CPT® Code 29807

A surgical arthroscopy of the shoulder, specifically coded as CPT® 29807, is a minimally invasive procedure aimed at repairing a SLAP lesion. A SLAP lesion refers to a tear located on the superior labrum, which is the cartilage that surrounds the shoulder joint, and it also involves the biceps tendon anchor site on the labrum. This type of injury can occur due to trauma or repetitive overhead activities, leading to pain, instability, and decreased range of motion in the shoulder. During the procedure, the patient is typically positioned either in a lateral decubitus position, where they lie on their side with the affected arm suspended, or in a beach chair position, which allows for better access to the shoulder joint. To facilitate the procedure, skin traction is applied to the arm to stabilize it. The surgeon makes incisions at anterior and posterior portals over the shoulder joint, through which sterile saline solution is introduced to expand the joint space, providing a clearer view of the internal structures. Following this, arthroscopic instruments are inserted, and a diagnostic arthroscopy is performed to confirm the presence of the SLAP lesion. The procedure involves debridement of the torn labral tissue and biceps tissue, as well as decortication of the underlying bone to prepare for the repair. The SLAP lesion can be repaired using direct sutures or by placing a suture anchor, depending on the specific characteristics of the tear. Once the repair is completed, the instruments are removed, excess fluid is drained, the incisions are closed, and a dressing is applied to promote healing.