CPT® Code 29825

The procedure described by CPT® Code 29825 refers to an arthroscopic surgical intervention on the shoulder, specifically aimed at addressing adhesions within the joint. Adhesions are fibrous bands that can form between tissues, leading to restricted movement and pain. This procedure is typically performed when conservative treatments have failed to alleviate symptoms associated with shoulder stiffness and limited range of motion. The patient is 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 optimal access to the shoulder joint. The use of skin traction helps to stabilize the arm during the procedure. During the surgery, a sterile saline solution is introduced into the shoulder joint to expand the space, facilitating better visualization and access for the surgeon. The initial step involves a diagnostic arthroscopy, where the surgeon inspects the joint for adhesions and other potential pathologies. If adhesions are identified, additional incisions may be made to allow for the introduction of surgical instruments necessary for the lysis and resection of these adhesions. The surgeon will then manipulate the shoulder through a gentle range of motion to help separate the adhesions. If any thickened or contracted areas remain after manipulation, they are surgically cut to restore normal movement. Once the adhesions are fully addressed, the shoulder is injected with an anti-inflammatory medication and a local anesthetic to aid in post-operative recovery. Finally, the instruments are removed, excess fluid is drained from the joint, the incisions are closed, and a dressing is applied to complete the procedure.