cpt 29827, cpt code 29827, 29827 cpt code

CPT Code 29827 | Description, Procedure & Billing Guidelines (2022)

CPT 29827 can be billed for shoulder joint tissue examination with an arthroscope. Rotator cuff repair is included in this procedure. 

1. What Is CPT Code 29827?

CPT 29827 covers the examination of shoulder joint tissue with an arthroscope. The provider uses instruments to fix a torn rotator cuff. This is a group of tendons and muscles that support a shoulder joint.

A rotator cuff is often torn during sports injuries.

2. Description

The CPT book describes the 29827 CPT code: “Arthroscopy, shoulder, surgical; with rotator cuff repair as.”

3. Procedure

The 29827 CPT code procedure starts with the patient being anesthetized a prepped. Then, the surgeon makes an incision in the shoulder of the patient.

They insert the arthroscope through this incision into the patient’s shoulder joint. They might use a saline solution to inflate the shoulder joint area to improve the view.

The muscles and tendons in the rotator cuff area are checked, and additional instruments are used to fix soft tissue tears. The provider can also free up adhesions or remove bone spurs.

This procedure ends with irrigation of the area, the instruments’ removal, closing of the incision, and checking for bleeding.

4. Billing Guidelines

Do not use this CPT code 29827 with a surgical code. Surgical arthroscopy or endoscopy already includes a diagnostic procedure.

You can report CPT 23412 if you bill for open or mini-open rotator cuff repair.

Report CPT 29824 with modifier 51 if arthroscopic distal clavicle resection is performed during the 29827 CPT code procedure.

The provider may discover an unknown condition during the diagnostic arthroscopy and needs to open repair. In that case, you can add modifier 59 to the diagnostic arthroscopy to report both the open repair and the diagnostic arthroscopy.

5. Resources

CPT Professional 2022

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8689274/

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/MedQtrlyComp-Newsletter-ICN909271.pdf

https://www.aapc.com/blog/39114stay-current-when-reporting-shoulder-procedures/

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