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Billing and Coding: Thermal Capsulorrhaphy
A53435
Effective: January 1, 2023
Updated: December 31, 2025
Policy Summary
Thermal capsulorrhaphy (including ETAC, radiofrequency thermal shrinkage, LACS, and related procedures) is considered not medically necessary for treatment of joint instability of the shoulder, knee, elbow, or other joints, and claims for this service will be denied. Providers should report this non-covered service using CPT 29999 (unlisted procedure, arthroscopy).
Coverage Criteria Preview
Key requirements from the full policy
"Thermal capsulorrhaphy (including thermal coagulation of joints, radiofrequency thermal shrinkage, electrothermal assisted capsulorrhaphy (ETAC), and laser-assisted capsular shrinkage (LACS)) is co..."
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