CPT code 29824 describes a shoulder surgery called arthroscopy, which involves using a small camera to inspect the inside of the joint, and performing a distal claviculectomy to remove the distal portion of the clavicle.
What Is CPT Code 29824?
CPT 29824 describes a specific type of shoulder surgery called arthroscopy.
The healthcare provider makes small incisions in the shoulder area during the procedure and inserts an arthroscope. This tiny camera allows the provider to see the inside of the joint.
The provider inflates the area around the shoulder joint with saline solution to improve visibility and inspects the joint’s interior.
The provider then performs a distal claviculectomy, which involves removing the distal portion of the clavicle, including its articular surface, which is the part of the bone that comes into contact with the joint.
The provider may also perform the Mumford procedure, which involves excising the distal articular surface of the clavicle. After the procedure, the provider checks for bleeding removes instruments, and closes the incisions.
The CPT book defines CPT code 29824 as follows: “Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure).”
When the patient is appropriately prepped and anesthetized, the provider makes small incisions in the shoulder area.
She inserts an arthroscope through one of the incisions. First, she instills saline solution to inflate the area around the shoulder joint to improve her field of view. Next, she inspects the interior of the joint.
She then removes and reinserts the arthroscope through another incision and excises the distal portion of the clavicle, including its articular surface, where it is in contact with the joint.
The provider then irrigates the area, checks for bleeding, remove instruments, and closes the incision.
How To Use CPT 29824
Report CPT 29824 only for an arthroscopy procedure. However, you may use CPT 23120 for an open procedure.
Surgical endoscopy and arthroscopy always include a diagnostic endoscopy or arthroscopy. Never use a diagnostic code with a surgical code.
However, suppose the provider performs a diagnostic arthroscopy and discovers he must complete an open repair of a previously unknown condition.
In that case, you can report both the open repair and the diagnostic arthroscopy by appending modifier 59 to the diagnostic arthroscopy.