CPT code 29823: Arthroscopic debridement, extensive, three or more structures2026 Medicare rate & RVUs in Minnesota

Reports therapeutic shoulder arthroscopy involving extensive debridement of three or more distinct structures, such as labrum, cartilage, or rotator cuff tissue.

CMS RVU26DEffective Oct 1, 2026One payment locality69.9K Medicare services in 2024

In Minnesota, Medicare pays $529.27 for 29823 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$529.27Hospital or facility

Check a contract rate as a % of Medicare · 29823 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 29823 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Minnesota
  2. What 29823 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 29823 covers

An orthopedic or sports medicine surgeon uses a shoulder arthroscope and instruments to remove or smooth damaged, unstable, or inflamed tissue in multiple distinct structures. Operative examples can include debridement of frayed labral tissue, articular cartilage, rotator cuff tissue, or synovium; the defining distinction from limited debridement is work on at least three separate structures. The service is commonly performed in an outpatient operating room or hospital operating room for conditions such as degenerative or traumatic shoulder damage.

Report the extensive service when the operative note identifies the distinct structures treated and the debridement performed on each; the amount of tissue removed or operative time alone does not establish the level. A 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When related endoscopic procedures are performed together, CMS endoscopy-family pricing applies. For bilateral procedures, modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; 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 Minnesota compares for 29823

Across 109 of 109 payment localities, the facility rate for 29823 runs from $498.72 in Arkansas to $681.38 in Alaska. Minnesota pays $529.27. The RVUs are the same everywhere; the geographic indexes change the dollars.

29823 in Minnesota vs other payment areas
  1. Minnesota · this page$529.27
  2. Los Angeles, CA · California$597.11+$67.84
  3. Washington, DC area · District of Columbia$622.65+$93.38
  4. Miami, FL · Florida$648.59+$119.32
  5. Chicago, IL · Illinois$629.33+$100.06
  6. Manhattan, NY · New York$645.95+$116.68
  7. Alaska · Alaska$681.38+$152.11

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

Every other payment area

29823 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$505.33
ArkansasArkansas—$498.72
ArizonaArizona—$543.64
Bakersfield, CACalifornia—$567.06
Chico, CACalifornia—$562.73
El Centro, CACalifornia—$562.99
Fresno, CACalifornia—$562.73
Hanford, CACalifornia—$562.73

29823 rates by state

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

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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
29823 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 29823 in every payment locality

How the 29823 rate is calculated

Each of 29823’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 · 29823

RVUs × geographic indexes × conversion factor

Office or facility?

Work7.78

7.78 RVUs× 1.000 GPCI

Practice expense7.39

7.39 RVUs× 1.000 GPCI

Malpractice1.56

1.56 RVUs× 1.000 GPCI

Adjusted RVUs

16.7300

Conversion factor

$33.4009

Medicare rate

$558.80

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

The exact Minnesota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,323

Code
29823
Physician work
7.78
Practice expense
7.39
Malpractice
1.56

GPCI2026.csv

66

Locality
Minnesota
Physician work
1.000
Practice expense
1.029
Malpractice
0.296
Facility calculation for 29823 in Minnesota
ComponentRVULocality factorAdjusted
Physician work7.78× 1.0007.7800
Practice expense7.39× 1.0297.6043
Malpractice1.56× 0.2960.4618
Total RVUs15.8461
Conversion factor× 33.4009

Facility rate, Minnesota$529.27

Facility: (7.78 × 1 + 7.39 × 1.029 + 1.56 × 0.296) × $33.4009 = $529.27

Open 29823 in the RVU calculator

Payment rules and modifiers for 29823

29823 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 29823

Arthroscopic debridement, extensive, three or more structures

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)2Paid.
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 · 29823

Arthroscopic debridement, extensive, three or more structures

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

29823 without 50 · national facility

$558.80

Arthroscopic debridement, extensive, three or more structures

29823-50 · Bilateral: 150%

$838.20

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 29823 has changed in Minnesota

29823 · 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$529.27RVU26D
2026-07-01Not available in this setting$529.27RVU26C
2026-04-01Not available in this setting$529.27RVU26B
2026-01-01Not available in this setting$529.27RVU26A
2025-10-01Not available in this setting$559.63RVU25D
2025-07-01Not available in this setting$559.63RVU25C
2025-04-01Not available in this setting$559.63RVU25B
2025-01-01Not available in this setting$559.63RVU25A
2024-10-01Not available in this setting$570.99RVU24D
2024-07-01Not available in this setting$570.99RVU24C
2024-04-01Not available in this setting$570.99RVU24B
2024-03-09Not available in this setting$570.99RVU24AR
2024-01-01Not available in this setting$561.67RVU24A
2023-10-01Not available in this setting$576.11RVU23D
2023-07-01Not available in this setting$576.11RVU23C
2023-04-01Not available in this setting$576.11RVU23B
2023-01-01Not available in this setting$576.11RVU23A
2022-10-01Not available in this setting$578.94RVU22D
2022-07-01Not available in this setting$578.94RVU22C
2022-04-01Not available in this setting$578.94RVU22B
2022-01-01Not available in this setting$578.94RVU22A
2021-10-01Not available in this setting$581.00RVU21D
2021-07-01Not available in this setting$581.00RVU21C
2021-04-01Not available in this setting$581.00RVU21B
2021-01-01Not available in this setting$581.00RVU21A
2020-10-01Not available in this setting$619.38RVU20D
2020-07-01Not available in this setting$619.38RVU20C
2020-04-01Not available in this setting$619.38RVU20B
2020-01-01Not available in this setting$619.38RVU20A
2019-10-01Not available in this setting$612.47RVU19D
2019-07-01Not available in this setting$612.47RVU19C
2019-04-01Not available in this setting$612.47RVU19B
2019-01-01Not available in this setting$612.47RVU19A
2018-10-01Not available in this setting$612.06RVU18D
2018-07-01Not available in this setting$612.06RVU18C
2018-04-01Not available in this setting$612.06RVU18B
2018-01-01Not available in this setting$612.06RVU18AR1
2017-10-01Not available in this setting$609.47RVU17D
2017-07-01Not available in this setting$609.47RVU17C
2017-04-01Not available in this setting$609.47RVU17B
2017-01-01Not available in this setting$609.47RVU17A
2016-10-01Not available in this setting$608.32RVU16D
2016-07-01Not available in this setting$608.32RVU16C
2016-04-01Not available in this setting$608.32RVU16B
2016-01-01Not available in this setting$608.32RVU16A
2015-10-01Not available in this setting$610.20RVU15D
2015-07-01Not available in this setting$610.20RVU15C
2015-04-01Not available in this setting$607.16RVU15B
2015-01-01Not available in this setting$607.16RVU15A
2014-10-01Not available in this setting$606.74RVU14D
2014-07-01Not available in this setting$606.74RVU14C
2014-04-01Not available in this setting$606.74RVU14B
2014-01-01Not available in this setting$606.74RVU14A
2013-10-01Not available in this setting$600.66RVU13D
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 29823 for an earlier date of service

Where the Minnesota rate applies

Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.

  • Ada
  • Adams
  • Adrian
  • Afton
  • Aitkin
  • Akeley
  • Albany
  • Albert Lea

Browse all communities in Minnesota

29823 billing questions

How is extensive debridement distinguished from limited debridement?

Extensive debridement involves at least three distinct shoulder structures. Limited debridement is the neighboring service for work on one or two structures.

What should the operative note document?

Identify each distinct structure debrided and describe the therapeutic work performed there. A general statement that the surgeon performed extensive debridement does not show which structures support the level.

Can this be reported with a shoulder repair performed during the same arthroscopy?

A separate repair may occur in the same session, but report debridement only when its work is distinct and separately reportable under applicable coding edits. CMS endoscopy-family pricing applies when related endoscopies are performed together.

What does the 90-day global period include?

It includes the day-before preoperative visit and 90 days of related postoperative care.

How are bilateral procedures and surgical assistance handled?

Modifier 50 is used for a bilateral procedure, with payment at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires 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 29823PPRRVU2026_Oct_nonQPP.csv, line 3,323 (RVU26D)
Geographic factors for MinnesotaGPCI2026.csv, line 66 (RVU26D)

Open CMS sourceHow we calculate rates

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