2025 CPT code 29806
(Active) Effective Date: N/A Revision Date: N/A Surgery - Arthroscopy Musculoskeletal System Feed
Arthroscopic shoulder capsulorrhaphy.
Modifiers may apply depending on the circumstances of the procedure.Refer to the CPT manual and NCCI edits for specific modifier guidance.
Medical necessity is established when a patient presents with symptoms consistent with a torn shoulder joint capsule, such as recurrent shoulder instability or pain limiting daily activities.Imaging studies should support the diagnosis.The procedure is medically necessary to repair the tear, restore joint stability, and improve function.
The orthopedic surgeon or qualified healthcare professional is responsible for performing the arthroscopic procedure, including making incisions, inserting the arthroscope and instruments, repairing the torn capsule, inspecting the joint, irrigating the area, controlling bleeding, and closing the incisions.
In simple words: The doctor repairs a tear in the shoulder joint's lining using a small camera and instruments inserted through tiny cuts. This fixes the joint and helps prevent dislocation.
Arthroscopic surgical repair of a torn shoulder joint capsule (capsulorrhaphy).This minimally invasive procedure involves inserting an arthroscope and other instruments through small incisions to visualize and repair the tear, restoring joint stability.The procedure may include irrigation, inspection of other joint structures, and debridement of loose bodies if necessary.
Example 1: A patient presents with recurrent shoulder dislocation due to a previous injury.Arthroscopic capsulorrhaphy is performed to tighten the loose joint capsule and stabilize the shoulder joint., A patient experiences chronic shoulder pain and instability after a traumatic injury.Arthroscopic examination reveals a tear in the joint capsule.The tear is repaired arthroscopically, restoring joint stability and alleviating pain., A young athlete suffers a shoulder dislocation during a sporting event.Arthroscopic examination reveals a significant capsular tear. The surgeon performs an arthroscopic capsulorrhaphy to repair the tear, aiming for a rapid return to sports.
* Preoperative diagnosis clearly indicating a tear in the shoulder joint capsule.* Operative report detailing the arthroscopic procedure, including the type and size of the tear, the repair technique used, and the findings of the intraoperative inspection.* Anesthesia record.* Postoperative recovery notes.* Imaging studies (e.g., X-rays, MRI) to confirm the diagnosis and assess the outcome.
** This code is used for arthroscopic capsulorrhaphy of the shoulder.Detailed documentation is crucial for appropriate reimbursement.The use of unlisted procedure codes should be minimized; if a more specific code exists, it should be used instead of CPT code 29999.
- Revenue Code: P5B (Ambulatory Procedures - Musculoskeletal)
- RVU: Data unavailable.RVUs vary based on geographic location and other factors. Consult the appropriate fee schedule for current values.
- Global Days: Global period information unavailable. Consult the appropriate fee schedule or payer guidelines for the specific global period associated with this code.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Fee Schedule: Data unavailable.Fee schedules vary by payer and location. Consult the relevant fee schedule for historical data.
- Specialties:Orthopedic Surgery
- Place of Service:Ambulatory Surgical Center, Office, Inpatient Hospital