CPT code 29807: Shoulder arthroscopy, superior labrum repair2026 Medicare rate & RVUs in Wisconsin

Reports arthroscopic repair of a superior labrum anterior-to-posterior lesion, typically when the surgeon reattaches the injured labrum and biceps anchor.

CMS RVU26DEffective Oct 1, 2026One payment locality1.7K Medicare services in 2024

In Wisconsin, Medicare pays $868.39 for 29807 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$868.39Hospital or facility

Check a contract rate as a % of Medicare · 29807 nationwide

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

We’ll open 29807 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Wisconsin
  2. What 29807 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 29807 covers

An orthopedic surgeon uses a shoulder arthroscope and instruments to repair a superior labrum anterior-to-posterior (SLAP) lesion, often securing the labrum near the biceps anchor with suture anchors. The procedure is performed in a surgical setting for a symptomatic tear selected for repair; the operative report should identify the lesion and describe the repair. A diagnostic inspection alone does not represent this therapeutic service.

Select this code when the surgeon repairs the superior labrum, not for an anterior-inferior capsular stabilization or a rotator cuff repair. Documentation should establish the operative findings and the work performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care through day 90. When related endoscopies are performed together, endoscopy-family pricing applies. For a bilateral procedure, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery; co-surgeons require 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 Wisconsin compares for 29807

Across 109 of 109 payment localities, the facility rate for 29807 runs from $851.38 in Arkansas to $1,171.27 in Alaska. Wisconsin pays $868.39. The RVUs are the same everywhere; the geographic indexes change the dollars.

29807 in Wisconsin vs other payment areas
  1. Wisconsin · this page$868.39
  2. Los Angeles, CA · California$1,007.51+$139.12
  3. Washington, DC area · District of Columbia$1,055.78+$187.39
  4. Miami, FL · Florida$1,116.99+$248.60
  5. Chicago, IL · Illinois$1,083.89+$215.50
  6. Manhattan, NY · New York$1,100.82+$232.43
  7. Alaska · Alaska$1,171.27+$302.88

Other areas in Wisconsin first, then benchmark localities. Bars start at $0.

Every other payment area

29807 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$862.40
ArkansasArkansas—$851.38
ArizonaArizona—$926.16
Bakersfield, CACalifornia—$958.87
Chico, CACalifornia—$950.77
El Centro, CACalifornia—$951.26
Fresno, CACalifornia—$950.77
Hanford, CACalifornia—$950.77

29807 rates by state

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

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
29807 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 29807 in every payment locality

How the 29807 rate is calculated

Each of 29807’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.

How the rate is built · 29807

RVUs × geographic indexes × conversion factor

Office or facility?

Work14.30

14.30 RVUs× 1.000 GPCI

Practice expense11.27

11.27 RVUs× 1.000 GPCI

Malpractice2.93

2.93 RVUs× 1.000 GPCI

Adjusted RVUs

28.5000

Conversion factor

$33.4009

Medicare rate

$951.93

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Wisconsin inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,318

Code
29807
Physician work
14.30
Practice expense
11.27
Malpractice
2.93

GPCI2026.csv

111

Locality
Wisconsin
Physician work
1.000
Practice expense
0.958
Malpractice
0.308
Facility calculation for 29807 in Wisconsin
ComponentRVULocality factorAdjusted
Physician work14.30× 1.00014.3000
Practice expense11.27× 0.95810.7967
Malpractice2.93× 0.3080.9024
Total RVUs25.9991
Conversion factor× 33.4009

Facility rate, Wisconsin$868.39

Facility: (14.3 × 1 + 11.27 × 0.958 + 2.93 × 0.308) × $33.4009 = $868.39

Open 29807 in the RVU calculator

Payment rules and modifiers for 29807

29807 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 29807

Shoulder arthroscopy, superior labrum repair

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures3Endoscopy family rules apply.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 29807

Shoulder arthroscopy, superior labrum repair

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

29807 without 50 · national facility

$951.93

Shoulder arthroscopy, superior labrum repair

29807-50 · Bilateral: 150%

$1,427.90

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

How 29807 has changed in Wisconsin

29807 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$868.39RVU26D
2026-07-01Not available in this setting$868.39RVU26C
2026-04-01Not available in this setting$868.39RVU26B
2026-01-01Not available in this setting$868.39RVU26A
2025-10-01Not available in this setting$936.06RVU25D
2025-07-01Not available in this setting$936.06RVU25C
2025-04-01Not available in this setting$936.06RVU25B
2025-01-01Not available in this setting$936.06RVU25A
2024-10-01Not available in this setting$956.08RVU24D
2024-07-01Not available in this setting$956.08RVU24C
2024-04-01Not available in this setting$956.08RVU24B
2024-03-09Not available in this setting$956.08RVU24AR
2024-01-01Not available in this setting$940.48RVU24A
2023-10-01Not available in this setting$962.80RVU23D
2023-07-01Not available in this setting$962.80RVU23C
2023-04-01Not available in this setting$962.80RVU23B
2023-01-01Not available in this setting$962.80RVU23A
2022-10-01Not available in this setting$963.98RVU22D
2022-07-01Not available in this setting$963.98RVU22C
2022-04-01Not available in this setting$963.98RVU22B
2022-01-01Not available in this setting$963.98RVU22A
2021-10-01Not available in this setting$968.31RVU21D
2021-07-01Not available in this setting$968.31RVU21C
2021-04-01Not available in this setting$968.31RVU21B
2021-01-01Not available in this setting$968.31RVU21A
2020-10-01Not available in this setting$985.76RVU20D
2020-07-01Not available in this setting$985.76RVU20C
2020-04-01Not available in this setting$985.76RVU20B
2020-01-01Not available in this setting$985.76RVU20A
2019-10-01Not available in this setting$988.21RVU19D
2019-07-01Not available in this setting$988.21RVU19C
2019-04-01Not available in this setting$988.21RVU19B
2019-01-01Not available in this setting$988.21RVU19A
2018-10-01Not available in this setting$987.56RVU18D
2018-07-01Not available in this setting$987.56RVU18C
2018-04-01Not available in this setting$987.56RVU18B
2018-01-01Not available in this setting$987.56RVU18AR1
2017-10-01Not available in this setting$993.27RVU17D
2017-07-01Not available in this setting$993.27RVU17C
2017-04-01Not available in this setting$993.27RVU17B
2017-01-01Not available in this setting$993.27RVU17A
2016-10-01Not available in this setting$1,002.52RVU16D
2016-07-01Not available in this setting$1,002.52RVU16C
2016-04-01Not available in this setting$1,002.52RVU16B
2016-01-01Not available in this setting$1,002.52RVU16A
2015-10-01Not available in this setting$1,007.49RVU15D
2015-07-01Not available in this setting$1,007.49RVU15C
2015-04-01Not available in this setting$1,002.48RVU15B
2015-01-01Not available in this setting$1,002.48RVU15A
2014-10-01Not available in this setting$996.82RVU14D
2014-07-01Not available in this setting$996.82RVU14C
2014-04-01Not available in this setting$996.82RVU14B
2014-01-01Not available in this setting$996.82RVU14A
2013-10-01Not available in this setting$984.00RVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 29807 for an earlier date of service

Where the Wisconsin rate applies

Wisconsin is a Medicare payment area, not a city. Our Census mapping connects it to 807 cities and communities in Wisconsin. Some span more than one payment area; confirm with the service ZIP.

  • Abbotsford
  • Abrams
  • Adams
  • Adell
  • Albany
  • Algoma
  • Allens Grove
  • Allenton

Browse all communities in Wisconsin

29807 billing questions

How is this different from shoulder capsulorrhaphy?

This code is for repair of a superior labral lesion near the biceps anchor. Capsulorrhaphy (29806) addresses capsular or labral stabilization for shoulder instability.

Can this be reported with a rotator cuff repair?

A separate rotator cuff tear may be repaired during the same arthroscopic session. The operative note should describe the distinct findings and work for each service; CMS endoscopy-family pricing applies when related endoscopies are performed together.

When is biceps tenodesis used instead?

Arthroscopic biceps tenodesis (29828) may be selected instead of repairing the superior labrum in some cases involving the biceps anchor. The reported service should match the procedure actually performed.

What documentation supports reporting this code?

Document the superior labral lesion found during surgery and the arthroscopic repair performed, including the site and method of fixation when applicable. A diagnostic inspection without repair does not support this code.

How does the global period affect postoperative billing?

The 90-day global period includes the day-before preoperative visit and related postoperative care through day 90. CMS also applies the listed endoscopy-family pricing when related endoscopies are performed together.

How are bilateral procedures and surgical assistants handled?

For a bilateral procedure, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery; co-surgeons require supporting documentation, and team surgery is not permitted.

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

Show the CMS file lines behind this rate
RVUs for 29807PPRRVU2026_Oct_nonQPP.csv, line 3,318 (RVU26D)
Geographic factors for WisconsinGPCI2026.csv, line 111 (RVU26D)

Open CMS sourceHow we calculate rates

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