CPT 2012: Here are some answers to the 29826 muddle

Why This Topic Matters

The article addresses a change that altered reporting for common shoulder procedures and created payer-specific uncertainty. It matters because coding and edit changes can affect whether claims are paid, bundled, denied, or need to be resubmitted or appealed.

Article Sections

1. Stand-alone partial acromioplasty

   Discusses the reporting implications for a shoulder arthroscopy service when it is performed by itself and notes the broader payer and specialty-society response.

2. Scope acromioplasty with open rotator cuff repair

   Covers how the article addresses reporting of the service when paired with open shoulder procedures and describes the general guidance discussed in the article.

3. Troublesome 29826 CCI edits to be rescinded

   Summarizes the Correct Coding Initiative edit changes affecting shoulder arthroscopy code pairings, including the timing and retroactive nature of the update.