CPT code 29806 denotes arthroscopic inspection of the shoulder joint with operative repair of tears in the joint capsule. This minimally invasive orthopedic procedure is commonly used to address capsular injuries that can result from falls, twisting mechanisms, or direct blows that may lead to shoulder instability or dislocation. Nationally, arthroscopic shoulder procedures like this are a frequent component of orthopedic surgical practice and relevant to hospital outpatient departments, ambulatory surgical centers, and payer policy on surgical authorization and reimbursement.

Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical context for the procedure, typical sites of service, common claim modifiers associated with operative arthroscopy, and a summary of areas where payer policy and coding practice commonly intersect, such as bundling, global surgical periods, and postoperative care considerations. The publication also outlines benchmarks and coding comparisons relevant for billing teams, revenue cycle managers, and policy analysts.

This resource is intended as a national overview to orient clinicians and billing professionals to the clinical meaning and administrative considerations of CPT code 29806. Data not available in the input is indicated where applicable.