Specialized Toolkit Series: Arthroscopic Hip Treatments-Coding Hip Arthroscopy and Commonly Associated Procedures

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This article provides an overview of coding strategies for hip arthroscopy and associated procedures, focusing on the appropriate CPT (Current Procedural Terminology) codes utilized in orthopedic sports medicine. 

<strong>Diagnostic Hip Arthroscopy</strong>: 
CPT code 29860 is designated for diagnostic hip arthroscopy without other procedures. If arthroscopy leads to loose body removal, code 29861 is used instead.

<strong>Loose Body Removal</strong>: 
Code 29861 applies when removing loose or foreign bodies of significant size in surgical settings, distinct from diagnostic-only procedures.

<strong>Cartilage Surgery</strong>: 
Chondroplasty, dealing with articular cartilage, is coded as 29862, but cannot be combined with codes like 29863 (synovectomy) and others, as they include chondroplasty.

<strong>Synovium Management</strong>: 
For an arthroscopic synovectomy, code 29863 is utilized, but not combined with other specific procedures unless required, in which case selections are situation-specific.

<strong>Femoroacetabular Impingement Surgery</strong>: 
Cam lesion resections are under code 29914, while pincer lesions falls under 29915. When both are addressed in one surgery, use both with a modifier.

<strong>Labral Surgery</strong>: 
Labral repair uses code 29916. Unlisted procedures like augmentation require code 29999. Adequate documentation is essential for reimbursement.

<strong>Other Unlisted Procedures</strong>: 
Procedures such as IT band lengthening or gluteus repairs, without specific CPT codes, are categorized under 29999. They should be referenced with existing similar procedures and documented for justification.

For uncommon or unlisted arthroscopic procedures, accurate, exhaustive documentation and insurer communication are crucial for appropriate billing and potential reimbursement.

Asset Caption

Jonathan McKeeman, M.D. | Craig H. Weinstein, M.D. | Patrick W. Joyner, M.D.

Keywords

hip arthroscopy

CPT codes

orthopedic sports medicine

diagnostic arthroscopy

loose body removal

chondroplasty

synovectomy

femoroacetabular impingement

labral repair

unlisted procedures