CPT code 29845: Wrist arthroscopy, partial synovectomy2026 Medicare rate & RVUs in Vermont
Reports arthroscopic removal of part of the wrist synovium when diseased or inflamed tissue requires surgical treatment.
In Vermont, Medicare pays $520.37 for 29845 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 29845 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 29845 covers
An orthopedic or hand surgeon uses a wrist arthroscope and instruments to remove a portion of abnormal synovial tissue lining the joint. The procedure may be performed for persistent wrist synovitis, including proliferative tissue associated with inflammatory disease. It is generally done in an operating room, such as a hospital outpatient department or ambulatory surgery center. The operative report should identify the treated wrist, the synovial abnormality, and the tissue removed.
Select this code when the surgeon performs a partial arthroscopic synovectomy; a complete synovectomy is represented by a different wrist arthroscopy code. Document the extent of tissue removal and any distinct procedures performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When related endoscopies are performed together, endoscopy family pricing applies. For bilateral reporting, 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 Vermont compares for 29845
Across 109 of 109 payment localities, the facility rate for 29845 runs from $488.34 in Arkansas to $666.39 in Alaska. Vermont pays $520.37. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Vermont · this page$520.37
- Los Angeles, CA · California$586.12+$65.75
- Washington, DC area · District of Columbia$609.89+$89.52
- Miami, FL · Florida$630.99+$110.62
- Chicago, IL · Illinois$612.48+$92.11
- Manhattan, NY · New York$631.34+$110.97
- Alaska · Alaska$666.39+$146.02
Other areas in Vermont first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $494.77 |
| ArkansasArkansas | — | $488.34 |
| ArizonaArizona | — | $532.12 |
| Bakersfield, CACalifornia | — | $556.39 |
| Chico, CACalifornia | — | $552.35 |
| El Centro, CACalifornia | — | $552.59 |
| Fresno, CACalifornia | — | $552.35 |
| Hanford, CACalifornia | — | $552.35 |
| Madera, CACalifornia | — | $552.35 |
| Merced, CACalifornia | — | $552.35 |
| Modesto, CACalifornia | — | $552.35 |
| Napa, CACalifornia | — | $617.54 |
| Oxnard, CACalifornia | — | $580.63 |
| Redding, CACalifornia | — | $552.35 |
| Rest of CaliforniaCalifornia | — | $552.35 |
| Riverside, CACalifornia | — | $567.95 |
| Sacramento, CACalifornia | — | $573.72 |
| Salinas, CACalifornia | — | $571.47 |
| San Diego, CACalifornia | — | $580.68 |
| Marin County, CACalifornia | — | $645.98 |
| San Francisco, CACalifornia | — | $644.34 |
| San Benito County, CACalifornia | — | $661.40 |
| Santa Clara County, CACalifornia | — | $654.67 |
| San Luis Obispo, CACalifornia | — | $563.01 |
| Santa Cruz, CACalifornia | — | $582.85 |
| Santa Maria, CACalifornia | — | $572.46 |
| Santa Rosa, CACalifornia | — | $588.32 |
| Stockton, CACalifornia | — | $552.35 |
| Vallejo, CACalifornia | — | $615.16 |
| Visalia, CACalifornia | — | $552.35 |
| Yuba City, CACalifornia | — | $552.35 |
| ColoradoColorado | — | $555.03 |
| ConnecticutConnecticut | — | $581.04 |
| DelawareDelaware | — | $540.16 |
| Fort Lauderdale, FLFlorida | — | $589.13 |
| Rest of FloridaFlorida | — | $560.23 |
| Atlanta, GAGeorgia | — | $561.22 |
| Rest of GeorgiaGeorgia | — | $529.31 |
| Hawaii, Guam, HIHawaii | — | $560.34 |
| IowaIowa | — | $496.50 |
| IdahoIdaho | — | $501.42 |
| East St. Louis, ILIllinois | — | $576.06 |
| Rest of IllinoisIllinois | — | $552.48 |
| Suburban Chicago, ILIllinois | — | $592.61 |
| IndianaIndiana | — | $503.79 |
| KansasKansas | — | $498.96 |
| KentuckyKentucky | — | $515.15 |
| New Orleans, LALouisiana | — | $538.74 |
| Rest of LouisianaLouisiana | — | $516.24 |
| Metropolitan Boston, MAMassachusetts | — | $599.80 |
| Rest of MassachusettsMassachusetts | — | $554.08 |
| Baltimore area, MDMaryland | — | $580.35 |
| Rest of MarylandMaryland | — | $548.28 |
| Rest of MaineMaine | — | $508.64 |
| Southern Maine, MEMaine | — | $526.67 |
| Detroit, MIMichigan | — | $571.32 |
| Rest of MichiganMichigan | — | $531.46 |
| MinnesotaMinnesota | — | $519.86 |
| Metropolitan Kansas City, MOMissouri | — | $530.54 |
| Metropolitan St. Louis, MOMissouri | — | $534.97 |
| Rest of MissouriMissouri | — | $511.31 |
| MississippiMississippi | — | $499.68 |
| MontanaMontana | — | $546.68 |
| North CarolinaNorth Carolina | — | $512.68 |
| North DakotaNorth Dakota | — | $518.00 |
| NebraskaNebraska | — | $497.57 |
| New HampshireNew Hampshire | — | $550.88 |
| Northern New JerseyNew Jersey | — | $605.50 |
| Rest of New JerseyNew Jersey | — | $584.29 |
| New MexicoNew Mexico | — | $535.94 |
| NevadaNevada | — | $538.93 |
| NYC suburbs and Long Island, NYNew York | — | $651.15 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $591.76 |
| Queens, NYNew York | — | $629.32 |
| Rest of New YorkNew York | — | $520.00 |
| OhioOhio | — | $525.60 |
| OklahomaOklahoma | — | $509.45 |
| Portland, OROregon | — | $565.89 |
| Rest of OregonOregon | — | $531.40 |
| Metropolitan Philadelphia, PAPennsylvania | — | $570.79 |
| Rest of PennsylvaniaPennsylvania | — | $523.79 |
| Puerto RicoPuerto Rico | — | $548.77 |
| Rhode IslandRhode Island | — | $554.48 |
| South CarolinaSouth Carolina | — | $520.67 |
| South DakotaSouth Dakota | — | $514.61 |
| TennesseeTennessee | — | $501.80 |
| Austin, TXTexas | — | $556.13 |
| Beaumont, TXTexas | — | $521.03 |
| Brazoria, TXTexas | — | $535.89 |
| Dallas, TXTexas | — | $541.16 |
| Fort Worth, TXTexas | — | $539.31 |
| Galveston, TXTexas | — | $538.71 |
| Houston, TXTexas | — | $565.25 |
| Rest of TexasTexas | — | $529.44 |
| UtahUtah | — | $526.96 |
| VirginiaVirginia | — | $528.32 |
| Virgin Islands, VIUnited States Virgin Islands | — | $548.77 |
| Rest of WashingtonWashington | — | $551.59 |
| King County, WAWashington | — | $606.69 |
| WisconsinWisconsin | — | $502.85 |
| West VirginiaWest Virginia | — | $535.18 |
| WyomingWyoming | — | $534.18 |
29845 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 29845 rate is calculated
Each of 29845’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 · 29845
RVUs × geographic indexes × conversion factor
Work7.50
7.50 RVUs× 1.000 GPCI
Practice expense7.42
7.42 RVUs× 1.000 GPCI
Malpractice1.45
1.45 RVUs× 1.000 GPCI
Adjusted RVUs
16.3700
Conversion factor
$33.4009
Medicare rate
$546.77
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Vermont inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,338
- Code
- 29845
- Physician work
- 7.50
- Practice expense
- 7.42
- Malpractice
- 1.45
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.50 | × 1.000 | 7.5000 |
| Practice expense | 7.42 | × 0.990 | 7.3458 |
| Malpractice | 1.45 | × 0.506 | 0.7337 |
| Total RVUs | 15.5795 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$520.37
Facility: (7.5 × 1 + 7.42 × 0.99 + 1.45 × 0.506) × $33.4009 = $520.37
Payment rules and modifiers for 29845
29845 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 29845
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) | 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 · 29845
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
29845 without 50 · national facility
$546.77
Wrist arthroscopy, partial synovectomy
29845-50 · Bilateral: 150%
$820.16
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 29845 has changed in Vermont
29845 · 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 | $520.37 | RVU26D |
| 2026-07-01 | Not available in this setting | $520.37 | RVU26C |
| 2026-04-01 | Not available in this setting | $520.37 | RVU26B |
| 2026-01-01 | Not available in this setting | $520.37 | RVU26A |
| 2025-10-01 | Not available in this setting | $558.60 | RVU25D |
| 2025-07-01 | Not available in this setting | $558.60 | RVU25C |
| 2025-04-01 | Not available in this setting | $558.60 | RVU25B |
| 2025-01-01 | Not available in this setting | $558.60 | RVU25A |
| 2024-10-01 | Not available in this setting | $569.09 | RVU24D |
| 2024-07-01 | Not available in this setting | $569.09 | RVU24C |
| 2024-04-01 | Not available in this setting | $569.09 | RVU24B |
| 2024-03-09 | Not available in this setting | $569.09 | RVU24AR |
| 2024-01-01 | Not available in this setting | $559.80 | RVU24A |
| 2023-10-01 | Not available in this setting | $576.69 | RVU23D |
| 2023-07-01 | Not available in this setting | $576.69 | RVU23C |
| 2023-04-01 | Not available in this setting | $576.69 | RVU23B |
| 2023-01-01 | Not available in this setting | $576.69 | RVU23A |
| 2022-10-01 | Not available in this setting | $581.65 | RVU22D |
| 2022-07-01 | Not available in this setting | $581.65 | RVU22C |
| 2022-04-01 | Not available in this setting | $581.65 | RVU22B |
| 2022-01-01 | Not available in this setting | $581.65 | RVU22A |
| 2021-10-01 | Not available in this setting | $583.03 | RVU21D |
| 2021-07-01 | Not available in this setting | $583.03 | RVU21C |
| 2021-04-01 | Not available in this setting | $583.03 | RVU21B |
| 2021-01-01 | Not available in this setting | $583.03 | RVU21A |
| 2020-10-01 | Not available in this setting | $587.93 | RVU20D |
| 2020-07-01 | Not available in this setting | $587.93 | RVU20C |
| 2020-04-01 | Not available in this setting | $587.93 | RVU20B |
| 2020-01-01 | Not available in this setting | $587.93 | RVU20A |
| 2019-10-01 | Not available in this setting | $584.30 | RVU19D |
| 2019-07-01 | Not available in this setting | $584.30 | RVU19C |
| 2019-04-01 | Not available in this setting | $584.30 | RVU19B |
| 2019-01-01 | Not available in this setting | $584.30 | RVU19A |
| 2018-10-01 | Not available in this setting | $582.99 | RVU18D |
| 2018-07-01 | Not available in this setting | $582.99 | RVU18C |
| 2018-04-01 | Not available in this setting | $582.99 | RVU18B |
| 2018-01-01 | Not available in this setting | $582.99 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $579.50 | RVU17D |
| 2017-07-01 | Not available in this setting | $579.50 | RVU17C |
| 2017-04-01 | Not available in this setting | $579.50 | RVU17B |
| 2017-01-01 | Not available in this setting | $579.50 | RVU17A |
| 2016-10-01 | Not available in this setting | $577.88 | RVU16D |
| 2016-07-01 | Not available in this setting | $577.88 | RVU16C |
| 2016-04-01 | Not available in this setting | $577.88 | RVU16B |
| 2016-01-01 | Not available in this setting | $577.88 | RVU16A |
| 2015-10-01 | Not available in this setting | $579.85 | RVU15D |
| 2015-07-01 | Not available in this setting | $579.85 | RVU15C |
| 2015-04-01 | Not available in this setting | $576.96 | RVU15B |
| 2015-01-01 | Not available in this setting | $576.96 | RVU15A |
| 2014-10-01 | Not available in this setting | $573.68 | RVU14D |
| 2014-07-01 | Not available in this setting | $573.68 | RVU14C |
| 2014-04-01 | Not available in this setting | $573.68 | RVU14B |
| 2014-01-01 | Not available in this setting | $573.68 | RVU14A |
| 2013-10-01 | Not available in this setting | Rate data unavailable | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Vermont rate applies
Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.
- Albany
- Alburgh
- Algiers
- Arlington
- Ascutney
- Bakersfield
- Barnet
- Barre
29845 billing questions
How does this differ from code 29844?
This code represents partial removal of wrist synovium. Code 29844 is used when the surgeon performs a complete synovectomy.
When would code 29843 be more appropriate?
Code 29843 describes wrist arthroscopy for lavage and drainage in an infection setting. Use this code for partial synovial tissue removal instead.
What documentation supports partial synovectomy?
Document the synovial disease or abnormality, the wrist treated, and the arthroscopic work showing that only part of the synovium was removed.
How is bilateral wrist surgery reported?
CMS pays bilateral reporting with modifier 50 at 150%. The operative documentation should support treatment of both wrists.
What payment rules apply when other endoscopies are performed in the same session?
CMS applies endoscopy family pricing when related endoscopies are performed together. The code also has a 90-day global period; related postoperative care is included.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, and 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
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