CPT® Code 29861

A surgical arthroscopy of the hip, as described by CPT® Code 29861, is a minimally invasive procedure aimed at addressing issues within the hip joint, specifically the removal of loose bodies or foreign objects. Loose bodies may arise from trauma, leading to the detachment of cartilage fragments that can float freely within the joint space. These fragments can interfere with normal hip movement, resulting in pain and decreased mobility for the patient. The procedure begins with the creation of a small incision on the lateral side of the hip, which serves as the entry point for the arthroscope—a specialized instrument equipped with a camera that allows for visualization of the internal structures of the hip joint. Additional incisions may be made as necessary to facilitate access and visualization of the joint components. The use of fluoroscopic guidance enhances the precision of the procedure, allowing for the effective placement of a catheter into the hip joint. This catheter is used to introduce sterile saline, which helps to distract the joint and improve visibility. Once the joint is adequately distended, the arthroscope is inserted, enabling the surgeon to thoroughly examine the joint for any signs of injury or disease. The surgeon can then locate and retrieve any loose or foreign bodies using an arthroscopic grasper. After the procedure is completed, the arthroscope and instruments are removed, the joint is flushed with sterile saline to ensure cleanliness, and the portal incisions are closed to promote healing.