CPT code 29827: Rotator cuff repair, arthroscopic technique2026 Medicare rate & RVUs in Puerto Rico

Reports arthroscopic repair of a torn shoulder rotator cuff, typically performed by an orthopedic surgeon using sutures and anchors to secure the tendon.

CMS RVU26DEffective Oct 1, 2026One payment locality122.7K Medicare services in 2024

In Puerto Rico, Medicare pays $978.81 for 29827 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$978.81Hospital or facility

Check a contract rate as a % of Medicare · 29827 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 29827 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 29827 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 29827 covers

An orthopedic surgeon performs this procedure through a shoulder arthroscope, repairing a torn rotator cuff tendon with sutures, often secured to the bone with anchors. It is commonly performed in a hospital outpatient department or ambulatory surgery center for patients whose shoulder tear is treated operatively. The operative report should establish that the surgeon repaired the cuff, rather than only inspecting the joint or removing damaged tissue.

Report the code for the arthroscopic cuff repair, with documentation identifying the treated shoulder, tear, and repair performed. Medicare assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. When related endoscopic procedures are performed together, endoscopy-family pricing applies. Modifier 50 is used for a bilateral procedure, paid at 150%. An assistant at surgery may be paid; co-surgeons require 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 Puerto Rico compares for 29827

Across 109 of 109 payment localities, the facility rate for 29827 runs from $875.19 in Arkansas to $1,208.25 in Alaska. Puerto Rico pays $978.81. The RVUs are the same everywhere; the geographic indexes change the dollars.

29827 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$978.81
  2. Los Angeles, CA · California$1,030.01+$51.20
  3. Washington, DC area · District of Columbia$1,080.52+$101.71
  4. Miami, FL · Florida$1,147.11+$168.30
  5. Chicago, IL · Illinois$1,113.62+$134.81
  6. Manhattan, NY · New York$1,127.91+$149.10
  7. Alaska · Alaska$1,208.25+$229.44

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

Every other payment area

29827 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$886.25
ArkansasArkansas—$875.19
ArizonaArizona—$950.27
Bakersfield, CACalifornia—$981.33
Chico, CACalifornia—$972.88
El Centro, CACalifornia—$973.39
Fresno, CACalifornia—$972.88
Hanford, CACalifornia—$972.88

29827 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
29827 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 29827 in every payment locality

How the 29827 rate is calculated

Each of 29827’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 · 29827

RVUs × geographic indexes × conversion factor

Office or facility?

Work15.20

15.20 RVUs× 1.000 GPCI

Practice expense10.98

10.98 RVUs× 1.000 GPCI

Malpractice3.05

3.05 RVUs× 1.000 GPCI

Adjusted RVUs

29.2300

Conversion factor

$33.4009

Medicare rate

$976.31

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

The exact Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,327

Code
29827
Physician work
15.20
Practice expense
10.98
Malpractice
3.05

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Facility calculation for 29827 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work15.20× 1.00015.2000
Practice expense10.98× 1.01111.1008
Malpractice3.05× 0.9853.0042
Total RVUs29.3050
Conversion factor× 33.4009

Facility rate, Puerto Rico$978.81

Facility: (15.2 × 1 + 10.98 × 1.011 + 3.05 × 0.985) × $33.4009 = $978.81

Open 29827 in the RVU calculator

Payment rules and modifiers for 29827

29827 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 29827

Rotator cuff repair, arthroscopic technique

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 · 29827

Rotator cuff repair, arthroscopic technique

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

29827 without 50 · national facility

$976.31

Rotator cuff repair, arthroscopic technique

29827-50 · Bilateral: 150%

$1,464.47

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 29827 has changed in Puerto Rico

29827 · 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$978.81RVU26D
2026-07-01Not available in this setting$978.81RVU26C
2026-04-01Not available in this setting$978.81RVU26B
2026-01-01Not available in this setting$978.81RVU26A
2025-10-01Not available in this setting$1,051.66RVU25D
2025-07-01Not available in this setting$1,051.66RVU25C
2025-04-01Not available in this setting$1,051.66RVU25B
2025-01-01Not available in this setting$1,051.66RVU25A
2024-10-01Not available in this setting$1,075.18RVU24D
2024-07-01Not available in this setting$1,075.18RVU24C
2024-04-01Not available in this setting$1,075.18RVU24B
2024-03-09Not available in this setting$1,075.18RVU24AR
2024-01-01Not available in this setting$1,057.64RVU24A
2023-10-01Not available in this setting$1,088.10RVU23D
2023-07-01Not available in this setting$1,086.08RVU23C
2023-04-01Not available in this setting$1,086.08RVU23B
2023-01-01Not available in this setting$1,086.08RVU23A
2022-10-01Not available in this setting$1,099.50RVU22D
2022-07-01Not available in this setting$1,099.50RVU22C
2022-04-01Not available in this setting$1,099.50RVU22B
2022-01-01Not available in this setting$1,099.50RVU22A
2021-10-01Not available in this setting$1,102.69RVU21D
2021-07-01Not available in this setting$1,102.69RVU21C
2021-04-01Not available in this setting$1,102.69RVU21B
2021-01-01Not available in this setting$1,102.69RVU21A
2020-10-01Not available in this setting$1,117.80RVU20D
2020-07-01Not available in this setting$1,117.80RVU20C
2020-04-01Not available in this setting$1,117.80RVU20B
2020-01-01Not available in this setting$1,117.80RVU20A
2019-10-01Not available in this setting$1,096.32RVU19D
2019-07-01Not available in this setting$1,096.32RVU19C
2019-04-01Not available in this setting$1,096.32RVU19B
2019-01-01Not available in this setting$1,096.32RVU19A
2018-10-01Not available in this setting$1,095.49RVU18D
2018-07-01Not available in this setting$1,095.49RVU18C
2018-04-01Not available in this setting$1,095.49RVU18B
2018-01-01Not available in this setting$1,095.49RVU18AR1
2017-10-01Not available in this setting$993.67RVU17D
2017-07-01Not available in this setting$993.67RVU17C
2017-04-01Not available in this setting$993.67RVU17B
2017-01-01Not available in this setting$993.67RVU17A
2016-10-01Not available in this setting$893.92RVU16D
2016-07-01Not available in this setting$893.92RVU16C
2016-04-01Not available in this setting$893.92RVU16B
2016-01-01Not available in this setting$893.92RVU16A
2015-10-01Not available in this setting$896.60RVU15D
2015-07-01Not available in this setting$896.60RVU15C
2015-04-01Not available in this setting$892.14RVU15B
2015-01-01Not available in this setting$892.14RVU15A
2014-10-01Not available in this setting$889.55RVU14D
2014-07-01Not available in this setting$889.55RVU14C
2014-04-01Not available in this setting$889.55RVU14B
2014-01-01Not available in this setting$889.55RVU14A
2013-10-01Not available in this setting$862.39RVU13D
2013-07-01Not available in this setting$862.39RVU13C
2013-04-01Not available in this setting$862.39RVU13B
2013-01-01Not available in this setting$862.39RVU13AR

Price 29827 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

29827 billing questions

How is this different from an open rotator cuff repair?

Report 29827 when the cuff repair is performed arthroscopically. An open repair is reported with the applicable open repair code, such as 23412.

Can 29826 be reported with this repair?

29826 is an add-on code for arthroscopic shoulder decompression and may be reported with 29827 when the decompression is performed and documented. Endoscopy-family pricing applies when related endoscopies are performed together.

Does the 90-day global period include postoperative visits?

Yes. The day-before preoperative visit and 90 days of related postoperative care are included in the global period.

What should the operative report document?

Document the shoulder treated, the rotator cuff tear, and the arthroscopic repair performed. The report should make clear that the surgeon repaired the tendon, not merely debrided tissue or treated a different shoulder lesion.

How is a bilateral repair reported?

Use modifier 50 for a bilateral procedure; Medicare pays the bilateral procedure at 150%. The documentation should support repair of both shoulders.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation; 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 29827PPRRVU2026_Oct_nonQPP.csv, line 3,327 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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