CPT code 29820: Shoulder synovectomy, partial, arthroscopic2026 Medicare rate & RVUs in Arkansas
Arthroscopic partial synovectomy removes a limited amount of inflamed shoulder-joint synovium as therapeutic treatment during shoulder surgery.
In Arkansas, Medicare pays $448.54 for 29820 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 29820 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 29820 covers
During shoulder arthroscopy, the surgeon removes a portion of abnormal synovial lining to treat active synovitis. The lining may be thickened and inflamed in conditions such as inflammatory arthritis or degenerative shoulder disease. An orthopedic surgeon performs the procedure with an arthroscope and instruments through small portals, commonly in a hospital outpatient department or ambulatory surgery center. This is therapeutic tissue removal, not simply inspection or biopsy.
Report 29820 when the operative note supports partial synovectomy and identifies the synovium treated and work performed; synovitis noted during inspection alone is not enough. Distinguish partial removal from complete synovectomy. Diagnostic inspection that is part of the same surgical arthroscopy is not separately reported. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. Endoscopy-family pricing applies when related endoscopies are performed together. For bilateral surgery, modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires 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 Arkansas compares for 29820
Across 109 of 109 payment localities, the facility rate for 29820 runs from $448.54 in Arkansas to $613.26 in Alaska. Arkansas pays $448.54. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Arkansas · this page$448.54
- Los Angeles, CA · California$536.74+$88.20
- Washington, DC area · District of Columbia$558.93+$110.39
- Miami, FL · Florida$579.72+$131.18
- Chicago, IL · Illinois$562.83+$114.29
- Manhattan, NY · New York$579.06+$130.52
- Alaska · Alaska$613.26+$164.72
Other areas in Arkansas first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $454.39 |
| ArizonaArizona | — | $488.31 |
| Bakersfield, CACalifornia | — | $509.80 |
| Chico, CACalifornia | — | $506.04 |
| El Centro, CACalifornia | — | $506.27 |
| Fresno, CACalifornia | — | $506.04 |
| Hanford, CACalifornia | — | $506.04 |
| Madera, CACalifornia | — | $506.04 |
| Merced, CACalifornia | — | $506.04 |
| Modesto, CACalifornia | — | $506.04 |
| Napa, CACalifornia | — | $564.82 |
| Oxnard, CACalifornia | — | $531.62 |
| Redding, CACalifornia | — | $506.04 |
| Rest of CaliforniaCalifornia | — | $506.04 |
| Riverside, CACalifornia | — | $520.57 |
| Sacramento, CACalifornia | — | $525.36 |
| Salinas, CACalifornia | — | $523.30 |
| San Diego, CACalifornia | — | $531.54 |
| Marin County, CACalifornia | — | $590.52 |
| San Francisco, CACalifornia | — | $588.99 |
| San Benito County, CACalifornia | — | $604.62 |
| Santa Clara County, CACalifornia | — | $598.35 |
| San Luis Obispo, CACalifornia | — | $515.58 |
| Santa Cruz, CACalifornia | — | $533.37 |
| Santa Maria, CACalifornia | — | $524.15 |
| Santa Rosa, CACalifornia | — | $538.37 |
| Stockton, CACalifornia | — | $506.04 |
| Vallejo, CACalifornia | — | $562.61 |
| Visalia, CACalifornia | — | $506.04 |
| Yuba City, CACalifornia | — | $506.04 |
| ColoradoColorado | — | $508.82 |
| ConnecticutConnecticut | — | $532.92 |
| DelawareDelaware | — | $495.64 |
| Fort Lauderdale, FLFlorida | — | $541.00 |
| Rest of FloridaFlorida | — | $514.60 |
| Atlanta, GAGeorgia | — | $515.00 |
| Rest of GeorgiaGeorgia | — | $486.39 |
| Hawaii, Guam, HIHawaii | — | $513.08 |
| IowaIowa | — | $455.64 |
| IdahoIdaho | — | $460.18 |
| East St. Louis, ILIllinois | — | $529.66 |
| Rest of IllinoisIllinois | — | $507.77 |
| Suburban Chicago, ILIllinois | — | $544.12 |
| IndianaIndiana | — | $462.31 |
| KansasKansas | — | $458.03 |
| KentuckyKentucky | — | $473.23 |
| New Orleans, LALouisiana | — | $494.73 |
| Rest of LouisianaLouisiana | — | $474.28 |
| Metropolitan Boston, MAMassachusetts | — | $549.37 |
| Rest of MassachusettsMassachusetts | — | $508.04 |
| Baltimore area, MDMaryland | — | $532.32 |
| Rest of MarylandMaryland | — | $502.99 |
| Rest of MaineMaine | — | $466.89 |
| Southern Maine, MEMaine | — | $483.05 |
| Detroit, MIMichigan | — | $524.85 |
| Rest of MichiganMichigan | — | $488.20 |
| MinnesotaMinnesota | — | $476.37 |
| Metropolitan Kansas City, MOMissouri | — | $487.12 |
| Metropolitan St. Louis, MOMissouri | — | $491.13 |
| Rest of MissouriMissouri | — | $469.90 |
| MississippiMississippi | — | $459.09 |
| MontanaMontana | — | $501.59 |
| North CarolinaNorth Carolina | — | $470.54 |
| North DakotaNorth Dakota | — | $474.90 |
| NebraskaNebraska | — | $456.56 |
| New HampshireNew Hampshire | — | $505.14 |
| Northern New JerseyNew Jersey | — | $555.03 |
| Rest of New JerseyNew Jersey | — | $535.85 |
| New MexicoNew Mexico | — | $492.34 |
| NevadaNevada | — | $494.37 |
| NYC suburbs and Long Island, NYNew York | — | $597.27 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $542.79 |
| Queens, NYNew York | — | $577.00 |
| Rest of New YorkNew York | — | $477.20 |
| OhioOhio | — | $482.75 |
| OklahomaOklahoma | — | $467.90 |
| Portland, OROregon | — | $518.51 |
| Rest of OregonOregon | — | $487.40 |
| Metropolitan Philadelphia, PAPennsylvania | — | $523.70 |
| Rest of PennsylvaniaPennsylvania | — | $481.02 |
| Puerto RicoPuerto Rico | — | $503.44 |
| Rhode IslandRhode Island | — | $508.59 |
| South CarolinaSouth Carolina | — | $478.06 |
| South DakotaSouth Dakota | — | $471.74 |
| TennesseeTennessee | — | $460.62 |
| Austin, TXTexas | — | $509.87 |
| Beaumont, TXTexas | — | $478.52 |
| Brazoria, TXTexas | — | $491.64 |
| Dallas, TXTexas | — | $496.50 |
| Fort Worth, TXTexas | — | $494.87 |
| Galveston, TXTexas | — | $494.25 |
| Houston, TXTexas | — | $518.96 |
| Rest of TexasTexas | — | $486.00 |
| UtahUtah | — | $483.78 |
| VirginiaVirginia | — | $484.65 |
| Virgin Islands, VIUnited States Virgin Islands | — | $503.44 |
| VermontVermont | — | $477.19 |
| Rest of WashingtonWashington | — | $505.71 |
| King County, WAWashington | — | $555.51 |
| WisconsinWisconsin | — | $461.16 |
| West VirginiaWest Virginia | — | $492.06 |
| WyomingWyoming | — | $489.96 |
29820 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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 29820 rate is calculated
Each of 29820’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 · 29820
RVUs × geographic indexes × conversion factor
Work7.03
7.03 RVUs× 1.000 GPCI
Practice expense6.64
6.64 RVUs× 1.000 GPCI
Malpractice1.35
1.35 RVUs× 1.000 GPCI
Adjusted RVUs
15.0200
Conversion factor
$33.4009
Medicare rate
$501.68
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Arkansas inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,320
- Code
- 29820
- Physician work
- 7.03
- Practice expense
- 6.64
- Malpractice
- 1.35
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.03 | × 1.000 | 7.0300 |
| Practice expense | 6.64 | × 0.859 | 5.7038 |
| Malpractice | 1.35 | × 0.515 | 0.6953 |
| Total RVUs | 13.4290 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arkansas$448.54
Facility: (7.03 × 1 + 6.64 × 0.859 + 1.35 × 0.515) × $33.4009 = $448.54
Payment rules and modifiers for 29820
29820 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 29820
Shoulder synovectomy, partial, arthroscopic
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 3 | Endoscopy family rules apply. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 29820
Shoulder synovectomy, partial, arthroscopic
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
29820 without 50 · national facility
$501.68
Shoulder synovectomy, partial, arthroscopic
29820-50 · Bilateral: 150%
$752.52
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).
How 29820 has changed in Arkansas
29820 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $448.54 | RVU26D |
| 2026-07-01 | Not available in this setting | $448.54 | RVU26C |
| 2026-04-01 | Not available in this setting | $448.54 | RVU26B |
| 2026-01-01 | Not available in this setting | $448.54 | RVU26A |
| 2025-10-01 | Not available in this setting | $474.43 | RVU25D |
| 2025-07-01 | Not available in this setting | $474.43 | RVU25C |
| 2025-04-01 | Not available in this setting | $474.43 | RVU25B |
| 2025-01-01 | Not available in this setting | $474.43 | RVU25A |
| 2024-10-01 | Not available in this setting | $482.40 | RVU24D |
| 2024-07-01 | Not available in this setting | $482.40 | RVU24C |
| 2024-04-01 | Not available in this setting | $482.40 | RVU24B |
| 2024-03-09 | Not available in this setting | $482.40 | RVU24AR |
| 2024-01-01 | Not available in this setting | $474.52 | RVU24A |
| 2023-10-01 | Not available in this setting | $484.37 | RVU23D |
| 2023-07-01 | Not available in this setting | $484.37 | RVU23C |
| 2023-04-01 | Not available in this setting | $484.37 | RVU23B |
| 2023-01-01 | Not available in this setting | $484.37 | RVU23A |
| 2022-10-01 | Not available in this setting | $488.06 | RVU22D |
| 2022-07-01 | Not available in this setting | $488.06 | RVU22C |
| 2022-04-01 | Not available in this setting | $488.06 | RVU22B |
| 2022-01-01 | Not available in this setting | $488.06 | RVU22A |
| 2021-10-01 | Not available in this setting | $490.50 | RVU21D |
| 2021-07-01 | Not available in this setting | $490.50 | RVU21C |
| 2021-04-01 | Not available in this setting | $490.50 | RVU21B |
| 2021-01-01 | Not available in this setting | $490.50 | RVU21A |
| 2020-10-01 | Not available in this setting | $499.87 | RVU20D |
| 2020-07-01 | Not available in this setting | $499.87 | RVU20C |
| 2020-04-01 | Not available in this setting | $499.87 | RVU20B |
| 2020-01-01 | Not available in this setting | $499.87 | RVU20A |
| 2019-10-01 | Not available in this setting | $502.32 | RVU19D |
| 2019-07-01 | Not available in this setting | $502.32 | RVU19C |
| 2019-04-01 | Not available in this setting | $502.32 | RVU19B |
| 2019-01-01 | Not available in this setting | $502.32 | RVU19A |
| 2018-10-01 | Not available in this setting | $502.50 | RVU18D |
| 2018-07-01 | Not available in this setting | $502.50 | RVU18C |
| 2018-04-01 | Not available in this setting | $502.50 | RVU18B |
| 2018-01-01 | Not available in this setting | $502.50 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $498.78 | RVU17D |
| 2017-07-01 | Not available in this setting | $498.78 | RVU17C |
| 2017-04-01 | Not available in this setting | $498.78 | RVU17B |
| 2017-01-01 | Not available in this setting | $498.78 | RVU17A |
| 2016-10-01 | Not available in this setting | $496.00 | RVU16D |
| 2016-07-01 | Not available in this setting | $496.00 | RVU16C |
| 2016-04-01 | Not available in this setting | $496.00 | RVU16B |
| 2016-01-01 | Not available in this setting | $496.00 | RVU16A |
| 2015-10-01 | Not available in this setting | $498.22 | RVU15D |
| 2015-07-01 | Not available in this setting | $498.22 | RVU15C |
| 2015-04-01 | Not available in this setting | $495.74 | RVU15B |
| 2015-01-01 | Not available in this setting | $495.74 | RVU15A |
| 2014-10-01 | Not available in this setting | $495.02 | RVU14D |
| 2014-07-01 | Not available in this setting | $495.02 | RVU14C |
| 2014-04-01 | Not available in this setting | $495.02 | RVU14B |
| 2014-01-01 | Not available in this setting | $495.02 | RVU14A |
| 2013-10-01 | Not available in this setting | $487.17 | RVU13D |
| 2013-07-01 | Not available in this setting | $487.17 | RVU13C |
| 2013-04-01 | Not available in this setting | $487.17 | RVU13B |
| 2013-01-01 | Not available in this setting | $487.17 | RVU13AR |
Where the Arkansas rate applies
Arkansas is a Medicare payment area, not a city. Our Census mapping connects it to 626 cities and communities in Arkansas. Some span more than one payment area; confirm with the service ZIP.
- Acorn
- Adona
- Alexander
- Alicia
- Alix
- Alleene
- Allport
- Alma
29820 billing questions
How is partial synovectomy distinguished from complete synovectomy?
Use 29820 for partial removal of shoulder synovium and 29821 when the surgeon performs a complete synovectomy. The operative report should describe the extent of synovial removal.
Can diagnostic shoulder arthroscopy be reported with 29820?
Do not separately report diagnostic inspection that is part of the same operative shoulder arthroscopy. Report 29805 when the service is diagnostic rather than therapeutic synovial removal.
Can synovectomy and debridement be reported together?
Do not separately code removal or trimming of the same synovial tissue as debridement. A separately documented debridement of other structures requires distinct work and must meet the requirements for the applicable debridement code.
What does the 90-day global period include?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period for 29820.
How is bilateral 29820 reported?
CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%. The operative documentation should support treatment of both shoulders.
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
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