How To Use CPT Code 29804

CPT 29804 describes a specific procedure used in arthroscopy of the temporomandibular joint. This article will cover the official description, procedure details, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 29804?

CPT 29804 is a code used to describe a surgical procedure called arthroscopy of the temporomandibular joint. This procedure involves the insertion of an arthroscope into the jaw joint to view and repair any damage or disease that may be causing pain or dysfunction in the jaw. It is important to note that for open procedures, a different code, 21010, should be used.

2. Official Description

The official description of CPT code 29804 is: ‘Arthroscopy, temporomandibular joint, surgical.’ This code is specifically used for surgical arthroscopy of the temporomandibular joint and should not be used for diagnostic procedures.

3. Procedure

1. During the procedure, the patient is appropriately prepped and anesthetized.
2. The provider makes an incision in the temporomandibular joint area of the jaw.
3. An arthroscope is inserted through the incision and into the temporomandibular joint.
4. Saline solution is instilled to expand the area around the joint and improve visibility.
5. The provider inspects the entire temporomandibular joint area using the arthroscope.
6. If necessary, additional instruments may be inserted to remove scar tissue or debride bony tissue.
7. The area is irrigated, checked for bleeding, and the instruments are removed.
8. The incision is closed.

4. Qualifying circumstances

CPT 29804 is used when a provider performs surgical arthroscopy of the temporomandibular joint. This procedure is typically performed to address conditions such as temporomandibular joint disorder, which can cause pain and dysfunction in the jaw. It is important to note that this code should not be used for diagnostic procedures or open repairs.

5. When to use CPT code 29804

CPT code 29804 should be used when a provider performs surgical arthroscopy of the temporomandibular joint. This code should not be used for diagnostic procedures or open repairs. It is important to accurately document the procedure performed to ensure proper coding and billing.

6. Documentation requirements

To support a claim for CPT 29804, the following documentation is required:

• Documentation of the patient’s condition and the need for surgical arthroscopy
• Description of the procedure performed, including details of the incision, use of arthroscope, and any additional instruments used
• Documentation of the saline solution instillation and irrigation
• Confirmation of the closure of the incision
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 29804, ensure that the procedure performed is surgical arthroscopy of the temporomandibular joint. This code should not be reported with diagnostic codes or open repair codes. It is important to accurately document the procedure and follow any additional guidelines provided by payers.

8. Historical information

CPT 29804 was added to the Current Procedural Terminology system on January 1, 1991. There have been no updates or changes to the code since its addition.

9. Examples

1. A provider performs surgical arthroscopy of the temporomandibular joint to repair damage caused by temporomandibular joint disorder.
2. During the procedure, the provider uses an arthroscope to remove scar tissue and improve the function of the jaw joint.
3. A patient undergoes surgical arthroscopy of the temporomandibular joint to address chronic pain and dysfunction in the jaw.
4. The provider performs the procedure to repair a previously unknown condition discovered during a diagnostic arthroscopy.
5. During the surgical arthroscopy, the provider identifies and removes bony tissue that was causing pain and limited mobility in the jaw joint.
6. A patient with temporomandibular joint disorder undergoes surgical arthroscopy to improve their quality of life and alleviate pain.
7. The provider performs surgical arthroscopy of the temporomandibular joint to address clicking and popping in the jaw joint.
8. During the procedure, the provider irrigates the area and checks for bleeding to ensure proper healing.
9. A patient with a history of jaw pain undergoes surgical arthroscopy to identify and repair any underlying issues.
10. The provider performs surgical arthroscopy of the temporomandibular joint to improve the patient’s ability to chew and speak without pain.