Hello,Major changes occurred in the arthroscopy section of the 2012 CPT Manual, reflecting Medicare's 75 percent threshold of services being reported together.
With regard to shoulder arthroscopy, CPT code 29826—“arthroscopic subacromial decompression”—is now an add-on code to CPT codes 29806–29825, 29827, and 29828. Modifier 51 should not be used and 100 percent reimbursement should be expected.
CPT code 29826 should not be reported with any procedure other than those identified as appropriate parent codes. It is not an add-on code to CPT code 23410 or 23412, and an unlisted code may not be reported to reflect this work. Instead, append modifier 22 or report 29822 or 29823 (limited or extensive débridement) as appropriate.
This article came from the AAOS via Mary LeGrand