CPT® Code 29863

A surgical arthroscopy of the hip, specifically identified by CPT® Code 29863, involves a minimally invasive procedure that allows for the examination and treatment of the hip joint. The primary objective of this procedure is to perform a synovectomy, which entails the removal of inflamed synovial tissue that may be causing pain or dysfunction within the joint. The procedure begins with the creation of a small portal incision on the lateral aspect of the hip joint, which serves as the entry point for the arthroscope. A second incision, located anterolaterally, is made to facilitate the introduction of surgical instruments necessary for the synovectomy. Additional incisions may be made as required to enhance visualization and access to various structures within the hip joint. During the procedure, fluoroscopic guidance is utilized to accurately place a catheter into the hip joint through the lateral portal. Sterile saline is then introduced to distract the joint, providing a clearer view of the internal structures. Following this, the catheter is removed, and the arthroscope, equipped with a camera, is inserted. This camera projects real-time images onto a video screen, allowing the surgeon to thoroughly examine the hip joint for any signs of injury or disease. The inflamed synovial tissue is subsequently excised using a synovial resector, or alternatively, radiofrequency probes may be employed to achieve the same outcome. Upon completion of the synovectomy, the arthroscope and any surgical instruments are withdrawn, the joint is flushed with sterile saline to ensure cleanliness, and the portal incisions are meticulously closed to promote optimal healing.