How To Use CPT Code 29863

CPT 29863 describes a specific procedure used in arthroscopy of the hip 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 29863?

CPT 29863 is a code used to describe a surgical procedure called arthroscopy of the hip joint with synovectomy. This procedure involves the use of an arthroscope, a tubular instrument with a camera and light source, to examine and repair the membrane between the bony surfaces and the joint capsule. The provider makes small incisions in the hip area, inserts the arthroscope, and uses additional instruments to excise inflamed synovial tissue. This procedure is performed to alleviate pain and improve joint function.

2. Official Description

The official description of CPT code 29863 is: ‘Arthroscopy, hip, surgical; with synovectomy.’

3. Procedure

1. The provider prepares the patient for the procedure, ensuring appropriate anesthesia and sterilization of the surgical site.
2. Small incisions are made in the hip area to allow access for the arthroscope and other instruments.
3. The arthroscope is inserted into the hip joint, and saline solution is instilled to expand the area for better visualization.
4. The provider uses the camera of the arthroscope to view the entire hip joint and identifies the inflamed synovial tissue.
5. Additional instruments are inserted through the incisions to excise the inflamed portion of the synovial membrane.
6. The provider irrigates the area, checks for bleeding, removes the instruments, and closes the incisions.

4. Qualifying circumstances

CPT 29863 is performed when a patient has inflamed synovial tissue in the hip joint, causing pain and limited range of motion. The procedure is typically indicated when conservative treatments have failed to provide relief. It is important to note that this procedure requires the use of an arthroscope and is performed by a qualified healthcare professional.

5. When to use CPT code 29863

CPT code 29863 should be used when a surgical arthroscopy of the hip joint with synovectomy is performed. It is important to ensure that the procedure meets the specific criteria outlined in the code description. This code should not be used for diagnostic arthroscopy or other procedures not involving synovectomy.

6. Documentation requirements

To support a claim for CPT 29863, the provider must document the following information:

• Patient’s diagnosis and the need for synovectomy
• Details of the procedure, including the use of an arthroscope and the excision of synovial tissue
• Date of the procedure
• Start and end time of the procedure
• Any complications or unexpected findings during the procedure
• Signature of the performing provider

7. Billing guidelines

When billing for CPT 29863, ensure that the procedure meets the specific criteria outlined in the code description. It is important to use the appropriate modifiers, if necessary, to indicate any distinct procedural services. Additionally, be aware of any bundling or unbundling rules that may apply to this procedure. It is recommended to review the payer’s guidelines and policies to ensure accurate and appropriate billing.

8. Historical information

CPT 29863 was added to the Current Procedural Terminology system on January 1, 1998. There have been no updates or changes to the code since its addition.

9. Examples

1. A patient with hip pain undergoes arthroscopy, and the provider performs a synovectomy to alleviate inflammation and improve joint function.
2. An individual with limited range of motion in the hip joint undergoes arthroscopy, and the provider excises inflamed synovial tissue to relieve pain and improve mobility.
3. A patient with a history of hip joint inflammation undergoes arthroscopy, and the provider performs a synovectomy to address the underlying cause of the symptoms.
4. An athlete with hip pain and swelling undergoes arthroscopy, and the provider removes inflamed synovial tissue to facilitate rehabilitation and return to sports activities.
5. A patient with a chronic hip condition undergoes arthroscopy, and the provider performs a synovectomy to manage symptoms and improve quality of life.
6. An individual with hip joint stiffness and discomfort undergoes arthroscopy, and the provider excises inflamed synovial tissue to restore normal joint function.
7. A patient with a history of hip arthritis undergoes arthroscopy, and the provider performs a synovectomy to alleviate pain and improve joint mobility.
8. An individual with recurrent hip joint inflammation undergoes arthroscopy, and the provider excises inflamed synovial tissue to prevent further damage and improve overall hip health.
9. A patient with hip pain and swelling undergoes arthroscopy, and the provider performs a synovectomy to address the underlying cause of the symptoms and improve the patient’s quality of life.
10. An athlete with a hip injury undergoes arthroscopy, and the provider removes inflamed synovial tissue to facilitate the healing process and optimize recovery.