CPT code 29806: Shoulder stabilization, arthroscopic capsulorrhaphy2026 Medicare rate & RVUs in Virginia

In Virginia, Medicare pays $936.87 for 29806 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 29806 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 29806 covers

An orthopedic surgeon performs this shoulder arthroscopy to tighten or repair capsular tissue and stabilize a loose joint. A common indication is recurrent shoulder instability, including an anterior Bankart-type injury in which the capsulolabral tissue has detached. The surgeon works through arthroscopic portals, typically in an outpatient hospital or ambulatory surgery center, and may use anchors to secure tissue to the glenoid.

Select this code when the operative work is arthroscopic capsular stabilization; an open repair is coded differently. The operative report should establish the instability or capsular injury and describe the arthroscopic repair or tightening performed. Diagnostic inspection of the same shoulder is part of the surgical arthroscopy. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When related endoscopies are performed together, endoscopy family pricing applies. For bilateral reporting with modifier 50, CMS pays at 150%. Assistant-at-surgery payment is barred by statutory restriction; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Virginia compares for 29806

Across 109 of 109 payment localities, the facility rate for 29806 runs from $870.59 in Arkansas to $1,198.82 in Alaska. Virginia pays $936.87. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

29806 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 29806 in every payment locality

How the 29806 rate is calculated

Each of 29806’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 29806

29806 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 29806

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 29806 has changed in Virginia

Price 29806 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

• Abbs Valley
• Abingdon
• Accomac
• Adwolf
• Afton
• Alberta
• Aldie
• Allison Gap

Browse all communities in Virginia

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates