Arthroscopy, shoulder, surgical; repair of SLAP lesion

CPT 29807 is the billing code for "Arthroscopy, shoulder, surgical; repair of SLAP lesion". For surgical shoulder arthroscopy with repair of SLAP lesion

Medicare pays approximately $1017.94 for CPT 29807 (national average). Actual payment varies by geographic location due to GPCI adjustments. Hospital and commercial insurance rates are typically 2-4x higher than Medicare rates.

CPT 29807 has a total RVU of 35.85, broken down as: Work RVU 15.50, Practice Expense RVU 18.80, and Malpractice RVU 1.55. RVUs (Relative Value Units) determine Medicare reimbursement rates.

Key documentation requirements for CPT 29807 include: Indication for SLAP repair; Type of SLAP lesion; Repair technique; Anchors used. Missing or incomplete documentation is a leading cause of claim denials for this code.

Bundling considerations for CPT 29807: Includes surgical arthroscopy. Includes SLAP repair Use an NCCI bundling checker to verify specific code combinations before billing.

Common modifiers for CPT 29807 include: 50 (Bilateral procedure when both shoulders performed same session), 51 (Multiple procedures performed same session), 22 (Increased procedural services for complex repair). Modifiers indicate special circumstances and can affect reimbursement or prevent claim denials.

The typical time requirement for CPT 29807 is 75-105 minutes typical operative time. Time-based codes require documentation of the actual time spent providing the service.