2025 CPT code 29906
(Active) Effective Date: N/A Revision Date: N/A Surgery - Arthroscopy Musculoskeletal System Feed
Arthroscopy of the subtalar joint with debridement.
Modifiers 51 (multiple procedures), 76 (repeat procedure), and others may be applicable depending on the circumstances of the procedure.
Medical necessity for subtalar arthroscopy with debridement is established when conservative treatments (physical therapy, medication) fail to alleviate symptoms, and there is clear evidence of intra-articular pathology (e.g., loose bodies, damaged cartilage, scar tissue) causing pain and dysfunction.The procedure should be supported by appropriate clinical findings.
The orthopedic surgeon or a qualified podiatrist is responsible for performing the subtalar arthroscopy, including creating incisions, inserting the arthroscope and instruments, visualizing the joint, performing the debridement, and closing the incisions. Anesthesiologist may be involved for anesthesia administration.A surgical assistant may assist the surgeon during the procedure. Post operative care instructions would be given by the surgeon.
In simple words: This is a keyhole surgery on the subtalar joint (in your ankle) to clean out damaged tissue. The doctor uses a tiny camera (arthroscope) and small tools inserted through tiny cuts to see and clean the joint.
Arthroscopy of the subtalar joint, which involves the surgical examination and debridement (removal of damaged tissue) of the subtalar joint using an arthroscope.The procedure includes the creation of small incisions (portals) to access the joint, insertion of an arthroscope to visualize the joint structures, and the use of surgical instruments to remove damaged or diseased tissue.Fluid may be introduced into the joint to improve visualization.The procedure concludes with closure of the incisions.
Example 1: A patient presents with chronic subtalar joint pain and limited range of motion following a severe ankle sprain several months prior.Conservative management failed.Subtalar arthroscopy with debridement is performed to remove scar tissue and restore joint function., A patient with a history of osteoarthritis in the subtalar joint experiences significant pain and swelling.Arthroscopy is performed to debride damaged cartilage and synovium, relieving pain and inflammation., A patient sustains a subtalar fracture that results in persistent pain and instability.Arthroscopy is used to remove loose bone fragments and debride the joint, aiding in healing and stabilization.
Preoperative diagnosis, imaging studies (X-rays, MRI), operative report detailing the procedure, including portals used, findings, and tissue removed, postoperative care instructions, and any complications.
** The use of this code requires careful consideration of the specific findings during the procedure.It is crucial to accurately document the extent of the debridement.The specific instruments used and the volume of irrigation solution will help determine the charges and payments.
- Revenue Code: P3D (MAJOR PROCEDURE, ORTHOPEDIC - OTHER)
- RVU: Not available in provided data.Consult the current CPT Relative Value Units (RVUs) for the most accurate information.
- Global Days : The global period for this procedure varies depending on the payer and other factors. Refer to the specific payer's guidelines.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Fee Schedule : Not available in provided data. Consult the appropriate fee schedules for historical payment rates.
- Specialties:Orthopedic Surgery, Podiatric Surgery
- Place of Service:Office, Ambulatory Surgical Center, Hospital (Inpatient or Outpatient)