CPT® Code 29819

A surgical arthroscopy of the shoulder, as described by CPT® Code 29819, involves a minimally invasive procedure where a small camera and instruments are inserted into the shoulder joint to visualize and treat conditions within the joint. This specific procedure focuses on the removal of loose bodies or foreign objects that may be causing pain or dysfunction. 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. To facilitate the procedure, skin traction is applied to the arm to stabilize it and provide optimal access to the joint. During the procedure, incisions are made at anterior and posterior portals over the shoulder joint, allowing for the introduction of sterile saline solution to expand the joint space, which enhances visibility and access. The surgeon first performs a diagnostic arthroscopy to locate the loose or foreign body within the joint. If necessary, additional portal incisions may be created to improve access to the object. Once located, a grasping instrument is used to remove the loose or foreign body. After the removal is complete, the instruments are withdrawn, excess fluid is drained from the joint, the incisions are closed, and a sterile dressing is applied to protect the surgical site. This procedure is essential for alleviating symptoms associated with loose bodies in the shoulder, thereby restoring function and reducing pain for the patient.