CPT code 29846: Wrist arthroscopy, TFCC treatment or joint debridement2026 Medicare rate & RVUs in New Mexico

Reports wrist arthroscopy to treat triangular fibrocartilage complex damage or debride the joint, including removal of unstable tissue or repair.

CMS RVU26DEffective Oct 1, 2026One payment locality2K Medicare services in 2024

In New Mexico, Medicare pays $478.35 for 29846 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$478.35Hospital or facility

Check a contract rate as a % of Medicare · 29846 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 29846 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 29846 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 29846 covers

An orthopedic or hand surgeon uses a small camera and instruments through wrist portals to address a triangular fibrocartilage complex (TFCC) tear or remove damaged or inflamed tissue within the joint. Typical cases include a symptomatic TFCC injury on the ulnar side of the wrist or other intra-articular pathology requiring arthroscopic debridement. The operation is generally performed in a surgical setting, with the operative report identifying the pathology and the work performed under visualization.

Report this code when the arthroscopic service includes TFCC excision or repair, or joint debridement, rather than diagnostic inspection alone or a different defined wrist procedure. Documentation should describe the treated structure, the tear or tissue abnormality, and whether tissue was removed, repaired, or debrided. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When related endoscopies are performed together, endoscopy-family pricing applies. For bilateral procedures, modifier 50 is paid at 150%. An assistant is paid only when medical necessity is documented; 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 New Mexico compares for 29846

Across 109 of 109 payment localities, the facility rate for 29846 runs from $436.01 in Arkansas to $595.20 in Alaska. New Mexico pays $478.35. The RVUs are the same everywhere; the geographic indexes change the dollars.

29846 in New Mexico vs other payment areas
  1. New Mexico · this page$478.35
  2. Los Angeles, CA · California$523.05+$44.70
  3. Washington, DC area · District of Columbia$544.22+$65.87
  4. Miami, FL · Florida$562.91+$84.56
  5. Chicago, IL · Illinois$546.46+$68.11
  6. Manhattan, NY · New York$563.31+$84.96
  7. Alaska · Alaska$595.20+$116.85

Other areas in New Mexico first, then benchmark localities. Bars start at $0.

Every other payment area

29846 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$441.73
ArkansasArkansas—$436.01
ArizonaArizona—$474.95
Bakersfield, CACalifornia—$496.57
Chico, CACalifornia—$492.97
El Centro, CACalifornia—$493.19
Fresno, CACalifornia—$492.97
Hanford, CACalifornia—$492.97

29846 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
29846 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 29846 in every payment locality

How the 29846 rate is calculated

Each of 29846’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 · 29846

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.72

6.72 RVUs× 1.000 GPCI

Practice expense6.60

6.60 RVUs× 1.000 GPCI

Malpractice1.29

1.29 RVUs× 1.000 GPCI

Adjusted RVUs

14.6100

Conversion factor

$33.4009

Medicare rate

$487.99

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

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,339

Code
29846
Physician work
6.72
Practice expense
6.60
Malpractice
1.29

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 29846 in New Mexico
ComponentRVULocality factorAdjusted
Physician work6.72× 1.0006.7200
Practice expense6.60× 0.9176.0522
Malpractice1.29× 1.2011.5493
Total RVUs14.3215
Conversion factor× 33.4009

Facility rate, New Mexico$478.35

Facility: (6.72 × 1 + 6.6 × 0.917 + 1.29 × 1.201) × $33.4009 = $478.35

Open 29846 in the RVU calculator

Payment rules and modifiers for 29846

29846 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 29846

Wrist arthroscopy, TFCC treatment or joint 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)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
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 · 29846

Wrist arthroscopy, TFCC treatment or joint 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

29846 without 50 · national facility

$487.99

Wrist arthroscopy, TFCC treatment or joint debridement

29846-50 · Bilateral: 150%

$731.99

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 29846 has changed in New Mexico

29846 · 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$478.35RVU26D
2026-07-01Not available in this setting$478.35RVU26C
2026-04-01Not available in this setting$478.35RVU26B
2026-01-01Not available in this setting$478.35RVU26A
2025-10-01Not available in this setting$504.68RVU25D
2025-07-01Not available in this setting$504.68RVU25C
2025-04-01Not available in this setting$504.68RVU25B
2025-01-01Not available in this setting$504.68RVU25A
2024-10-01Not available in this setting$514.31RVU24D
2024-07-01Not available in this setting$514.31RVU24C
2024-04-01Not available in this setting$514.31RVU24B
2024-03-09Not available in this setting$514.31RVU24AR
2024-01-01Not available in this setting$505.92RVU24A
2023-10-01Not available in this setting$517.72RVU23D
2023-07-01Not available in this setting$517.72RVU23C
2023-04-01Not available in this setting$517.72RVU23B
2023-01-01Not available in this setting$517.72RVU23A
2022-10-01Not available in this setting$518.61RVU22D
2022-07-01Not available in this setting$518.61RVU22C
2022-04-01Not available in this setting$518.61RVU22B
2022-01-01Not available in this setting$518.61RVU22A
2021-10-01Not available in this setting$520.12RVU21D
2021-07-01Not available in this setting$520.12RVU21C
2021-04-01Not available in this setting$520.12RVU21B
2021-01-01Not available in this setting$520.12RVU21A
2020-10-01Not available in this setting$529.76RVU20D
2020-07-01Not available in this setting$529.76RVU20C
2020-04-01Not available in this setting$529.76RVU20B
2020-01-01Not available in this setting$529.76RVU20A
2019-10-01Not available in this setting$530.48RVU19D
2019-07-01Not available in this setting$530.48RVU19C
2019-04-01Not available in this setting$530.48RVU19B
2019-01-01Not available in this setting$530.48RVU19A
2018-10-01Not available in this setting$530.90RVU18D
2018-07-01Not available in this setting$530.90RVU18C
2018-04-01Not available in this setting$530.90RVU18B
2018-01-01Not available in this setting$530.90RVU18AR1
2017-10-01Not available in this setting$524.86RVU17D
2017-07-01Not available in this setting$524.86RVU17C
2017-04-01Not available in this setting$524.86RVU17B
2017-01-01Not available in this setting$524.86RVU17A
2016-10-01Not available in this setting$521.40RVU16D
2016-07-01Not available in this setting$521.40RVU16C
2016-04-01Not available in this setting$521.40RVU16B
2016-01-01Not available in this setting$521.40RVU16A
2015-10-01Not available in this setting$522.86RVU15D
2015-07-01Not available in this setting$522.86RVU15C
2015-04-01Not available in this setting$520.26RVU15B
2015-01-01Not available in this setting$520.26RVU15A
2014-10-01Not available in this setting$514.35RVU14D
2014-07-01Not available in this setting$514.35RVU14C
2014-04-01Not available in this setting$514.35RVU14B
2014-01-01Not available in this setting$514.35RVU14A
2013-10-01Not available in this setting$504.87RVU13D
2013-07-01Not available in this setting$504.87RVU13C
2013-04-01Not available in this setting$504.87RVU13B
2013-01-01Not available in this setting$504.87RVU13AR

Price 29846 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

29846 billing questions

When is this code appropriate instead of a diagnostic wrist arthroscopy?

Use this code when the surgeon performs arthroscopic TFCC excision or repair, or joint debridement. Diagnostic inspection without that therapeutic work is a different service.

Does this code cover wrist synovectomy?

The wrist arthroscopy family has separate codes for partial and complete synovectomy. Select the code that matches the synovectomy performed rather than treating synovectomy alone as TFCC treatment or joint debridement.

What should the operative report document?

Identify the TFCC or other joint tissue treated, the pathology found, and the arthroscopic work performed, such as repair, excision, or debridement.

How is a bilateral service reported under CMS rules?

For bilateral procedures, modifier 50 is paid at 150%. The operative record should support treatment of both wrists.

Can an assistant surgeon be paid for this procedure?

CMS pays an assistant at surgery only when documentation supports medical necessity. Co-surgeons and team surgery are not permitted.

What postoperative care is included?

This is major surgery with a 90-day global period. The day-before preoperative visit and related postoperative care during the 90 days are included.

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 29846PPRRVU2026_Oct_nonQPP.csv, line 3,339 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 29846 pays in New Mexico?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 29846 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist