Coding question

Can CPT 29826 Be Coded With 29827?

Shoulder arthroscopy with cuff repair and subacromial decompression is the standard combination in orthopaedics, and the answer here is yes, with a documentation catch.

Direct answer
Yes. CPT 29826 (arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament release when performed) is an add-on code and is reportable alongside 29827 (arthroscopic rotator cuff repair) when the decompression work was actually performed and documented. As an add-on it is never reported alone and takes no modifier 51.

Why this pair works when others bundle

Since 2012, 29826 has been an add-on code, listed with a plus sign and payable only with a primary shoulder arthroscopy code from its parent list, which includes 29827. Add-on codes are exempt from multiple procedure reduction and from modifier 51, so the pair reports as 29827 plus 29826 with no modifier between them.

The documentation catch

The add-on requires the decompression work itself: bursectomy alone is not an acromioplasty. The note should describe the subacromial decompression and the partial acromioplasty (bone resected from the undersurface of the acromion), and the coracoacromial ligament release when performed. "SAD performed" as a bare abbreviation is thin support; two sentences describing the bone work are solid support.

Documentation that supports 29826: "The subacromial space was entered and a complete bursectomy performed. The anterolateral undersurface of the acromion was flattened with a burr, resecting approximately 5 mm of bone, and the coracoacromial ligament was released."

What commonly reports alongside

The same operation often includes biceps tenodesis (29828), distal claviculectomy (29824), and extensive debridement (29823), each with its own distinct documentation requirement. Extensive debridement in particular needs three or more discrete structures debrided, named individually, in compartments separate from the repair work.

The payer note

A few commercial payers have historically declined 29826 with cuff repair under their own policies despite CPT. When that happens it is a payer policy issue, not a coding error; report what was performed and documented.

Check it against your own note

The Operative Note Assistant knows the shoulder arthroscopy family, applies the add-on and bundling rules to your actual note, and prices the full combination in wRVUs with a line by line explanation.

Back toAll guides