CPT code 29823: Arthroscopic debridement, extensive, three or more structures2026 Medicare rate & RVUs in South Carolina
Reports therapeutic shoulder arthroscopy involving extensive debridement of three or more distinct structures, such as labrum, cartilage, or rotator cuff tissue.
In South Carolina, Medicare pays $532.22 for 29823 in a facility. There’s no office rate.
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.
On this page 11 sections
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 South Carolina 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. South Carolina pays $532.22. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Carolina · this page$532.22
- Los Angeles, CA · California$597.11+$64.89
- Washington, DC area · District of Columbia$622.65+$90.43
- Miami, FL · Florida$648.59+$116.37
- Chicago, IL · Illinois$629.33+$97.11
- Manhattan, NY · New York$645.95+$113.73
- Alaska · Alaska$681.38+$149.16
Other areas in South Carolina first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $562.73 |
| Merced, CACalifornia | — | $562.73 |
| Modesto, CACalifornia | — | $562.73 |
| Napa, CACalifornia | — | $628.03 |
| Oxnard, CACalifornia | — | $591.35 |
| Redding, CACalifornia | — | $562.73 |
| Rest of CaliforniaCalifornia | — | $562.73 |
| Riverside, CACalifornia | — | $579.51 |
| Sacramento, CACalifornia | — | $584.21 |
| Salinas, CACalifornia | — | $581.92 |
| San Diego, CACalifornia | — | $591.11 |
| Marin County, CACalifornia | — | $656.50 |
| San Francisco, CACalifornia | — | $654.72 |
| San Benito County, CACalifornia | — | $672.30 |
| Santa Clara County, CACalifornia | — | $665.06 |
| San Luis Obispo, CACalifornia | — | $573.35 |
| Santa Cruz, CACalifornia | — | $593.15 |
| Santa Maria, CACalifornia | — | $582.87 |
| Santa Rosa, CACalifornia | — | $598.69 |
| Stockton, CACalifornia | — | $562.73 |
| Vallejo, CACalifornia | — | $625.47 |
| Visalia, CACalifornia | — | $562.73 |
| Yuba City, CACalifornia | — | $562.73 |
| ColoradoColorado | — | $566.30 |
| ConnecticutConnecticut | — | $593.94 |
| DelawareDelaware | — | $551.87 |
| Fort Lauderdale, FLFlorida | — | $604.11 |
| Rest of FloridaFlorida | — | $574.15 |
| Atlanta, GAGeorgia | — | $574.00 |
| Rest of GeorgiaGeorgia | — | $542.14 |
| Hawaii, Guam, HIHawaii | — | $570.68 |
| IowaIowa | — | $506.40 |
| IdahoIdaho | — | $511.59 |
| East St. Louis, ILIllinois | — | $591.89 |
| Rest of IllinoisIllinois | — | $566.66 |
| Suburban Chicago, ILIllinois | — | $607.51 |
| IndianaIndiana | — | $514.00 |
| KansasKansas | — | $509.26 |
| KentuckyKentucky | — | $526.97 |
| New Orleans, LALouisiana | — | $551.32 |
| Rest of LouisianaLouisiana | — | $528.22 |
| Metropolitan Boston, MAMassachusetts | — | $611.61 |
| Rest of MassachusettsMassachusetts | — | $565.46 |
| Baltimore area, MDMaryland | — | $593.32 |
| Rest of MarylandMaryland | — | $560.08 |
| Rest of MaineMaine | — | $519.35 |
| Southern Maine, MEMaine | — | $537.35 |
| Detroit, MIMichigan | — | $585.90 |
| Rest of MichiganMichigan | — | $544.04 |
| MinnesotaMinnesota | — | $529.27 |
| Metropolitan Kansas City, MOMissouri | — | $542.54 |
| Metropolitan St. Louis, MOMissouri | — | $547.05 |
| Rest of MissouriMissouri | — | $523.38 |
| MississippiMississippi | — | $510.89 |
| MontanaMontana | — | $558.69 |
| North CarolinaNorth Carolina | — | $523.45 |
| North DakotaNorth Dakota | — | $527.85 |
| NebraskaNebraska | — | $507.38 |
| New HampshireNew Hampshire | — | $562.40 |
| Northern New JerseyNew Jersey | — | $618.20 |
| Rest of New JerseyNew Jersey | — | $596.95 |
| New MexicoNew Mexico | — | $548.78 |
| NevadaNevada | — | $550.34 |
| NYC suburbs and Long Island, NYNew York | — | $666.73 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $604.88 |
| Queens, NYNew York | — | $643.38 |
| Rest of New YorkNew York | — | $530.98 |
| OhioOhio | — | $537.74 |
| OklahomaOklahoma | — | $520.77 |
| Portland, OROregon | — | $577.01 |
| Rest of OregonOregon | — | $542.33 |
| Metropolitan Philadelphia, PAPennsylvania | — | $583.65 |
| Rest of PennsylvaniaPennsylvania | — | $535.69 |
| Puerto RicoPuerto Rico | — | $560.73 |
| Rhode IslandRhode Island | — | $566.25 |
| South DakotaSouth Dakota | — | $524.20 |
| TennesseeTennessee | — | $512.21 |
| Austin, TXTexas | — | $567.69 |
| Beaumont, TXTexas | — | $532.88 |
| Brazoria, TXTexas | — | $547.19 |
| Dallas, TXTexas | — | $552.75 |
| Fort Worth, TXTexas | — | $550.96 |
| Galveston, TXTexas | — | $550.19 |
| Houston, TXTexas | — | $578.74 |
| Rest of TexasTexas | — | $541.15 |
| UtahUtah | — | $538.67 |
| VirginiaVirginia | — | $539.28 |
| Virgin Islands, VIUnited States Virgin Islands | — | $560.73 |
| VermontVermont | — | $530.59 |
| Rest of WashingtonWashington | — | $562.80 |
| King County, WAWashington | — | $618.29 |
| WisconsinWisconsin | — | $512.37 |
| West VirginiaWest Virginia | — | $548.92 |
| WyomingWyoming | — | $545.25 |
29823 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 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
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 South Carolina 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
93
- Locality
- South Carolina
- Physician work
- 1.000
- Practice expense
- 0.924
- Malpractice
- 0.850
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.78 | × 1.000 | 7.7800 |
| Practice expense | 7.39 | × 0.924 | 6.8284 |
| Malpractice | 1.56 | × 0.850 | 1.3260 |
| Total RVUs | 15.9344 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, South Carolina$532.22
Facility: (7.78 × 1 + 7.39 × 0.924 + 1.56 × 0.85) × $33.4009 = $532.22
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
| 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 · 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.
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).
How 29823 has changed in South Carolina
29823 · 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 | $532.22 | RVU26D |
| 2026-07-01 | Not available in this setting | $532.22 | RVU26C |
| 2026-04-01 | Not available in this setting | $532.22 | RVU26B |
| 2026-01-01 | Not available in this setting | $532.22 | RVU26A |
| 2025-10-01 | Not available in this setting | $554.25 | RVU25D |
| 2025-07-01 | Not available in this setting | $554.25 | RVU25C |
| 2025-04-01 | Not available in this setting | $554.25 | RVU25B |
| 2025-01-01 | Not available in this setting | $554.25 | RVU25A |
| 2024-10-01 | Not available in this setting | $566.36 | RVU24D |
| 2024-07-01 | Not available in this setting | $566.36 | RVU24C |
| 2024-04-01 | Not available in this setting | $566.36 | RVU24B |
| 2024-03-09 | Not available in this setting | $566.36 | RVU24AR |
| 2024-01-01 | Not available in this setting | $557.11 | RVU24A |
| 2023-10-01 | Not available in this setting | $567.11 | RVU23D |
| 2023-07-01 | Not available in this setting | $567.11 | RVU23C |
| 2023-04-01 | Not available in this setting | $567.11 | RVU23B |
| 2023-01-01 | Not available in this setting | $567.11 | RVU23A |
| 2022-10-01 | Not available in this setting | $566.73 | RVU22D |
| 2022-07-01 | Not available in this setting | $566.73 | RVU22C |
| 2022-04-01 | Not available in this setting | $566.73 | RVU22B |
| 2022-01-01 | Not available in this setting | $566.73 | RVU22A |
| 2021-10-01 | Not available in this setting | $568.32 | RVU21D |
| 2021-07-01 | Not available in this setting | $568.32 | RVU21C |
| 2021-04-01 | Not available in this setting | $568.32 | RVU21B |
| 2021-01-01 | Not available in this setting | $568.32 | RVU21A |
| 2020-10-01 | Not available in this setting | $604.09 | RVU20D |
| 2020-07-01 | Not available in this setting | $604.09 | RVU20C |
| 2020-04-01 | Not available in this setting | $604.09 | RVU20B |
| 2020-01-01 | Not available in this setting | $604.09 | RVU20A |
| 2019-10-01 | Not available in this setting | $593.18 | RVU19D |
| 2019-07-01 | Not available in this setting | $593.18 | RVU19C |
| 2019-04-01 | Not available in this setting | $593.18 | RVU19B |
| 2019-01-01 | Not available in this setting | $593.18 | RVU19A |
| 2018-10-01 | Not available in this setting | $592.92 | RVU18D |
| 2018-07-01 | Not available in this setting | $592.92 | RVU18C |
| 2018-04-01 | Not available in this setting | $592.92 | RVU18B |
| 2018-01-01 | Not available in this setting | $592.92 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $594.16 | RVU17D |
| 2017-07-01 | Not available in this setting | $594.16 | RVU17C |
| 2017-04-01 | Not available in this setting | $594.16 | RVU17B |
| 2017-01-01 | Not available in this setting | $594.16 | RVU17A |
| 2016-10-01 | Not available in this setting | $597.30 | RVU16D |
| 2016-07-01 | Not available in this setting | $597.30 | RVU16C |
| 2016-04-01 | Not available in this setting | $597.30 | RVU16B |
| 2016-01-01 | Not available in this setting | $597.30 | RVU16A |
| 2015-10-01 | Not available in this setting | $598.24 | RVU15D |
| 2015-07-01 | Not available in this setting | $598.24 | RVU15C |
| 2015-04-01 | Not available in this setting | $595.27 | RVU15B |
| 2015-01-01 | Not available in this setting | $595.27 | RVU15A |
| 2014-10-01 | Not available in this setting | $594.44 | RVU14D |
| 2014-07-01 | Not available in this setting | $594.44 | RVU14C |
| 2014-04-01 | Not available in this setting | $594.44 | RVU14B |
| 2014-01-01 | Not available in this setting | $594.44 | RVU14A |
| 2013-10-01 | Not available in this setting | $583.26 | RVU13D |
| 2013-07-01 | Not available in this setting | $583.26 | RVU13C |
| 2013-04-01 | Not available in this setting | $583.26 | RVU13B |
| 2013-01-01 | Not available in this setting | $583.26 | RVU13AR |
Where the South Carolina rate applies
South Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 475 cities and communities in South Carolina. Some span more than one payment area; confirm with the service ZIP.
- Abbeville
- Abney Crossroads
- Adams Run
- Aiken
- Alcolu
- Allendale
- Anderson
- Andrews
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
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