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CPT 29914: Arthroscopic Hip Surgery with Femoroplasty to Treat Cam Lesion
CPT code 29914 represents arthroscopic hip surgery with femoroplasty to correct a cam lesion causing femoroacetabular impingement. This procedure restores the spherical shape of the femoral head to reduce painful impingement and improve joint mechanics, and it is commonly performed in active patients and athletes. The code is nationally relevant due to the prevalence of hip impingement diagnoses among younger, active populations and the increasing use of arthroscopic techniques in outpatient surgical settings.
Key payers examined include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find clinical context for the procedure, typical sites of service, and which commercial and federal payers commonly cover arthroscopic femoroplasty. The publication provides benchmarks for utilization and reimbursement patterns where available, highlights policy considerations that affect prior authorization and outpatient surgical coding, and outlines documentation elements that typically support medical necessity for this service.
This summary equips clinicians, billing staff, and policy analysts with a concise reference to the clinical intent of CPT code 29914, the payer landscape relevant to hip arthroscopy, and the types of information payers often require for claims adjudication and coverage decisions.
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Billing Code Overview
CPT code 29914 describes an arthroscopic surgical procedure on the hip that includes a femoroplasty to correct a cam lesion. The procedure reshapes the femoral head to restore a more spherical contour and relieve femoroacetabular impingement, a source of joint friction and pain commonly seen in athletes.
Service type: Surgical — Orthopedic, Arthroscopic Hip Surgery
Typical site of service: Hospital outpatient department or ambulatory surgery center, performed in an operating room or procedure suite equipped for arthroscopy.