CPT code 29844: Wrist arthroscopy, partial synovectomy2026 Medicare rate & RVUs in Delaware
Arthroscopic partial synovectomy removes a portion of abnormal wrist-joint synovial tissue when operative treatment of synovitis is indicated.
In Delaware, Medicare pays $465.19 for 29844 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 29844 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 29844 covers
The surgeon uses a small camera and instruments through wrist portals to remove part of the thickened or inflamed synovial lining inside the joint. This may be performed by an orthopedic or hand surgeon in a hospital or ambulatory surgery center for wrist synovitis requiring operative treatment. The work is a partial removal, rather than removal of the entire synovial lining or arthroscopic treatment directed at another wrist problem.
Report this code when the operative report supports arthroscopic removal of only part of the wrist-joint synovium. Documentation should identify the synovial abnormality, the arthroscopic approach, and the tissue removed; select a complete synovectomy code when the documented removal is complete. 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 reported with modifier 50, payment is 150%. An assistant at surgery may be paid; co-surgeons and team surgery are 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 29844
Across 109 of 109 payment localities, the facility rate for 29844 runs from $420.09 in Arkansas to $572.37 in Alaska. Delaware pays $465.19. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Delaware · this page$465.19
- Los Angeles, CA · California$505.35+$40.16
- Washington, DC area · District of Columbia$525.77+$60.58
- Miami, FL · Florida$543.69+$78.50
- Chicago, IL · Illinois$527.59+$62.40
- Manhattan, NY · New York$544.16+$78.97
- Alaska · Alaska$572.37+$107.18
Other areas in Delaware first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $425.69 |
| ArkansasArkansas | — | $420.09 |
| ArizonaArizona | — | $458.21 |
| Bakersfield, CACalifornia | — | $479.50 |
| Chico, CACalifornia | — | $476.03 |
| El Centro, CACalifornia | — | $476.24 |
| Fresno, CACalifornia | — | $476.03 |
| Hanford, CACalifornia | — | $476.03 |
| Madera, CACalifornia | — | $476.03 |
| Merced, CACalifornia | — | $476.03 |
| Modesto, CACalifornia | — | $476.03 |
| Napa, CACalifornia | — | $532.81 |
| Oxnard, CACalifornia | — | $500.66 |
| Redding, CACalifornia | — | $476.03 |
| Rest of CaliforniaCalifornia | — | $476.03 |
| Riverside, CACalifornia | — | $489.48 |
| Sacramento, CACalifornia | — | $494.60 |
| Salinas, CACalifornia | — | $492.67 |
| San Diego, CACalifornia | — | $500.75 |
| Marin County, CACalifornia | — | $557.53 |
| San Francisco, CACalifornia | — | $556.11 |
| San Benito County, CACalifornia | — | $570.87 |
| Santa Clara County, CACalifornia | — | $565.07 |
| San Luis Obispo, CACalifornia | — | $485.36 |
| Santa Cruz, CACalifornia | — | $502.71 |
| Santa Maria, CACalifornia | — | $493.56 |
| Santa Rosa, CACalifornia | — | $507.44 |
| Stockton, CACalifornia | — | $476.03 |
| Vallejo, CACalifornia | — | $530.77 |
| Visalia, CACalifornia | — | $476.03 |
| Yuba City, CACalifornia | — | $476.03 |
| ColoradoColorado | — | $478.25 |
| ConnecticutConnecticut | — | $500.68 |
| Fort Lauderdale, FLFlorida | — | $507.51 |
| Rest of FloridaFlorida | — | $482.40 |
| Atlanta, GAGeorgia | — | $483.45 |
| Rest of GeorgiaGeorgia | — | $455.52 |
| Hawaii, Guam, HIHawaii | — | $483.12 |
| IowaIowa | — | $427.32 |
| IdahoIdaho | — | $431.58 |
| East St. Louis, ILIllinois | — | $495.92 |
| Rest of IllinoisIllinois | — | $475.57 |
| Suburban Chicago, ILIllinois | — | $510.53 |
| IndianaIndiana | — | $433.64 |
| KansasKansas | — | $429.40 |
| KentuckyKentucky | — | $443.31 |
| New Orleans, LALouisiana | — | $463.82 |
| Rest of LouisianaLouisiana | — | $444.23 |
| Metropolitan Boston, MAMassachusetts | — | $517.17 |
| Rest of MassachusettsMassachusetts | — | $477.38 |
| Baltimore area, MDMaryland | — | $500.09 |
| Rest of MarylandMaryland | — | $472.26 |
| Rest of MaineMaine | — | $437.80 |
| Southern Maine, MEMaine | — | $453.59 |
| Detroit, MIMichigan | — | $492.00 |
| Rest of MichiganMichigan | — | $457.45 |
| MinnesotaMinnesota | — | $447.86 |
| Metropolitan Kansas City, MOMissouri | — | $456.75 |
| Metropolitan St. Louis, MOMissouri | — | $460.62 |
| Rest of MissouriMissouri | — | $439.91 |
| MississippiMississippi | — | $429.88 |
| MontanaMontana | — | $470.87 |
| North CarolinaNorth Carolina | — | $441.33 |
| North DakotaNorth Dakota | — | $446.15 |
| NebraskaNebraska | — | $428.27 |
| New HampshireNew Hampshire | — | $474.64 |
| Northern New JerseyNew Jersey | — | $521.89 |
| Rest of New JerseyNew Jersey | — | $503.46 |
| New MexicoNew Mexico | — | $461.32 |
| NevadaNevada | — | $464.20 |
| NYC suburbs and Long Island, NYNew York | — | $561.34 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $509.89 |
| Queens, NYNew York | — | $542.49 |
| Rest of New YorkNew York | — | $447.70 |
| OhioOhio | — | $452.40 |
| OklahomaOklahoma | — | $438.41 |
| Portland, OROregon | — | $487.76 |
| Rest of OregonOregon | — | $457.68 |
| Metropolitan Philadelphia, PAPennsylvania | — | $491.73 |
| Rest of PennsylvaniaPennsylvania | — | $450.85 |
| Puerto RicoPuerto Rico | — | $472.71 |
| Rhode IslandRhode Island | — | $477.64 |
| South CarolinaSouth Carolina | — | $448.19 |
| South DakotaSouth Dakota | — | $443.23 |
| TennesseeTennessee | — | $431.87 |
| Austin, TXTexas | — | $479.21 |
| Beaumont, TXTexas | — | $448.45 |
| Brazoria, TXTexas | — | $461.51 |
| Dallas, TXTexas | — | $466.06 |
| Fort Worth, TXTexas | — | $464.44 |
| Galveston, TXTexas | — | $463.95 |
| Houston, TXTexas | — | $486.83 |
| Rest of TexasTexas | — | $455.83 |
| UtahUtah | — | $453.67 |
| VirginiaVirginia | — | $454.99 |
| Virgin Islands, VIUnited States Virgin Islands | — | $472.71 |
| VermontVermont | — | $448.16 |
| Rest of WashingtonWashington | — | $475.24 |
| King County, WAWashington | — | $523.20 |
| WisconsinWisconsin | — | $432.94 |
| West VirginiaWest Virginia | — | $460.51 |
| WyomingWyoming | — | $460.10 |
29844 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 29844 rate is calculated
Each of 29844’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 · 29844
RVUs × geographic indexes × conversion factor
Work6.35
6.35 RVUs× 1.000 GPCI
Practice expense6.50
6.50 RVUs× 1.000 GPCI
Malpractice1.25
1.25 RVUs× 1.000 GPCI
Adjusted RVUs
14.1000
Conversion factor
$33.4009
Medicare rate
$470.95
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
3,337
- Code
- 29844
- Physician work
- 6.35
- Practice expense
- 6.50
- Malpractice
- 1.25
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.35 | × 1.005 | 6.3817 |
| Practice expense | 6.50 | × 0.988 | 6.4220 |
| Malpractice | 1.25 | × 0.899 | 1.1238 |
| Total RVUs | 13.9275 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$465.19
Facility: (6.35 × 1.005 + 6.5 × 0.988 + 1.25 × 0.899) × $33.4009 = $465.19
Payment rules and modifiers for 29844
29844 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 29844
Wrist arthroscopy, partial synovectomy
| 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) | 0 | Not permitted. |
| 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 · 29844
Wrist arthroscopy, partial synovectomy
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
29844 without 50 · national facility
$470.95
Wrist arthroscopy, partial synovectomy
29844-50 · Bilateral: 150%
$706.43
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 29844 has changed in Delaware
29844 · 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 | $465.19 | RVU26D |
| 2026-07-01 | Not available in this setting | $465.19 | RVU26C |
| 2026-04-01 | Not available in this setting | $465.19 | RVU26B |
| 2026-01-01 | Not available in this setting | $465.19 | RVU26A |
| 2025-10-01 | Not available in this setting | $497.90 | RVU25D |
| 2025-07-01 | Not available in this setting | $497.90 | RVU25C |
| 2025-04-01 | Not available in this setting | $497.90 | RVU25B |
| 2025-01-01 | Not available in this setting | $497.90 | RVU25A |
| 2024-10-01 | Not available in this setting | $504.82 | RVU24D |
| 2024-07-01 | Not available in this setting | $504.82 | RVU24C |
| 2024-04-01 | Not available in this setting | $504.82 | RVU24B |
| 2024-03-09 | Not available in this setting | $504.82 | RVU24AR |
| 2024-01-01 | Not available in this setting | $496.58 | RVU24A |
| 2023-10-01 | Not available in this setting | $513.16 | RVU23D |
| 2023-07-01 | Not available in this setting | $513.16 | RVU23C |
| 2023-04-01 | Not available in this setting | $513.16 | RVU23B |
| 2023-01-01 | Not available in this setting | $513.16 | RVU23A |
| 2022-10-01 | Not available in this setting | $517.85 | RVU22D |
| 2022-07-01 | Not available in this setting | $517.85 | RVU22C |
| 2022-04-01 | Not available in this setting | $517.85 | RVU22B |
| 2022-01-01 | Not available in this setting | $517.85 | RVU22A |
| 2021-10-01 | Not available in this setting | $519.33 | RVU21D |
| 2021-07-01 | Not available in this setting | $519.33 | RVU21C |
| 2021-04-01 | Not available in this setting | $519.33 | RVU21B |
| 2021-01-01 | Not available in this setting | $519.33 | RVU21A |
| 2020-10-01 | Not available in this setting | $527.16 | RVU20D |
| 2020-07-01 | Not available in this setting | $527.16 | RVU20C |
| 2020-04-01 | Not available in this setting | $527.16 | RVU20B |
| 2020-01-01 | Not available in this setting | $527.16 | RVU20A |
| 2019-10-01 | Not available in this setting | $525.46 | RVU19D |
| 2019-07-01 | Not available in this setting | $525.46 | RVU19C |
| 2019-04-01 | Not available in this setting | $525.46 | RVU19B |
| 2019-01-01 | Not available in this setting | $525.46 | RVU19A |
| 2018-10-01 | Not available in this setting | $525.58 | RVU18D |
| 2018-07-01 | Not available in this setting | $525.58 | RVU18C |
| 2018-04-01 | Not available in this setting | $525.58 | RVU18B |
| 2018-01-01 | Not available in this setting | $525.58 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $522.90 | RVU17D |
| 2017-07-01 | Not available in this setting | $522.90 | RVU17C |
| 2017-04-01 | Not available in this setting | $522.90 | RVU17B |
| 2017-01-01 | Not available in this setting | $522.90 | RVU17A |
| 2016-10-01 | Not available in this setting | $522.56 | RVU16D |
| 2016-07-01 | Not available in this setting | $522.56 | RVU16C |
| 2016-04-01 | Not available in this setting | $522.56 | RVU16B |
| 2016-01-01 | Not available in this setting | $522.56 | RVU16A |
| 2015-10-01 | Not available in this setting | $522.50 | RVU15D |
| 2015-07-01 | Not available in this setting | $522.50 | RVU15C |
| 2015-04-01 | Not available in this setting | $519.90 | RVU15B |
| 2015-01-01 | Not available in this setting | $519.90 | RVU15A |
| 2014-10-01 | Not available in this setting | $514.73 | RVU14D |
| 2014-07-01 | Not available in this setting | $514.73 | RVU14C |
| 2014-04-01 | Not available in this setting | $514.73 | RVU14B |
| 2014-01-01 | Not available in this setting | $514.73 | RVU14A |
| 2013-10-01 | Not available in this setting | $504.03 | RVU13D |
| 2013-07-01 | Not available in this setting | $504.03 | RVU13C |
| 2013-04-01 | Not available in this setting | $504.03 | RVU13B |
| 2013-01-01 | Not available in this setting | $504.03 | 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
29844 billing questions
How does this differ from complete wrist synovectomy?
This code is for arthroscopic removal of part of the wrist-joint synovium. Use the complete synovectomy code when the operative report supports removal of the entire synovial lining.
Is lavage and drainage for wrist infection the same service?
No. Arthroscopic lavage and drainage for infection is a distinct wrist procedure; this code represents partial synovectomy.
What documentation supports partial synovectomy?
The operative report should describe abnormal synovium and arthroscopic removal of a portion of it. The documented extent helps distinguish partial from complete synovectomy.
How is a bilateral procedure reported?
CMS identifies this as a bilateral procedure payable with modifier 50 at 150%. The record should support the procedure on both wrists.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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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