a Bankart repair was
carried out with 1.8 mm Q-Fix anchors in the anterior labrum. The
capsular volume was decreased, stability was improved. The shoulder
was irrigated. Portals were closed with Steri-Strips, dry sterile
dressing. The patient tolerated the procedure well and returned to
recovery in stable condition.

Anterior and posterior shoulder instability