CPT code 29824: Shoulder arthroscopy, distal clavicle resection2026 Medicare rate & RVUs in Delaware
Reports arthroscopic removal of the distal clavicle, commonly to treat symptomatic acromioclavicular joint arthritis after nonoperative care has not relieved symptoms.
In Delaware, Medicare pays $631.03 for 29824 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 29824 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 29824 covers
An orthopedic surgeon uses an arthroscope and instruments through small shoulder incisions to remove the outer end of the clavicle at the acromioclavicular (AC) joint. This is commonly performed for painful AC joint arthritis or related distal clavicle pathology when surgery is indicated. The procedure is typically done in a hospital outpatient department or ambulatory surgery center, sometimes during the same session as another shoulder arthroscopy procedure.
Report the code when the operative work includes arthroscopic resection of the distal clavicle; the operative report should identify the AC joint pathology and document the resection performed. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. For bilateral procedures, modifier 50 is paid at 150%. When related endoscopies are performed together, endoscopy-family pricing applies. 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 Delaware compares for 29824
Across 109 of 109 payment localities, the facility rate for 29824 runs from $569.90 in Arkansas to $777.55 in Alaska. Delaware pays $631.03. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Delaware · this page$631.03
- Los Angeles, CA · California$683.83+$52.80
- Washington, DC area · District of Columbia$712.59+$81.56
- Miami, FL · Florida$740.63+$109.60
- Chicago, IL · Illinois$718.57+$87.54
- Manhattan, NY · New York$738.72+$107.69
- Alaska · Alaska$777.55+$146.52
Other areas in Delaware first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $577.50 |
| ArkansasArkansas | — | $569.90 |
| ArizonaArizona | — | $621.58 |
| Bakersfield, CACalifornia | — | $649.14 |
| Chico, CACalifornia | — | $644.26 |
| El Centro, CACalifornia | — | $644.56 |
| Fresno, CACalifornia | — | $644.26 |
| Hanford, CACalifornia | — | $644.26 |
| Madera, CACalifornia | — | $644.26 |
| Merced, CACalifornia | — | $644.26 |
| Modesto, CACalifornia | — | $644.26 |
| Napa, CACalifornia | — | $719.92 |
| Oxnard, CACalifornia | — | $677.33 |
| Redding, CACalifornia | — | $644.26 |
| Rest of CaliforniaCalifornia | — | $644.26 |
| Riverside, CACalifornia | — | $663.19 |
| Sacramento, CACalifornia | — | $669.09 |
| Salinas, CACalifornia | — | $666.48 |
| San Diego, CACalifornia | — | $677.18 |
| Marin County, CACalifornia | — | $752.86 |
| San Francisco, CACalifornia | — | $750.86 |
| San Benito County, CACalifornia | — | $770.98 |
| Santa Clara County, CACalifornia | — | $762.81 |
| San Luis Obispo, CACalifornia | — | $656.63 |
| Santa Cruz, CACalifornia | — | $679.66 |
| Santa Maria, CACalifornia | — | $667.61 |
| Santa Rosa, CACalifornia | — | $686.03 |
| Stockton, CACalifornia | — | $644.26 |
| Vallejo, CACalifornia | — | $717.04 |
| Visalia, CACalifornia | — | $644.26 |
| Yuba City, CACalifornia | — | $644.26 |
| ColoradoColorado | — | $648.00 |
| ConnecticutConnecticut | — | $679.30 |
| Fort Lauderdale, FLFlorida | — | $690.20 |
| Rest of FloridaFlorida | — | $655.87 |
| Atlanta, GAGeorgia | — | $656.25 |
| Rest of GeorgiaGeorgia | — | $619.19 |
| Hawaii, Guam, HIHawaii | — | $653.61 |
| IowaIowa | — | $579.07 |
| IdahoIdaho | — | $584.97 |
| East St. Louis, ILIllinois | — | $675.56 |
| Rest of IllinoisIllinois | — | $647.04 |
| Suburban Chicago, ILIllinois | — | $694.15 |
| IndianaIndiana | — | $587.75 |
| KansasKansas | — | $582.19 |
| KentuckyKentucky | — | $602.04 |
| New Orleans, LALouisiana | — | $629.99 |
| Rest of LouisianaLouisiana | — | $603.42 |
| Metropolitan Boston, MAMassachusetts | — | $700.28 |
| Rest of MassachusettsMassachusetts | — | $646.95 |
| Baltimore area, MDMaryland | — | $678.57 |
| Rest of MarylandMaryland | — | $640.52 |
| Rest of MaineMaine | — | $593.73 |
| Southern Maine, MEMaine | — | $614.68 |
| Detroit, MIMichigan | — | $669.22 |
| Rest of MichiganMichigan | — | $621.52 |
| MinnesotaMinnesota | — | $605.91 |
| Metropolitan Kansas City, MOMissouri | — | $620.06 |
| Metropolitan St. Louis, MOMissouri | — | $625.27 |
| Rest of MissouriMissouri | — | $597.74 |
| MississippiMississippi | — | $583.64 |
| MontanaMontana | — | $638.84 |
| North CarolinaNorth Carolina | — | $598.47 |
| North DakotaNorth Dakota | — | $604.04 |
| NebraskaNebraska | — | $580.25 |
| New HampshireNew Hampshire | — | $643.40 |
| Northern New JerseyNew Jersey | — | $707.40 |
| Rest of New JerseyNew Jersey | — | $682.82 |
| New MexicoNew Mexico | — | $626.91 |
| NevadaNevada | — | $629.43 |
| NYC suburbs and Long Island, NYNew York | — | $762.42 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $691.79 |
| Queens, NYNew York | — | $736.01 |
| Rest of New YorkNew York | — | $607.12 |
| OhioOhio | — | $614.41 |
| OklahomaOklahoma | — | $595.08 |
| Portland, OROregon | — | $660.51 |
| Rest of OregonOregon | — | $620.35 |
| Metropolitan Philadelphia, PAPennsylvania | — | $667.36 |
| Rest of PennsylvaniaPennsylvania | — | $612.14 |
| Puerto RicoPuerto Rico | — | $641.24 |
| Rhode IslandRhode Island | — | $647.66 |
| South CarolinaSouth Carolina | — | $608.29 |
| South DakotaSouth Dakota | — | $599.93 |
| TennesseeTennessee | — | $585.57 |
| Austin, TXTexas | — | $649.52 |
| Beaumont, TXTexas | — | $608.90 |
| Brazoria, TXTexas | — | $625.78 |
| Dallas, TXTexas | — | $632.09 |
| Fort Worth, TXTexas | — | $629.98 |
| Galveston, TXTexas | — | $629.18 |
| Houston, TXTexas | — | $661.39 |
| Rest of TexasTexas | — | $618.59 |
| UtahUtah | — | $615.71 |
| VirginiaVirginia | — | $616.79 |
| Virgin Islands, VIUnited States Virgin Islands | — | $641.24 |
| VermontVermont | — | $607.04 |
| Rest of WashingtonWashington | — | $643.95 |
| King County, WAWashington | — | $708.11 |
| WisconsinWisconsin | — | $586.20 |
| West VirginiaWest Virginia | — | $626.62 |
| WyomingWyoming | — | $623.67 |
29824 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 29824 rate is calculated
Each of 29824’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 · 29824
RVUs × geographic indexes × conversion factor
Work8.76
8.76 RVUs× 1.000 GPCI
Practice expense8.61
8.61 RVUs× 1.000 GPCI
Malpractice1.76
1.76 RVUs× 1.000 GPCI
Adjusted RVUs
19.1300
Conversion factor
$33.4009
Medicare rate
$638.96
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Delaware inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,324
- Code
- 29824
- Physician work
- 8.76
- Practice expense
- 8.61
- Malpractice
- 1.76
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.76 | × 1.005 | 8.8038 |
| Practice expense | 8.61 | × 0.988 | 8.5067 |
| Malpractice | 1.76 | × 0.899 | 1.5822 |
| Total RVUs | 18.8927 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$631.03
Facility: (8.76 × 1.005 + 8.61 × 0.988 + 1.76 × 0.899) × $33.4009 = $631.03
Payment rules and modifiers for 29824
29824 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 29824
Shoulder arthroscopy, distal clavicle resection
| 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 · 29824
Shoulder arthroscopy, distal clavicle resection
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
29824 without 50 · national facility
$638.96
Shoulder arthroscopy, distal clavicle resection
29824-50 · Bilateral: 150%
$958.44
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 29824 has changed in Delaware
29824 · 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 | $631.03 | RVU26D |
| 2026-07-01 | Not available in this setting | $631.03 | RVU26C |
| 2026-04-01 | Not available in this setting | $631.03 | RVU26B |
| 2026-01-01 | Not available in this setting | $631.03 | RVU26A |
| 2025-10-01 | Not available in this setting | $668.94 | RVU25D |
| 2025-07-01 | Not available in this setting | $668.94 | RVU25C |
| 2025-04-01 | Not available in this setting | $668.94 | RVU25B |
| 2025-01-01 | Not available in this setting | $668.94 | RVU25A |
| 2024-10-01 | Not available in this setting | $682.45 | RVU24D |
| 2024-07-01 | Not available in this setting | $682.45 | RVU24C |
| 2024-04-01 | Not available in this setting | $682.45 | RVU24B |
| 2024-03-09 | Not available in this setting | $682.45 | RVU24AR |
| 2024-01-01 | Not available in this setting | $671.32 | RVU24A |
| 2023-10-01 | Not available in this setting | $692.75 | RVU23D |
| 2023-07-01 | Not available in this setting | $692.75 | RVU23C |
| 2023-04-01 | Not available in this setting | $692.75 | RVU23B |
| 2023-01-01 | Not available in this setting | $692.75 | RVU23A |
| 2022-10-01 | Not available in this setting | $701.52 | RVU22D |
| 2022-07-01 | Not available in this setting | $701.52 | RVU22C |
| 2022-04-01 | Not available in this setting | $701.52 | RVU22B |
| 2022-01-01 | Not available in this setting | $701.52 | RVU22A |
| 2021-10-01 | Not available in this setting | $702.15 | RVU21D |
| 2021-07-01 | Not available in this setting | $702.15 | RVU21C |
| 2021-04-01 | Not available in this setting | $702.15 | RVU21B |
| 2021-01-01 | Not available in this setting | $702.15 | RVU21A |
| 2020-10-01 | Not available in this setting | $712.31 | RVU20D |
| 2020-07-01 | Not available in this setting | $712.31 | RVU20C |
| 2020-04-01 | Not available in this setting | $712.31 | RVU20B |
| 2020-01-01 | Not available in this setting | $712.31 | RVU20A |
| 2019-10-01 | Not available in this setting | $705.41 | RVU19D |
| 2019-07-01 | Not available in this setting | $705.41 | RVU19C |
| 2019-04-01 | Not available in this setting | $705.41 | RVU19B |
| 2019-01-01 | Not available in this setting | $705.41 | RVU19A |
| 2018-10-01 | Not available in this setting | $705.41 | RVU18D |
| 2018-07-01 | Not available in this setting | $705.41 | RVU18C |
| 2018-04-01 | Not available in this setting | $705.41 | RVU18B |
| 2018-01-01 | Not available in this setting | $705.41 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $703.68 | RVU17D |
| 2017-07-01 | Not available in this setting | $703.68 | RVU17C |
| 2017-04-01 | Not available in this setting | $703.68 | RVU17B |
| 2017-01-01 | Not available in this setting | $703.68 | RVU17A |
| 2016-10-01 | Not available in this setting | $704.72 | RVU16D |
| 2016-07-01 | Not available in this setting | $704.72 | RVU16C |
| 2016-04-01 | Not available in this setting | $704.72 | RVU16B |
| 2016-01-01 | Not available in this setting | $704.72 | RVU16A |
| 2015-10-01 | Not available in this setting | $706.06 | RVU15D |
| 2015-07-01 | Not available in this setting | $706.06 | RVU15C |
| 2015-04-01 | Not available in this setting | $702.54 | RVU15B |
| 2015-01-01 | Not available in this setting | $702.54 | RVU15A |
| 2014-10-01 | Not available in this setting | $700.72 | RVU14D |
| 2014-07-01 | Not available in this setting | $700.72 | RVU14C |
| 2014-04-01 | Not available in this setting | $700.72 | RVU14B |
| 2014-01-01 | Not available in this setting | $700.72 | RVU14A |
| 2013-10-01 | Not available in this setting | $686.04 | RVU13D |
| 2013-07-01 | Not available in this setting | $686.04 | RVU13C |
| 2013-04-01 | Not available in this setting | $686.04 | RVU13B |
| 2013-01-01 | Not available in this setting | $686.04 | RVU13AR |
Where the Delaware rate applies
Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.
- Arden
- Ardencroft
- Ardentown
- Bear
- Bellefonte
- Bethany Beach
- Bethel
- Blades
29824 billing questions
When should this code be chosen instead of 29826?
Use this code for arthroscopic resection of the distal clavicle at the AC joint. Code 29826 describes subacromial decompression work, such as acromioplasty, rather than distal clavicle resection.
Can distal clavicle excision be reported with rotator cuff repair?
The procedures may be performed during the same shoulder arthroscopy. Report each service supported by the operative work, and account for CMS endoscopy-family pricing when related endoscopies are performed together.
What documentation supports reporting this code?
The operative report should identify the AC joint condition and describe arthroscopic removal of the distal clavicle. A diagnosis of AC joint arthritis alone does not establish that the resection was performed.
How is a bilateral procedure reported?
CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%. Document the work performed on each shoulder.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. Related follow-up care during that period is part of the surgical global service.
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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