Balloon Spacer in the Shoulder

Question:

Our orthopaedic shoulder surgeon treated a patient with two massive rotator cuff tears that were not amenable to repair. Due to patient age, the patient would not withstand a reconstructive procedure. Our surgeon placed a balloon spacer arthroscopically in the subacromial space. We are wondering how to code for this procedure.

Answer:

Thank you for your inquiry. There is no CPT code for this very interesting procedure for a patient who is not a surgical candidate. You will report an unlisted arthroscopic code, 29999. Work with your surgeon to find a code that most closely represents the work. Do not code 29826 separately if the acromion is shaved or reshaped to allow placement and insufflation of the implant.

*This response is based on the best information available as of 10/14/21.