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Frequently Used Shoulder Codes

Shoulder CPT Codes

CPT Code 29805 CPT Code 29821 CPT Code 29825
CPT Code 29806 CPT Code 29822 CPT Code 29826
CPT Code 29807 CPT Code 29823 CPT Code 29827
CPT Code 29819 CPT Code 29824 CPT Code 29828
CPT Code 29820    

The information provided in this document is current for 2010

CPT Code: 29805

Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure)

Intraoperative services included in the global service package:

1. local infiltration of medication(s), anesthetic, or contrast agent before, during, or at the conclusion of the operation
2. suture or staple removal by operating surgeon or designee
3. surgical approach, with necessary identification, isolation, and protection of anatomic structures, including hemostasis and minor skin scar revision
4. obtaining wound specimen(s) for culture
5. wound irrigation
6. intraoperative photo(s) and/or video recording, excluding ionizing radiation
7. intraoperative supervision and positioning of imaging and/or monitoring equipment by operating surgeon or assistant(s)
8. insertion, placement, and removal of surgical drain(s), re-infusion device(s), irrigation tube(s), or catheter(s)
9. closure of wound and repair of tissues divided for initial surgical exposure, partial or complete
10. application of initial dressing, orthosis, continuous passive motion, splint or cast, including traction, except where specifically excluded from global package
11. synovial reduction for visualization
12. arthroscopic subacromial space inspection
13. manipulation under anesthesia (eg, 23700)

Intraoperative services not included in the global service package:

1. supplies and medication (eg, code 99070, HCPCS Level II codes)
2. insertion, removal, or exchange of nonbiodegradable drug delivery implants (eg, 11981–11983)

Medicare global fee period: 90 days


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CPT Code: 29806

Arthroscopy, shoulder, surgical; capsulorrhaphy

Intraoperative services included in the global service package:

1. local infiltration of medication(s), anesthetic, or contrast agent before, during, or at the conclusion of the operation
2. suture or staple removal by operating surgeon or designee
3. surgical approach, with necessary identification, isolation, and protection of anatomic structures, including hemostasis and minor skin scar revision
4. obtaining wound specimen(s) for culture
5. wound irrigation
6. intraoperative photo(s) and/or video recording, excluding ionizing radiation
7. intraoperative supervision and positioning of imaging and/or monitoring equipment by operating surgeon or assistant(s)
8. insertion, placement, and removal of surgical drain(s), re-infusion device(s), irrigation tube(s), or catheter(s)
9. closure of wound and repair of tissues divided for initial surgical exposure, partial or complete
10. application of initial dressing, orthosis, continuous passive motion, splint or cast, including traction, except where specifically excluded from global package
11. preparation and insertion of synthetic bone substitutes, osteoconductive and osteoinductive agents (eg, hydroxyapatite, calcium phosphates, coral, methylmethacrylate, demineralized bone matrix, bone morphogenetic proteins), except where specifically excluded
12. reduction of shoulder dislocation (eg, 23650–23660)
13. manipulation under anesthesia (eg, 23700)
14. shoulder arthroscopy, diagnostic (eg, 29805)
15. arthroscopic partial synovectomy (eg, 29820)
16. arthroscopic lysis of adhesions (eg, 29825)

Intraoperative services not included in the global service package:

1. supplies and medication (eg, code 99070, HCPCS Level II codes)
2. insertion, removal, or exchange of nonbiodegradable drug delivery implants (eg, 11981–11983)
3. arthroscopic SLAP lesion repair (eg, 29807)
4. arthroscopic removal of loose or foreign bodies greater than 5 mm or through a separate incision (eg, 29819)
5. arthroscopic distal clavicle resection (eg, 29824)
6. arthroscopic acromioplasty (eg, 29826)
7. arthroscopic rotator cuff repair (eg, 29827)
8. arthroscopic biceps tenodesis (eg, 29828)

Medicare global fee period: 90 days
 

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CPT Code: 29807

Arthroscopy, shoulder, surgical; repair of SLAP lesion

Intraoperative services included in the global service package:

1. local infiltration of medication(s), anesthetic, or contrast agent before, during, or at the conclusion of the operation
2. suture or staple removal by operating surgeon or designee
3. surgical approach, with necessary identification, isolation, and protection of anatomic structures, including hemostasis and minor skin scar revision
4. obtaining wound specimen(s) for culture
5. wound irrigation
6. intraoperative photo(s) and/or video recording, excluding ionizing radiation
7. intraoperative supervision and positioning of imaging and/or monitoring equipment by operating surgeon or assistant(s)
8. insertion, placement, and removal of surgical drain(s), re-infusion device(s), irrigation tube(s), or catheter(s)
9. closure of wound and repair of tissues divided for initial surgical exposure, partial or complete
10. application of initial dressing, orthosis, continuous passive motion, splint or cast, including traction, except where specifically excluded from global package
11. preparation and insertion of synthetic bone substitutes, osteoconductive and osteoinductive agents (eg, hydroxyapatite, calcium phosphates, coral, methylmethacrylate, demineralized bone matrix, bone morphogenetic proteins), except where specifically excluded
12. shoulder arthroscopy, diagnostic (eg, 29805)
13. arthroscopic partial synovectomy (eg, 29820)
14. manipulation under anesthesia (eg, 23700)

Intraoperative services not included in the global service package:

1. supplies and medication (eg, code 99070, HCPCS Level II codes)
2. insertion, removal, or exchange of nonbiodegradable drug delivery implants (eg, 11981–11983)
3. arthroscopic shoulder stabilization (eg, 29806)
4. arthroscopic removal of loose or foreign bodies greater than 5 mm or through a separate incision (eg, 29819)
5. arthroscopic distal clavicle resection (eg, 29824)
6. arthroscopic acromioplasty (eg, 29826)
7. arthroscopic rotator cuff repair (eg, 29827)

Medicare global fee period: 90 days
 


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CPT Code: 29819

Arthroscopy, shoulder, surgical; with removal of loose body or foreign body

Intraoperative services included in the global service package:

1. local infiltration of medication(s), anesthetic, or contrast agent before, during, or at the conclusion of the operation
2. suture or staple removal by operating surgeon or designee
3. surgical approach, with necessary identification, isolation, and protection of anatomic structures, including hemostasis and minor skin scar revision
4. obtaining wound specimen(s) for culture
5. wound irrigation
6. intraoperative photo(s) and/or video recording, excluding ionizing radiation
7. intraoperative supervision and positioning of imaging and/or monitoring equipment by operating surgeon or assistant(s)
8. insertion, placement, and removal of surgical drain(s), re-infusion device(s), irrigation tube(s), or catheter(s)
9. closure of wound and repair of tissues divided for initial surgical exposure, partial or complete
10. application of initial dressing, orthosis, continuous passive motion, splint or cast, including traction, except where specifically excluded from global package
11. shoulder arthroscopy, diagnostic (eg, 29805)
12. arthroscopic partial synovectomy (eg, 29820)
13. small skin incision to assist removal
14. manipulation under anesthesia (eg, 23700)

Intraoperative services not included in the global service package:

1. supplies and medication (eg, code 99070, HCPCS Level II codes)
2. insertion, removal, or exchange of nonbiodegradable drug delivery implants (eg, 11981–11983)
3. arthroscopic anterior shoulder stabilization (eg, 29806)
4. arthroscopic SLAP lesion repair (eg, 29807)
5. arthroscopic debridement, extensive (eg, 29823)
6. arthroscopic distal clavicle resection (eg, 29824)
7. arthroscopic acromioplasty (eg, 29826)
8. arthroscopic rotator cuff repair (eg, 29827)
9. arthroscopic biceps tenodesis (eg, 29828)
10. arthroscopic lysis of adhesions (eg, 29825)

Medicare global fee period: 90 days

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CPT Code: 29820

Arthroscopy, shoulder, surgical; synovectomy, partial

Intraoperative services included in the global service package:

1. local infiltration of medication(s), anesthetic, or contrast agent before, during, or at the conclusion of the operation
2. suture or staple removal by operating surgeon or designee
3. surgical approach, with necessary identification, isolation, and protection of anatomic structures, including hemostasis and minor skin scar revision
4. obtaining wound specimen(s) for culture
5. wound irrigation
6. intraoperative photo(s) and/or video recording, excluding ionizing radiation
7. intraoperative supervision and positioning of imaging and/or monitoring equipment by operating surgeon or assistant(s)
8. insertion, placement, and removal of surgical drain(s), re-infusion device(s), irrigation tube(s), or catheter(s)
9. closure of wound and repair of tissues divided for initial surgical exposure, partial or complete
10. application of initial dressing, orthosis, continuous passive motion, splint or cast, including traction, except where specifically excluded from global package
11. shoulder arthroscopy, diagnostic (eg, 29805)
12. manipulation under anesthesia (eg, 23700)

Intraoperative services not included in the global service package:

1. supplies and medication (eg, code 99070, HCPCS Level II codes)
2. insertion, removal, or exchange of nonbiodegradable drug delivery implants (eg, 11981–11983)

Medicare global fee period: 90 days

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CPT Code: 29821

Arthroscopy, shoulder, surgical; synovectomy, complete

Intraoperative services included in the global service package:

1. local infiltration of medication(s), anesthetic, or contrast agent before, during, or at the conclusion of the operation
2. suture or staple removal by operating surgeon or designee
3. surgical approach, with necessary identification, isolation, and protection of anatomic structures, including hemostasis and minor skin scar revision
4. obtaining wound specimen(s) for culture
5. wound irrigation
6. intraoperative photo(s) and/or video recording, excluding ionizing radiation
7. intraoperative supervision and positioning of imaging and/or monitoring equipment by operating surgeon or assistant(s)
8. insertion, placement, and removal of surgical drain(s), re-infusion device(s), irrigation tube(s), or catheter(s)
9. closure of wound and repair of tissues divided for initial surgical exposure, partial or complete
10. application of initial dressing, orthosis, continuous passive motion, splint or cast, including traction, except where specifically excluded from global package
11. shoulder arthroscopy, diagnostic (eg, 29805)
12. arthroscopic partial synovectomy (eg, 29820)
13. manipulation under anesthesia (eg, 23700)

Intraoperative services not included in the global service package:

1. supplies and medication (eg, code 99070, HCPCS Level II codes)
2. insertion, removal, or exchange of nonbiodegradable drug delivery implants (eg, 11981–11983)
3. arthroscopic removal of loose or foreign bodies greater than 5 mm or through a separate incision (eg, 29819)
4. arthroscopic acromioplasty (eg, 29826)
5. arthroscopic acromioclavicular joint resection (eg, 29824)
6. arthroscopic repair of rotator cuff (eg, 29827)
7. arthroscopic biceps tenodesis (eg, 29828)

Medicare global fee period: 90 days

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CPT Code: 29822

Arthroscopy, shoulder, surgical; debridement, limited

Intraoperative services included in the global service package:

1. local infiltration of medication(s), anesthetic, or contrast agent before, during, or at the conclusion of the operation
2. suture or staple removal by operating surgeon or designee
3. surgical approach, with necessary identification, isolation, and protection of anatomic structures, including hemostasis and minor skin scar revision
4. obtaining wound specimen(s) for culture
5. wound irrigation
6. intraoperative photo(s) and/or video recording, excluding ionizing radiation
7. intraoperative supervision and positioning of imaging and/or monitoring equipment by operating surgeon or assistant(s)
8. insertion, placement, and removal of surgical drain(s), re-infusion device(s), irrigation tube(s), or catheter(s)
9. closure of wound and repair of tissues divided for initial surgical exposure, partial or complete
10. application of initial dressing, orthosis, continuous passive motion, splint or cast, including traction, except where specifically excluded from global package
11. shoulder arthroscopy, diagnostic (eg, 29805)
12. synovial resection for visualization
13. arthroscopic synovectomy, complete (eg, 29821)
14. manipulation under anesthesia (eg, 23700)

Intraoperative services not included in the global service package:

1. supplies and medication (eg, code 99070, HCPCS Level II codes)
2. insertion, removal, or exchange of nonbiodegradable drug delivery implants (eg, 11981–11983)
3. arthroscopic removal of loose or foreign bodies greater than 5 mm or through a separate incision (eg, 29819)
4. arthroscopic acromioplasty (eg, 29826)
5. arthroscopic repair of rotator cuff (eg, 29827)
6. arthroscopic excision of distal clavicle (eg, 29824)
7. arthroscopic biceps tenodesis (eg, 29828)

Medicare global fee period: 90 days
 

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CPT Code: 29823

Arthroscopy, shoulder, surgical; debridement, extensive

Intraoperative services included in the global service package:

1. local infiltration of medication(s), anesthetic, or contrast agent before, during, or at the conclusion of the operation
2. suture or staple removal by operating surgeon or designee
3. surgical approach, with necessary identification, isolation, and protection of anatomic structures, including hemostasis and minor skin scar revision
4. obtaining wound specimen(s) for culture
5. wound irrigation
6. intraoperative photo(s) and/or video recording, excluding ionizing radiation
7. intraoperative supervision and positioning of imaging and/or monitoring equipment by operating surgeon or assistant(s)
8. insertion, placement, and removal of surgical drain(s), re-infusion device(s), irrigation tube(s), or catheter(s)
9. closure of wound and repair of tissues divided for initial surgical exposure, partial or complete
10. application of initial dressing, orthosis, continuous passive motion, splint or cast, including traction, except where specifically excluded from global package
11. synovectomy (eg, 23105, 29820)
12. arthroscopic debridement of labrum and/or SLAP lesion, limited (eg, 29822)
13. shoulder arthroscopy, diagnostic (eg, 29805)
14. arthroscopic lysis of adhesions (eg, 29825)
15. manipulation under anesthesia (eg, 23700)

Intraoperative services not included in the global service package:

1. supplies and medication (eg, code 99070, HCPCS Level II codes)
2. insertion, removal, or exchange of nonbiodegradable drug delivery implants (eg, 11981–11983)
3. arthroscopic acromioplasty (eg, 29826)
4. arthroscopic removal of loose or foreign bodies greater than 5 mm or through separate incision (eg, 29819)
5. arthroscopic repair of rotator cuff (eg, 29827)
6. arthroscopic distal clavicle excision (eg, 29824)
7. arthroscopic biceps tenodesis (eg, 29828)

Medicare global fee period: 90 days

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CPT Code: 29824

Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)

Intraoperative services included in the global service package:

1. local infiltration of medication(s), anesthetic, or contrast agent before, during, or at the conclusion of the operation
2. suture or staple removal by operating surgeon or designee
3. surgical approach, with necessary identification, isolation, and protection of anatomic structures, including hemostasis and minor skin scar revision
4. obtaining wound specimen(s) for culture
5. wound irrigation
6. intraoperative photo(s) and/or video recording, excluding ionizing radiation
7. intraoperative supervision and positioning of imaging and/or monitoring equipment by operating surgeon or assistant(s)
8. insertion, placement, and removal of surgical drain(s), re-infusion device(s), irrigation tube(s), or catheter(s)
9. closure of wound and repair of tissues divided for initial surgical exposure, partial or complete
10. application of initial dressing, orthosis, continuous passive motion, splint or cast, including traction, except where specifically excluded from global package
11. preparation and insertion of synthetic bone substitutes, osteoconductive and osteoinductive agents (eg, hydroxyapatite, calcium phosphates, coral, methylmethacrylate, demineralized bone matrix, bone morphogenetic proteins), except where specifically excluded
12. shoulder arthroscopy, diagnostic (eg, 29805)
13. manipulation under anesthesia (eg, 23700)

Intraoperative services not included in the global service package:

1. supplies and medication (eg, code 99070, HCPCS Level II codes)
2. insertion, removal, or exchange of nonbiodegradable drug delivery implants (eg, 11981–11983)
3. repair of rotator cuff (eg, 29827)
4. arthroscopic lysis and resection of adhesions (eg, 29825)
5. arthroscopic acromioplasty (eg, 29826)
6. arthroscopic biceps tenodesis (eg, 29828)

Medicare global fee period: 90 days

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CPT Code: 29825

Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation

Intraoperative services included in the global service package:

1. local infiltration of medication(s), anesthetic, or contrast agent before, during, or at the conclusion of the operation
2. suture or staple removal by operating surgeon or designee
3. surgical approach, with necessary identification, isolation, and protection of anatomic structures, including hemostasis and minor skin scar revision
4. obtaining wound specimen(s) for culture
5. wound irrigation
6. intraoperative photo(s) and/or video recording, excluding ionizing radiation
7. intraoperative supervision and positioning of imaging and/or monitoring equipment by operating surgeon or assistant(s)
8. insertion, placement, and removal of surgical drain(s), re-infusion device(s), irrigation tube(s), or catheter(s)
9. closure of wound and repair of tissues divided for initial surgical exposure, partial or complete
10. application of initial dressing, orthosis, continuous passive motion, splint or cast, including traction, except where specifically excluded from global package
11. preparation and insertion of synthetic bone substitutes, osteoconductive and osteoinductive agents (eg, hydroxyapatite, calcium phosphates, coral, methylmethacrylate, demineralized bone matrix, bone morphogenetic proteins), except where specifically excluded
12. synovectomy/debridement (eg, 29820–29823)
13. shoulder arthroscopy, diagnostic (eg, 29805)
14. manipulation under anesthesia (eg, 23700)

Intraoperative services not included in the global service package:

1. supplies and medication (eg, code 99070, HCPCS Level II codes)
2. insertion, removal, or exchange of nonbiodegradable drug delivery implants (eg, 11981–11983)
3. arthroscopic acromioplasty (eg, 29826)
4. arthroscopic distal clavicle resection (eg, 29824)
5. arthroscopic removal of loose or foreign bodies greater than 5 mm or through a separate incision (eg, 29819)
6. arthroscopic repair of rotator cuff (eg, 29827)
7. arthroscopic biceps tenodesis (eg, 29828)

Medicare global fee period: 90 days

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CPT Code: 29826

Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with or without coracoacromial release

Intraoperative services included in the global service package:

1. local infiltration of medication(s), anesthetic, or contrast agent before, during, or at the conclusion of the operation
2. suture or staple removal by operating surgeon or designee
3. surgical approach, with necessary identification, isolation, and protection of anatomic structures, including hemostasis and minor skin scar revision
4. obtaining wound specimen(s) for culture
5. wound irrigation
6. intraoperative photo(s) and/or video recording, excluding ionizing radiation
7. intraoperative supervision and positioning of imaging and/or monitoring equipment by operating surgeon or assistant(s)
8. insertion, placement, and removal of surgical drain(s), re-infusion device(s), irrigation tube(s), or catheter(s)
9. closure of wound and repair of tissues divided for initial surgical exposure, partial or complete
10. application of initial dressing, orthosis, continuous passive motion, splint or cast, including traction, except where specifically excluded from global package
11. preparation and insertion of synthetic bone substitutes, osteoconductive and osteoinductive agents (eg, hydroxyapatite, calcium phosphates, coral, methylmethacrylate, demineralized bone matrix, bone morphogenetic proteins), except where specifically excluded
12. shoulder arthroscopy, diagnostic (eg, 29805)
13. synovectomy/debridement (eg, 29822, 29823)
14. manipulation under anesthesia (eg, 23700)

Intraoperative services not included in the global service package:

1. supplies and medication (eg, code 99070, HCPCS Level II codes)
2. insertion, removal, or exchange of nonbiodegradable drug delivery implants (eg, 11981–11983)
3. arthroscopic rotator cuff repair (eg, 29827)
4. arthroscopic resection of distal clavicle (eg, 29824)
5. arthroscopic lysis and resection of adhesions (eg, 29825)
6. arthroscopic biceps tenodesis (eg, 29828)

Medicare global fee period: 90 days

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CPT Code: 29827

Arthroscopy, shoulder, surgical; with rotator cuff repair

Intraoperative services included in the global service package:

1. local infiltration of medication(s), anesthetic, or contrast agent before, during, or at the conclusion of the operation
2. suture or staple removal by operating surgeon or designee
3. surgical approach, with necessary identification, isolation, and protection of anatomic structures, including hemostasis and minor skin scar revision
4. obtaining wound specimen(s) for culture
5. wound irrigation
6. intraoperative photo(s) and/or video recording, excluding ionizing radiation
7. intraoperative supervision and positioning of imaging and/or monitoring equipment by operating surgeon or assistant(s)
8. insertion, placement, and removal of surgical drain(s), re-infusion device(s), irrigation tube(s), or catheter(s)
9. closure of wound and repair of tissues divided for initial surgical exposure, partial or complete
10. application of initial dressing, orthosis, continuous passive motion, splint or cast, including traction, except where specifically excluded from global package
11. preparation and insertion of synthetic bone substitutes, osteoconductive and osteoinductive agents (eg, hydroxyapatite, calcium phosphates, coral, methylmethacrylate, demineralized bone matrix, bone morphogenetic proteins), except where specifically excluded
12. shoulder arthroscopy, diagnostic (eg, 29805)
13. partial synovectomy(eg, 29820)
14. manipulation under anesthesia (eg, 23700)

Intraoperative services not included in the global service package:

1. supplies and medication (eg, code 99070, HCPCS Level II codes)
2. insertion, removal, or exchange of nonbiodegradable drug delivery implants (eg, 11981–11983)
3. arthroscopic debridement (eg, 29822, 29823)
4. arthroscopic acromioplasty (eg, 29826)
5. arthroscopic resection of distal clavicle (eg, 29824)
6. arthroscopic repair of SLAP lesion (eg, 29807)
7. arthroscopic biceps tenodesis (eg, 29828)
8. arthroscopic shoulder capsulorrhaphy (eg, 29806)
9. arthroscopic lysis and resection of adhesions (eg, 29825)

Medicare global fee period: 90 days
 

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CPT Code: 29828

Arthroscopy, shoulder, surgical; biceps tenodesis

Intraoperative services included in the global service package:

1. local infiltration of medication(s), anesthetic, or contrast agent before, during, or at the conclusion of the operation
2. suture or staple removal by operating surgeon or designee
3. surgical approach, with necessary identification, isolation, and protection of anatomic structures, including hemostasis and minor skin scar revision
4. obtaining wound specimen(s) for culture
5. wound irrigation
6. intraoperative photo(s) and/or video recording, excluding ionizing radiation
7. intraoperative supervision and positioning of imaging and/or monitoring equipment by operating surgeon or assistant(s)
8. insertion, placement, and removal of surgical drain(s), re-infusion device(s), irrigation tube(s), or catheter(s)
9. closure of wound and repair of tissues divided for initial surgical exposure, partial or complete
10. application of initial dressing, orthosis, continuous passive motion, splint or cast, including traction, except where specifically excluded from global package
11. preparation and insertion of synthetic bone substitutes, osteoconductive and osteoinductive agents (eg, hydroxyapatite, calcium phosphates, coral, methylmethacrylate, demineralized bone matrix, bone morphogenetic proteins), except where specifically excluded
12. shoulder arthroscopy, diagnostic (eg, 29805)
13. partial synovectomy (eg, 29820)

Intraoperative services not included in the global service package:

1. supplies and medication (eg, code 99070, HCPCS Level II codes)
2. insertion, removal, or exchange of nonbiodegradable drug delivery implants (eg, 11981–11983)
3. arthroscopic repair of rotator cuff (eg, 29827)
4. arthroscopic subacromial decompression (eg, 29826)
5. arthroscopic lysis and resection of adhesions (eg, 29825)
6. arthroscopic distal clavicle resection (eg, 29824)
7. arthroscopic debridement, extensive (eg, 29822, 29823)
8. arthroscopic removal of loose or foreign bodies greater than 5 mm or through a separate incision (eg, 29819)

Medicare global fee period: 90 days
 





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