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The procedure described by CPT® Code 29914 refers to an arthroscopic surgical intervention on the hip, specifically aimed at performing a femoroplasty. A femoroplasty is a corrective surgical procedure designed to address damage to the femoral head, which is the ball-shaped top of the thigh bone (femur) that fits into the hip socket (acetabulum). This damage is often the result of a condition known as femoroacetabular impingement (FAI), where there is abnormal contact and friction between the femoral head and the acetabulum during hip movement. This abnormal interaction can lead to the development of lesions, including cam lesions, which occur when the femoral head and neck are not perfectly round, resulting in an aspherical shape. This irregularity causes improper contact with the acetabulum, leading to pain and potential joint damage. The arthroscopic approach allows for minimally invasive access to the hip joint, utilizing small incisions to introduce an arthroscope and surgical instruments. This technique not only facilitates the examination of the hip joint but also enables the surgeon to perform necessary repairs, such as debridement of damaged cartilage and smoothing of the articular surface, ultimately aiming to restore normal function and alleviate pain in the affected hip joint.
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The procedure described by CPT® Code 29914 is indicated for patients experiencing symptoms related to femoroacetabular impingement (FAI), particularly those with cam lesions. The following conditions may warrant this surgical intervention:
The procedure for CPT® Code 29914 involves several key steps to effectively perform a femoroplasty through arthroscopy:
After the completion of the femoroplasty procedure, patients can expect a recovery period that may involve specific post-operative care. This typically includes monitoring for any signs of complications, managing pain with prescribed medications, and following a rehabilitation program to restore hip function. Physical therapy may be recommended to improve strength and range of motion in the hip joint. Patients should also be advised on activity modifications to avoid undue stress on the hip during the initial recovery phase. The overall recovery timeline can vary based on individual factors, but adherence to post-procedure instructions is essential for optimal healing and return to normal activities.
| Short Descr | HIP ARTHRO W/FEMOROPLASTY | Medium Descr | ARTHROSCOPY HIP W/FEMOROPLASTY | Long Descr | Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion) | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 3 - Special payment adjustment rules for multiple endoscopic procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Endoscopic Base Code | 29860 Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Non office-based surgical procedure added in CY 2008 or later; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P8A - Endoscopy - arthroscopy | MUE | 1 | CCS Clinical Classification | 153 - Hip replacement, total and partial |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | RT | Right side (used to identify procedures performed on the right side of the body) | 22 | Increased procedural services: when the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. documentation must support the substantial additional work and the reason for the additional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient's condition, physical and mental effort required). note: this modifier should not be appended to an e/m service. | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | CR | Catastrophe/disaster related | GA | Waiver of liability statement issued as required by payer policy, individual case | GC | This service has been performed in part by a resident under the direction of a teaching physician | LT | Left side (used to identify procedures performed on the left side of the body) | SG | Ambulatory surgical center (asc) facility service | X4 | Episodic/focused services: for reporting services by clinicians who provide focused care on particular types of treatment limited to a defined period and circumstance; the patient has a problem, acute or chronic, that will be treated with surgery, radiation, or some other type of generally time-limited intervention; reporting clinician service examples include but are not limited to, the orthopedic surgeon performing a knee replacement and seeing the patient through the postoperative period |
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| 2013-01-01 | Changed | Guideline information changed. |
| 2011-01-01 | Added | Added |
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