CPT code 29826: Shoulder decompression, subacromial space2026 Medicare rate & RVUs in North Dakota
Reports arthroscopic subacromial decompression, including partial acromioplasty, when performed with an eligible primary shoulder arthroscopy for impingement.
In North Dakota, Medicare pays $136.12 for 29826 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 29826 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 29826 covers
An orthopedic surgeon uses a shoulder arthroscope and instruments to create more room in the subacromial space, typically by removing part of the acromion’s undersurface; release of the coracoacromial ligament may also be performed. The service is commonly part of arthroscopic treatment of shoulder impingement and may accompany procedures such as rotator cuff repair or distal clavicle excision.
Code 29826 is an add-on, not a stand-alone arthroscopy service. Report it with an eligible primary shoulder arthroscopy and document the decompression performed, including the acromial work and any ligament release. CMS pays it within the primary procedure’s global period. For a bilateral procedure reported with modifier 50, CMS pays 150%.
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 North Dakota compares for 29826
Across 109 of 109 payment localities, the facility rate for 29826 runs from $132.95 in Wisconsin to $189.84 in Alaska. North Dakota pays $136.12. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Dakota · this page$136.12
- Los Angeles, CA · California$150.70+$14.58
- Washington, DC area · District of Columbia$160.52+$24.40
- Miami, FL · Florida$178.50+$42.38
- Chicago, IL · Illinois$173.56+$37.44
- Manhattan, NY · New York$170.17+$34.05
- Alaska · Alaska$189.84+$53.72
Other areas in North Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $135.42 |
| ArkansasArkansas | — | $133.95 |
| ArizonaArizona | — | $143.90 |
| Bakersfield, CACalifornia | — | $144.83 |
| Chico, CACalifornia | — | $143.22 |
| El Centro, CACalifornia | — | $143.32 |
| Fresno, CACalifornia | — | $143.22 |
| Hanford, CACalifornia | — | $143.22 |
| Madera, CACalifornia | — | $143.22 |
| Merced, CACalifornia | — | $143.22 |
| Modesto, CACalifornia | — | $143.22 |
| Napa, CACalifornia | — | $153.93 |
| Oxnard, CACalifornia | — | $148.60 |
| Redding, CACalifornia | — | $143.22 |
| Rest of CaliforniaCalifornia | — | $143.22 |
| Riverside, CACalifornia | — | $149.46 |
| Sacramento, CACalifornia | — | $147.12 |
| Salinas, CACalifornia | — | $146.51 |
| San Diego, CACalifornia | — | $147.65 |
| Marin County, CACalifornia | — | $158.91 |
| San Francisco, CACalifornia | — | $158.25 |
| San Benito County, CACalifornia | — | $162.84 |
| Santa Clara County, CACalifornia | — | $160.15 |
| San Luis Obispo, CACalifornia | — | $144.53 |
| Santa Cruz, CACalifornia | — | $147.23 |
| Santa Maria, CACalifornia | — | $146.43 |
| Santa Rosa, CACalifornia | — | $148.51 |
| Stockton, CACalifornia | — | $143.22 |
| Vallejo, CACalifornia | — | $152.98 |
| Visalia, CACalifornia | — | $143.22 |
| Yuba City, CACalifornia | — | $143.22 |
| ColoradoColorado | — | $146.51 |
| ConnecticutConnecticut | — | $156.00 |
| DelawareDelaware | — | $145.80 |
| Fort Lauderdale, FLFlorida | — | $163.68 |
| Rest of FloridaFlorida | — | $156.04 |
| Atlanta, GAGeorgia | — | $152.31 |
| Rest of GeorgiaGeorgia | — | $148.07 |
| Hawaii, Guam, HIHawaii | — | $143.64 |
| IowaIowa | — | $133.37 |
| IdahoIdaho | — | $134.99 |
| East St. Louis, ILIllinois | — | $164.84 |
| Rest of IllinoisIllinois | — | $155.89 |
| Suburban Chicago, ILIllinois | — | $164.09 |
| IndianaIndiana | — | $135.46 |
| KansasKansas | — | $135.11 |
| KentuckyKentucky | — | $142.61 |
| New Orleans, LALouisiana | — | $148.47 |
| Rest of LouisianaLouisiana | — | $143.32 |
| Metropolitan Boston, MAMassachusetts | — | $155.41 |
| Rest of MassachusettsMassachusetts | — | $146.88 |
| Baltimore area, MDMaryland | — | $156.01 |
| Rest of MarylandMaryland | — | $147.39 |
| Rest of MaineMaine | — | $137.88 |
| Southern Maine, MEMaine | — | $140.21 |
| Detroit, MIMichigan | — | $159.86 |
| Rest of MichiganMichigan | — | $147.49 |
| MinnesotaMinnesota | — | $134.88 |
| Metropolitan Kansas City, MOMissouri | — | $145.33 |
| Metropolitan St. Louis, MOMissouri | — | $146.21 |
| Rest of MissouriMissouri | — | $142.93 |
| MississippiMississippi | — | $138.35 |
| MontanaMontana | — | $147.59 |
| North CarolinaNorth Carolina | — | $138.60 |
| NebraskaNebraska | — | $133.24 |
| New HampshireNew Hampshire | — | $146.46 |
| Northern New JerseyNew Jersey | — | $159.98 |
| Rest of New JerseyNew Jersey | — | $156.22 |
| New MexicoNew Mexico | — | $149.00 |
| NevadaNevada | — | $144.43 |
| NYC suburbs and Long Island, NYNew York | — | $176.24 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $158.99 |
| Queens, NYNew York | — | $167.99 |
| Rest of New YorkNew York | — | $140.36 |
| OhioOhio | — | $145.14 |
| OklahomaOklahoma | — | $140.06 |
| Portland, OROregon | — | $147.61 |
| Rest of OregonOregon | — | $141.76 |
| Metropolitan Philadelphia, PAPennsylvania | — | $154.38 |
| Rest of PennsylvaniaPennsylvania | — | $144.07 |
| Puerto RicoPuerto Rico | — | $147.68 |
| Rhode IslandRhode Island | — | $148.40 |
| South CarolinaSouth Carolina | — | $142.42 |
| South DakotaSouth Dakota | — | $134.77 |
| TennesseeTennessee | — | $135.90 |
| Austin, TXTexas | — | $147.38 |
| Beaumont, TXTexas | — | $143.52 |
| Brazoria, TXTexas | — | $143.88 |
| Dallas, TXTexas | — | $145.64 |
| Fort Worth, TXTexas | — | $145.59 |
| Galveston, TXTexas | — | $144.87 |
| Houston, TXTexas | — | $155.49 |
| Rest of TexasTexas | — | $144.20 |
| UtahUtah | — | $143.83 |
| VirginiaVirginia | — | $141.42 |
| Virgin Islands, VIUnited States Virgin Islands | — | $147.68 |
| VermontVermont | — | $137.76 |
| Rest of WashingtonWashington | — | $145.89 |
| King County, WAWashington | — | $155.88 |
| WisconsinWisconsin | — | $132.95 |
| West VirginiaWest Virginia | — | $152.00 |
| WyomingWyoming | — | $142.60 |
29826 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 29826 rate is calculated
Each of 29826’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 · 29826
RVUs × geographic indexes × conversion factor
Work2.93
2.93 RVUs× 1.000 GPCI
Practice expense0.91
0.91 RVUs× 1.000 GPCI
Malpractice0.58
0.58 RVUs× 1.000 GPCI
Adjusted RVUs
4.4200
Conversion factor
$33.4009
Medicare rate
$147.63
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact North Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,326
- Code
- 29826
- Physician work
- 2.93
- Practice expense
- 0.91
- Malpractice
- 0.58
GPCI2026.csv
84
- Locality
- North Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.406
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.93 | × 1.000 | 2.9300 |
| Practice expense | 0.91 | × 1.000 | 0.9100 |
| Malpractice | 0.58 | × 0.406 | 0.2355 |
| Total RVUs | 4.0755 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, North Dakota$136.12
Facility: (2.93 × 1 + 0.91 × 1 + 0.58 × 0.406) × $33.4009 = $136.12
Payment rules and modifiers for 29826
The CMS indicators that decide how 29826 is paid alongside other services.
CMS payment indicators · 29826
Shoulder decompression, subacromial space
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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. |
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
29826 without 50 · national facility
$147.63
Shoulder decompression, subacromial space
29826-50 · Bilateral: 150%
$221.45
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 29826 has changed in North Dakota
29826 · 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 | $136.12 | RVU26D |
| 2026-07-01 | Not available in this setting | $136.12 | RVU26C |
| 2026-04-01 | Not available in this setting | $136.12 | RVU26B |
| 2026-01-01 | Not available in this setting | $136.12 | RVU26A |
| 2025-10-01 | Not available in this setting | $157.37 | RVU25D |
| 2025-07-01 | Not available in this setting | $157.37 | RVU25C |
| 2025-04-01 | Not available in this setting | $157.37 | RVU25B |
| 2025-01-01 | Not available in this setting | $157.37 | RVU25A |
| 2024-10-01 | Not available in this setting | $160.44 | RVU24D |
| 2024-07-01 | Not available in this setting | $160.44 | RVU24C |
| 2024-04-01 | Not available in this setting | $160.44 | RVU24B |
| 2024-03-09 | Not available in this setting | $160.44 | RVU24AR |
| 2024-01-01 | Not available in this setting | $157.82 | RVU24A |
| 2023-10-01 | Not available in this setting | $162.83 | RVU23D |
| 2023-07-01 | Not available in this setting | $162.83 | RVU23C |
| 2023-04-01 | Not available in this setting | $162.83 | RVU23B |
| 2023-01-01 | Not available in this setting | $162.83 | RVU23A |
| 2022-10-01 | Not available in this setting | $164.68 | RVU22D |
| 2022-07-01 | Not available in this setting | $164.68 | RVU22C |
| 2022-04-01 | Not available in this setting | $164.68 | RVU22B |
| 2022-01-01 | Not available in this setting | $164.68 | RVU22A |
| 2021-10-01 | Not available in this setting | $166.59 | RVU21D |
| 2021-07-01 | Not available in this setting | $166.59 | RVU21C |
| 2021-04-01 | Not available in this setting | $166.59 | RVU21B |
| 2021-01-01 | Not available in this setting | $166.59 | RVU21A |
| 2020-10-01 | Not available in this setting | $171.66 | RVU20D |
| 2020-07-01 | Not available in this setting | $171.66 | RVU20C |
| 2020-04-01 | Not available in this setting | $171.66 | RVU20B |
| 2020-01-01 | Not available in this setting | $171.66 | RVU20A |
| 2019-10-01 | Not available in this setting | $173.10 | RVU19D |
| 2019-07-01 | Not available in this setting | $173.10 | RVU19C |
| 2019-04-01 | Not available in this setting | $173.10 | RVU19B |
| 2019-01-01 | Not available in this setting | $173.10 | RVU19A |
| 2018-10-01 | Not available in this setting | $173.63 | RVU18D |
| 2018-07-01 | Not available in this setting | $173.63 | RVU18C |
| 2018-04-01 | Not available in this setting | $173.63 | RVU18B |
| 2018-01-01 | Not available in this setting | $173.63 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $173.44 | RVU17D |
| 2017-07-01 | Not available in this setting | $173.44 | RVU17C |
| 2017-04-01 | Not available in this setting | $173.44 | RVU17B |
| 2017-01-01 | Not available in this setting | $173.44 | RVU17A |
| 2016-10-01 | Not available in this setting | $172.82 | RVU16D |
| 2016-07-01 | Not available in this setting | $172.82 | RVU16C |
| 2016-04-01 | Not available in this setting | $172.82 | RVU16B |
| 2016-01-01 | Not available in this setting | $172.82 | RVU16A |
| 2015-10-01 | Not available in this setting | $173.81 | RVU15D |
| 2015-07-01 | Not available in this setting | $173.81 | RVU15C |
| 2015-04-01 | Not available in this setting | $172.94 | RVU15B |
| 2015-01-01 | Not available in this setting | $172.94 | RVU15A |
| 2014-10-01 | Not available in this setting | $172.31 | RVU14D |
| 2014-07-01 | Not available in this setting | $172.31 | RVU14C |
| 2014-04-01 | Not available in this setting | $172.31 | RVU14B |
| 2014-01-01 | Not available in this setting | $172.31 | RVU14A |
| 2013-10-01 | Not available in this setting | $166.88 | RVU13D |
| 2013-07-01 | Not available in this setting | $166.88 | RVU13C |
| 2013-04-01 | Not available in this setting | $166.88 | RVU13B |
| 2013-01-01 | Not available in this setting | $166.88 | RVU13AR |
Where the North Dakota rate applies
North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.
- Abercrombie
- Adams
- Alamo
- Alexander
- Alice
- Almont
- Alsen
- Ambrose
29826 billing questions
Can 29826 be reported by itself?
No. It is an add-on code and must be reported with an eligible primary shoulder arthroscopy.
Can 29826 be reported with a rotator cuff repair?
Yes. It may be reported with 29827 when the surgeon also performs and documents the subacromial decompression.
How is 29826 different from 29822 or 29823?
29826 represents subacromial decompression with acromial bone work, while 29822 and 29823 represent limited or extensive arthroscopic debridement.
What should the operative report support?
Document the subacromial decompression, including the acromial work and whether the coracoacromial ligament was released, as well as the separately reportable primary arthroscopy.
How is a bilateral procedure reported under the CMS rule?
Report modifier 50 for the bilateral procedure; CMS pays 150%.
Is 29826 paid outside the primary procedure's global period?
No. CMS identifies this add-on as paid within the global period of its primary procedure.
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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