2025 CPT code 29824
(Active) Effective Date: N/A Revision Date: N/A Surgery - Arthroscopy Musculoskeletal System Feed
Arthroscopic distal claviculectomy, including the distal articular surface (Mumford procedure).
Modifiers 51 (multiple procedures), 59 (distinct procedural service), 76 (repeat procedure) might be applicable depending on the circumstances.
Medical necessity for this procedure is established based on the presence of documented chronic shoulder pain, limited range of motion, and evidence of osteophytes, acromioclavicular joint impingement or other conditions causing significant functional impairment.The procedure must be deemed medically appropriate and necessary to improve the patient's condition.
The orthopedic surgeon is responsible for performing this procedure, which involves proper patient preparation and anesthesia, arthroscopic visualization, surgical excision of the distal clavicle and its articular surface, irrigation, hemostasis and closure of incisions. Postoperative care may be shared with other healthcare professionals as determined by the physician.
In simple words: The doctor uses a tiny camera (arthroscope) and small tools to look inside the shoulder joint and remove a small part of the collarbone. This helps relieve pain caused by conditions like arthritis or bone spurs.
This procedure involves arthroscopic examination of the shoulder joint followed by surgical excision of the distal portion of the clavicle, including its articular surface.It is a minimally invasive approach to address pain from chronic inflammatory conditions such as arthritis, impingement syndrome, and bone spurs. The procedure includes the insertion of an arthroscope and other instruments through small incisions to visualize and remove the specified portion of the clavicle. Irrigation and hemostasis are performed before closure of the incisions.
Example 1: A 55-year-old female patient presents with chronic shoulder pain and limited range of motion due to osteoarthritis.Arthroscopic distal claviculectomy is performed to remove osteophytes and improve joint mechanics. , A 40-year-old male patient experiences persistent shoulder pain due to acromioclavicular joint impingement.Arthroscopic distal claviculectomy is performed to alleviate the impingement and restore normal function. , A 30-year-old athlete presents with persistent pain after a previous shoulder injury.Arthroscopy reveals osteophytes impinging on the rotator cuff. Arthroscopic distal claviculectomy is performed to relieve impingement and to facilitate rotator cuff repair.
* Preoperative assessment including patient history, physical examination, imaging studies (X-rays, MRI) to confirm the diagnosis and plan the procedure.* Operative report detailing the procedure performed, including the extent of the distal clavicle resection, any findings and intraoperative complications.* Postoperative instructions given to the patient, including activity limitations, pain management, and follow-up appointments.* Pathology report if tissue is sent for analysis.
** This procedure is typically performed under regional anesthesia or a combination of regional and general anesthesia.The use of other surgical techniques during this procedure, such as debridement or repair of other shoulder structures may require additional codes. Always ensure accurate documentation to support the medical necessity and the services provided.
- Revenue Code: P5B (AMBULATORY PROCEDURES - MUSCULOSKELETAL)
- RVU: This information is not available in the provided text. Refer to the official CPT codebook or your payer's fee schedule for RVU information.
- Global Days: The global period for this procedure is not explicitly defined in the provided text.Refer to the official CPT codebook or your payer's guidelines for the specific global period applicable.
- Payment Status: Active
- Modifier TC rule: This information is not provided in the source. Refer to your payer's guidelines for modifier TC rules.
- Fee Schedule: This information is not provided in the source.Consult your payer's historical fee schedule for details.
- Specialties:Orthopedic Surgery
- Place of Service:Ambulatory Surgical Center, Hospital Outpatient, Office