CPT® Code 29862

Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty, and/or resection of labrum

A surgical arthroscopy of the hip, designated by CPT® Code 29862, involves a minimally invasive procedure that allows for the examination and treatment of various hip joint conditions. This procedure is characterized by the use of an arthroscope, a specialized instrument equipped with a camera that provides visual access to the internal structures of the hip joint. The primary objectives of this arthroscopy include the debridement and/or shaving of the articular cartilage, known as chondroplasty, as well as the performance of abrasion arthroplasty and/or resection of the labrum. These interventions are typically indicated for patients suffering from degenerative diseases affecting the articular cartilage, injuries to the articular cartilage, or tears in the labrum. During the procedure, a small incision is made on the lateral side of the hip joint to facilitate the introduction of the arthroscope, while an additional anterolateral incision is created for the insertion of surgical instruments. Additional incisions may be made as necessary to enhance visualization and access to the hip joint structures. The use of fluoroscopic guidance is integral to the procedure, allowing for precise placement of a catheter into the hip joint, through which sterile saline is introduced to create space within the joint for better visibility and access. The arthroscope is then inserted, enabling the surgeon to thoroughly examine the joint for any signs of injury or disease. Chondroplasty is performed to remove damaged cartilage, ensuring a smooth and stable surface for optimal joint function. In cases where abrasion arthroplasty is indicated, a burr is utilized to remove tissue from the femoral head and neck, as well as the acetabulum, to a depth of approximately 1 mm. This technique promotes healing by allowing the bone to exude substances that can replace the lost cartilage. If a labral tear is identified, it may be resected using arthroscopic shaver blades or radiofrequency energy, which helps to remove torn tissue and smooth the damaged labrum. Alternatively, the labrum can be repaired by passing sutures through the labral tissue and anchoring them to the bone with bone anchors. Upon completion of the procedure, the arthroscope and instruments are withdrawn, the joint is flushed with sterile saline, and the portal incisions are closed, marking the end of the surgical intervention.