CPT code 29837: Elbow arthroscopy, limited debridement2026 Medicare rate & RVUs in Washington, DC area

Reports arthroscopic cleanup of a limited area of damaged tissue in the elbow when the surgeon performs therapeutic debridement rather than synovectomy or loose-body removal.

CMS RVU26DEffective Oct 1, 2026One payment locality111 Medicare services in 2024

In Washington, DC area, Medicare pays $565.45 for 29837 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$565.45Hospital or facility

Check a contract rate as a % of Medicare · 29837 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 29837 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 29837 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 29837 covers

An orthopedic surgeon uses an arthroscope and instruments through small portals to remove a limited amount of damaged tissue from inside the elbow joint. The work may address a focal area of unstable articular cartilage or synovial tissue. This is a therapeutic procedure, commonly performed in an operating room or ambulatory surgery center for a patient with symptomatic elbow-joint pathology; it is distinct from simply inspecting the joint or removing a loose body.

Select this code when the operative report supports limited debridement, rather than extensive debridement or a separately defined procedure such as synovectomy. Document the treated tissue, location, and extent of work. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When related endoscopies are performed together, endoscopy family pricing applies. For bilateral procedures, modifier 50 is paid at 150%. An assistant at surgery may be paid; 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 Washington, DC area compares for 29837

Across 109 of 109 payment localities, the facility rate for 29837 runs from $450.75 in Arkansas to $613.97 in Alaska. Washington, DC area pays $565.45. The RVUs are the same everywhere; the geographic indexes change the dollars.

29837 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$565.45
  2. Los Angeles, CA · California$541.89−$23.56
  3. Miami, FL · Florida$590.18+$24.73
  4. Chicago, IL · Illinois$572.16+$6.71
  5. Manhattan, NY · New York$586.95+$21.50
  6. Alaska · Alaska$613.97+$48.52
  7. Alabama · Alabama$456.91−$108.54

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

29837 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas—$450.75
ArizonaArizona—$492.58
Bakersfield, CACalifornia—$514.18
Chico, CACalifornia—$510.19
El Centro, CACalifornia—$510.43
Fresno, CACalifornia—$510.19
Hanford, CACalifornia—$510.19
Madera, CACalifornia—$510.19

29837 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
29837 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 29837 in every payment locality

How the 29837 rate is calculated

Each of 29837’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 · 29837

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.83

6.83 RVUs× 1.000 GPCI

Practice expense6.89

6.89 RVUs× 1.000 GPCI

Malpractice1.45

1.45 RVUs× 1.000 GPCI

Adjusted RVUs

15.1700

Conversion factor

$33.4009

Medicare rate

$506.69

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,333

Code
29837
Physician work
6.83
Practice expense
6.89
Malpractice
1.45

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Facility calculation for 29837 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work6.83× 1.0547.1988
Practice expense6.89× 1.1788.1164
Malpractice1.45× 1.1131.6139
Total RVUs16.9291
Conversion factor× 33.4009

Facility rate, Washington, DC area$565.45

Facility: (6.83 × 1.054 + 6.89 × 1.178 + 1.45 × 1.113) × $33.4009 = $565.45

Open 29837 in the RVU calculator

Payment rules and modifiers for 29837

29837 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 29837

Elbow arthroscopy, limited debridement

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 · 29837

Elbow arthroscopy, limited debridement

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

29837 without 50 · national facility

$506.69

Elbow arthroscopy, limited debridement

29837-50 · Bilateral: 150%

$760.04

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 29837 has changed in Washington, DC area

29837 · 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$565.45RVU26D
2026-07-01Not available in this setting$565.45RVU26C
2026-04-01Not available in this setting$565.45RVU26B
2026-01-01Not available in this setting$565.45RVU26A
2025-10-01Not available in this setting$585.65RVU25D
2025-07-01Not available in this setting$585.65RVU25C
2025-04-01Not available in this setting$585.65RVU25B
2025-01-01Not available in this setting$585.65RVU25A
2024-10-01Not available in this setting$602.26RVU24D
2024-07-01Not available in this setting$602.26RVU24C
2024-04-01Not available in this setting$602.26RVU24B
2024-03-09Not available in this setting$602.26RVU24AR
2024-01-01Not available in this setting$592.43RVU24A
2023-10-01Not available in this setting$618.57RVU23D
2023-07-01Not available in this setting$618.57RVU23C
2023-04-01Not available in this setting$618.57RVU23B
2023-01-01Not available in this setting$618.57RVU23A
2022-10-01Not available in this setting$633.11RVU22D
2022-07-01Not available in this setting$633.11RVU22C
2022-04-01Not available in this setting$633.11RVU22B
2022-01-01Not available in this setting$633.11RVU22A
2021-10-01Not available in this setting$632.28RVU21D
2021-07-01Not available in this setting$632.28RVU21C
2021-04-01Not available in this setting$632.28RVU21B
2021-01-01Not available in this setting$632.28RVU21A
2020-10-01Not available in this setting$628.93RVU20D
2020-07-01Not available in this setting$628.93RVU20C
2020-04-01Not available in this setting$628.93RVU20B
2020-01-01Not available in this setting$628.93RVU20A
2019-10-01Not available in this setting$617.38RVU19D
2019-07-01Not available in this setting$617.38RVU19C
2019-04-01Not available in this setting$617.38RVU19B
2019-01-01Not available in this setting$617.38RVU19A
2018-10-01Not available in this setting$616.21RVU18D
2018-07-01Not available in this setting$616.21RVU18C
2018-04-01Not available in this setting$616.21RVU18B
2018-01-01Not available in this setting$616.21RVU18AR1
2017-10-01Not available in this setting$612.47RVU17D
2017-07-01Not available in this setting$612.47RVU17C
2017-04-01Not available in this setting$612.47RVU17B
2017-01-01Not available in this setting$612.47RVU17A
2016-10-01Not available in this setting$613.13RVU16D
2016-07-01Not available in this setting$613.13RVU16C
2016-04-01Not available in this setting$613.13RVU16B
2016-01-01Not available in this setting$613.13RVU16A
2015-10-01Not available in this setting$616.54RVU15D
2015-07-01Not available in this setting$616.54RVU15C
2015-04-01Not available in this setting$613.47RVU15B
2015-01-01Not available in this setting$613.47RVU15A
2014-10-01Not available in this setting$611.30RVU14D
2014-07-01Not available in this setting$611.30RVU14C
2014-04-01Not available in this setting$611.30RVU14B
2014-01-01Not available in this setting$611.30RVU14A
2013-10-01Not available in this setting$604.50RVU13D
2013-07-01Not available in this setting$604.50RVU13C
2013-04-01Not available in this setting$604.50RVU13B
2013-01-01Not available in this setting$604.50RVU13AR

Price 29837 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

29837 billing questions

How does limited debridement differ from extensive debridement?

Use 29837 for limited debridement and 29838 for extensive debridement. The operative report should describe the tissue treated and the extent of the work.

When is 29834 a better choice?

29834 describes arthroscopic removal of a loose or foreign body. Use 29837 for limited tissue debridement, not simply because fragments are present.

Can diagnostic elbow arthroscopy be reported separately?

Diagnostic inspection performed as part of the surgical arthroscopy is included in the operative service. Code 29830 is for diagnostic arthroscopy when no therapeutic arthroscopic procedure is performed.

How should bilateral elbow procedures be reported?

For a bilateral procedure, report modifier 50; CMS pays the bilateral procedure at 150%.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be paid?

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 29837PPRRVU2026_Oct_nonQPP.csv, line 3,333 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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