CPT® Code 29897

Surgical arthroscopy of the ankle, specifically involving the tibiotalar and fibulotalar joints, is a minimally invasive procedure that allows for direct visualization and treatment of joint conditions. The primary purpose of this procedure is to perform limited debridement, which is the removal of damaged or diseased tissue within the joint. This technique is often utilized to address issues such as arthritis, where inflammation and degeneration of the joint surfaces can lead to pain and reduced mobility. During the procedure, the patient's leg is carefully positioned to facilitate access to the ankle joint, ensuring that the knee is bent and the lower leg is free to move. This positioning is crucial for the surgeon to effectively manipulate the instruments and visualize the joint. The use of a saline solution to inflate the joint space enhances visibility and allows for a thorough inspection of the joint for any signs of injury, disease, or infection. The procedure involves creating portals for the insertion of the arthroscope and surgical tools, enabling the surgeon to remove redundant cartilage, inflamed tissue, and bone spurs, ultimately smoothing the joint surfaces and improving function. The careful execution of this procedure is essential for achieving optimal outcomes and alleviating symptoms associated with ankle joint disorders.