Arthroscopic decompression (29826) + rotator cuff repair (29827)
Shoulder arthroscopy with subacromial decompression (29826) and rotator cuff repair (29827) — 29826 is an add-on to 29827.
Why this pair bundles
When both performed together, 29826 is bundled as an add-on. Report 29827 + 29826 only if 29826 is specifically an add-on code per CPT changes.
Modifier-bypass policy
Modifier indicator: 0 — no modifier bypass is permitted for this pair under any circumstance.
Check current CPT — 29826 became an add-on code; cannot be reported without a primary shoulder arthroscopy code.
Documentation requirements
- Clear documentation of separate distinct procedures performed
- Operative note describing both procedures
Common clinical scenarios
- Rotator cuff repair with concurrent subacromial decompression
Frequently asked questions
Why does CMS bundle 29826 and 29827?
When both performed together, 29826 is bundled as an add-on. Report 29827 + 29826 only if 29826 is specifically an add-on code per CPT changes.
What documentation supports separate billing?
Clear documentation of separate distinct procedures performed; Operative note describing both procedures.
When does this conflict typically arise?
Rotator cuff repair with concurrent subacromial decompression.
Sources
Catch NCCI 29826/29827 conflicts before submission
ApprovalHelp auto-flags NCCI bundling conflicts on the claim line before you submit. Modifier-bypass eligibility checked against current quarterly NCCI tables. no setup fee.
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