CPT® Code 29826

Add-On Code

Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separately in addition to code for primary procedure)

The CPT® Code 29826 refers to a surgical procedure known as arthroscopy of the shoulder, specifically focusing on the decompression of the subacromial space. This procedure is commonly referred to as an arthroscopic subacromial decompression (ASAD). It involves a combination of techniques, including partial acromioplasty and the release of the coracoacromial ligament, when indicated. The primary goal of this procedure is to alleviate shoulder pain and improve function by addressing impingement issues that occur when the rotator cuff is compressed against the acromion, which is a bony prominence on the shoulder blade. The procedure is typically performed in a minimally invasive manner using arthroscopic techniques, which allow for smaller incisions and reduced recovery time compared to open surgery. The patient is positioned either in a lateral decubitus position with the arm suspended or in a beach chair position, facilitating access to the shoulder joint. The use of sterile saline solution helps to expand the joint space, allowing for a clearer view and better access to the surgical site. This procedure is often performed in conjunction with other shoulder surgeries, and it is important to note that it should be listed separately in addition to the code for the primary procedure when billing for services rendered.