Bioinductive Implants

Question:

When providers use bioinductive implants to reinforce rotator cuff repairs or other musculoskeletal procedures, what is the best way to report them?  CPT code 17999 is often suggested, but CPT Assistant references imply that this unlisted code should only be reported with codes in the integumentary system.

Answer:

Thank you for your inquiry. CPT code 17999 is an unlisted code for the integumentary system. It is used for procedures performed on skin, mucous membranes, and subcutaneous tissue and is not appropriate for use with these procedures.

The bioinductive implant or patch is usually secured with small anchors or sutures to position it correctly on the tendon, provide mechanical support, and enhance biological healing after an arthroscopic rotator cuff repair. This is not a normal part of a standard rotator cuff repair, and therefore, with supporting documentation, KZA recommends CPT code 29827 with modifier 22 for increased procedural service. There is no additional reporting for the biologic implant on the surgeon’s professional claim; however, the ASC or hospital could report the implant on the facility claim.

*This response is based on the best information available as of 4/10/25.