CPT code 29848: Carpal tunnel release, endoscopic approach2026 Medicare rate & RVUs in Delaware
Reports endoscopic division of the carpal tunnel roof to relieve median nerve compression, typically performed for symptomatic carpal tunnel syndrome.
In Delaware, Medicare pays $479.76 for 29848 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 29848 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 29848 covers
The surgeon uses an endoscope and specialized instruments through a small wrist or palm incision to divide the transverse carpal ligament and relieve pressure on the median nerve. Orthopedic and hand surgeons commonly perform this operation in an ambulatory surgery center or hospital outpatient setting for patients with carpal tunnel syndrome when operative decompression is indicated.
Report 29848 for the endoscopic release, with the operative note identifying the approach and documenting completion of the ligament division. It represents the surgical service, not diagnostic wrist-joint arthroscopy. CMS assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this code; 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 29848
Across 109 of 109 payment localities, the facility rate for 29848 runs from $432.61 in Arkansas to $594.60 in San Benito County, CA. Delaware pays $479.76. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Delaware · this page$479.76
- Los Angeles, CA · California$524.00+$44.24
- Washington, DC area · District of Columbia$543.66+$63.90
- Miami, FL · Florida$557.17+$77.41
- Chicago, IL · Illinois$540.63+$60.87
- Manhattan, NY · New York$561.07+$81.31
- Alaska · Alaska$586.96+$107.20
Other areas in Delaware first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $438.47 |
| ArkansasArkansas | — | $432.61 |
| ArizonaArizona | — | $472.48 |
| Bakersfield, CACalifornia | — | $496.57 |
| Chico, CACalifornia | — | $493.20 |
| El Centro, CACalifornia | — | $493.40 |
| Fresno, CACalifornia | — | $493.20 |
| Hanford, CACalifornia | — | $493.20 |
| Madera, CACalifornia | — | $493.20 |
| Merced, CACalifornia | — | $493.20 |
| Modesto, CACalifornia | — | $493.20 |
| Napa, CACalifornia | — | $554.29 |
| Oxnard, CACalifornia | — | $519.40 |
| Redding, CACalifornia | — | $493.20 |
| Rest of CaliforniaCalifornia | — | $493.20 |
| Riverside, CACalifornia | — | $506.22 |
| Sacramento, CACalifornia | — | $513.04 |
| Salinas, CACalifornia | — | $511.05 |
| San Diego, CACalifornia | — | $519.86 |
| Marin County, CACalifornia | — | $580.78 |
| San Francisco, CACalifornia | — | $579.41 |
| San Benito County, CACalifornia | — | $594.60 |
| Santa Clara County, CACalifornia | — | $588.99 |
| San Luis Obispo, CACalifornia | — | $503.40 |
| Santa Cruz, CACalifornia | — | $522.25 |
| Santa Maria, CACalifornia | — | $512.09 |
| Santa Rosa, CACalifornia | — | $527.21 |
| Stockton, CACalifornia | — | $493.20 |
| Vallejo, CACalifornia | — | $552.31 |
| Visalia, CACalifornia | — | $493.20 |
| Yuba City, CACalifornia | — | $493.20 |
| ColoradoColorado | — | $494.47 |
| ConnecticutConnecticut | — | $516.56 |
| Fort Lauderdale, FLFlorida | — | $521.39 |
| Rest of FloridaFlorida | — | $495.54 |
| Atlanta, GAGeorgia | — | $498.19 |
| Rest of GeorgiaGeorgia | — | $467.80 |
| Hawaii, Guam, HIHawaii | — | $501.12 |
| IowaIowa | — | $441.12 |
| IdahoIdaho | — | $445.38 |
| East St. Louis, ILIllinois | — | $507.66 |
| Rest of IllinoisIllinois | — | $487.77 |
| Suburban Chicago, ILIllinois | — | $524.71 |
| IndianaIndiana | — | $447.56 |
| KansasKansas | — | $442.84 |
| KentuckyKentucky | — | $455.89 |
| New Orleans, LALouisiana | — | $477.15 |
| Rest of LouisianaLouisiana | — | $456.68 |
| Metropolitan Boston, MAMassachusetts | — | $535.74 |
| Rest of MassachusettsMassachusetts | — | $493.34 |
| Baltimore area, MDMaryland | — | $515.87 |
| Rest of MarylandMaryland | — | $487.26 |
| Rest of MaineMaine | — | $451.40 |
| Southern Maine, MEMaine | — | $468.60 |
| Detroit, MIMichigan | — | $505.07 |
| Rest of MichiganMichigan | — | $470.23 |
| MinnesotaMinnesota | — | $464.07 |
| Metropolitan Kansas City, MOMissouri | — | $470.25 |
| Metropolitan St. Louis, MOMissouri | — | $474.35 |
| Rest of MissouriMissouri | — | $451.87 |
| MississippiMississippi | — | $442.14 |
| MontanaMontana | — | $485.57 |
| North CarolinaNorth Carolina | — | $455.17 |
| North DakotaNorth Dakota | — | $461.64 |
| NebraskaNebraska | — | $442.25 |
| New HampshireNew Hampshire | — | $490.32 |
| Northern New JerseyNew Jersey | — | $539.45 |
| Rest of New JerseyNew Jersey | — | $519.71 |
| New MexicoNew Mexico | — | $474.09 |
| NevadaNevada | — | $479.14 |
| NYC suburbs and Long Island, NYNew York | — | $578.42 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $526.03 |
| Queens, NYNew York | — | $559.99 |
| Rest of New YorkNew York | — | $461.79 |
| OhioOhio | — | $465.34 |
| OklahomaOklahoma | — | $451.26 |
| Portland, OROregon | — | $504.96 |
| Rest of OregonOregon | — | $472.70 |
| Metropolitan Philadelphia, PAPennsylvania | — | $506.92 |
| Rest of PennsylvaniaPennsylvania | — | $463.98 |
| Puerto RicoPuerto Rico | — | $487.65 |
| Rhode IslandRhode Island | — | $493.06 |
| South CarolinaSouth Carolina | — | $461.56 |
| South DakotaSouth Dakota | — | $458.81 |
| TennesseeTennessee | — | $445.36 |
| Austin, TXTexas | — | $495.21 |
| Beaumont, TXTexas | — | $461.44 |
| Brazoria, TXTexas | — | $476.29 |
| Dallas, TXTexas | — | $480.83 |
| Fort Worth, TXTexas | — | $478.99 |
| Galveston, TXTexas | — | $478.70 |
| Houston, TXTexas | — | $500.85 |
| Rest of TexasTexas | — | $469.63 |
| UtahUtah | — | $467.30 |
| VirginiaVirginia | — | $469.74 |
| Virgin Islands, VIUnited States Virgin Islands | — | $487.65 |
| VermontVermont | — | $463.31 |
| Rest of WashingtonWashington | — | $491.26 |
| King County, WAWashington | — | $542.49 |
| WisconsinWisconsin | — | $447.72 |
| West VirginiaWest Virginia | — | $472.00 |
| WyomingWyoming | — | $475.14 |
29848 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 29848 rate is calculated
Each of 29848’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 · 29848
RVUs × geographic indexes × conversion factor
Work6.23
6.23 RVUs× 1.000 GPCI
Practice expense7.10
7.10 RVUs× 1.000 GPCI
Malpractice1.21
1.21 RVUs× 1.000 GPCI
Adjusted RVUs
14.5400
Conversion factor
$33.4009
Medicare rate
$485.65
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
3,341
- Code
- 29848
- Physician work
- 6.23
- Practice expense
- 7.10
- Malpractice
- 1.21
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.23 | × 1.005 | 6.2611 |
| Practice expense | 7.10 | × 0.988 | 7.0148 |
| Malpractice | 1.21 | × 0.899 | 1.0878 |
| Total RVUs | 14.3637 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$479.76
Facility: (6.23 × 1.005 + 7.1 × 0.988 + 1.21 × 0.899) × $33.4009 = $479.76
Payment rules and modifiers for 29848
29848 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 29848
Carpal tunnel release, endoscopic approach
| 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 | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| 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 · 29848
Carpal tunnel release, endoscopic approach
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
29848 without 50 · national facility
$485.65
Carpal tunnel release, endoscopic approach
29848-50 · Bilateral: 150%
$728.48
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 29848 has changed in Delaware
29848 · 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 | $479.76 | RVU26D |
| 2026-07-01 | Not available in this setting | $479.76 | RVU26C |
| 2026-04-01 | Not available in this setting | $479.76 | RVU26B |
| 2026-01-01 | Not available in this setting | $479.76 | RVU26A |
| 2025-10-01 | Not available in this setting | $510.42 | RVU25D |
| 2025-07-01 | Not available in this setting | $510.42 | RVU25C |
| 2025-04-01 | Not available in this setting | $510.42 | RVU25B |
| 2025-01-01 | Not available in this setting | $510.42 | RVU25A |
| 2024-10-01 | Not available in this setting | $519.63 | RVU24D |
| 2024-07-01 | Not available in this setting | $519.63 | RVU24C |
| 2024-04-01 | Not available in this setting | $519.63 | RVU24B |
| 2024-03-09 | Not available in this setting | $519.63 | RVU24AR |
| 2024-01-01 | Not available in this setting | $511.15 | RVU24A |
| 2023-10-01 | Not available in this setting | $525.46 | RVU23D |
| 2023-07-01 | Not available in this setting | $525.46 | RVU23C |
| 2023-04-01 | Not available in this setting | $525.46 | RVU23B |
| 2023-01-01 | Not available in this setting | $525.46 | RVU23A |
| 2022-10-01 | Not available in this setting | $529.88 | RVU22D |
| 2022-07-01 | Not available in this setting | $529.88 | RVU22C |
| 2022-04-01 | Not available in this setting | $529.88 | RVU22B |
| 2022-01-01 | Not available in this setting | $529.88 | RVU22A |
| 2021-10-01 | Not available in this setting | $530.13 | RVU21D |
| 2021-07-01 | Not available in this setting | $530.13 | RVU21C |
| 2021-04-01 | Not available in this setting | $530.13 | RVU21B |
| 2021-01-01 | Not available in this setting | $530.13 | RVU21A |
| 2020-10-01 | Not available in this setting | $537.91 | RVU20D |
| 2020-07-01 | Not available in this setting | $537.91 | RVU20C |
| 2020-04-01 | Not available in this setting | $537.91 | RVU20B |
| 2020-01-01 | Not available in this setting | $537.91 | RVU20A |
| 2019-10-01 | Not available in this setting | $541.77 | RVU19D |
| 2019-07-01 | Not available in this setting | $541.77 | RVU19C |
| 2019-04-01 | Not available in this setting | $541.77 | RVU19B |
| 2019-01-01 | Not available in this setting | $541.77 | RVU19A |
| 2018-10-01 | Not available in this setting | $542.28 | RVU18D |
| 2018-07-01 | Not available in this setting | $542.28 | RVU18C |
| 2018-04-01 | Not available in this setting | $542.28 | RVU18B |
| 2018-01-01 | Not available in this setting | $542.28 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $539.85 | RVU17D |
| 2017-07-01 | Not available in this setting | $539.85 | RVU17C |
| 2017-04-01 | Not available in this setting | $539.85 | RVU17B |
| 2017-01-01 | Not available in this setting | $539.85 | RVU17A |
| 2016-10-01 | Not available in this setting | $539.07 | RVU16D |
| 2016-07-01 | Not available in this setting | $539.07 | RVU16C |
| 2016-04-01 | Not available in this setting | $539.07 | RVU16B |
| 2016-01-01 | Not available in this setting | $539.07 | RVU16A |
| 2015-10-01 | Not available in this setting | $540.64 | RVU15D |
| 2015-07-01 | Not available in this setting | $540.64 | RVU15C |
| 2015-04-01 | Not available in this setting | $537.95 | RVU15B |
| 2015-01-01 | Not available in this setting | $537.95 | RVU15A |
| 2014-10-01 | Not available in this setting | $526.80 | RVU14D |
| 2014-07-01 | Not available in this setting | $526.80 | RVU14C |
| 2014-04-01 | Not available in this setting | $526.80 | RVU14B |
| 2014-01-01 | Not available in this setting | $526.80 | RVU14A |
| 2013-10-01 | Not available in this setting | $518.14 | RVU13D |
| 2013-07-01 | Not available in this setting | $518.14 | RVU13C |
| 2013-04-01 | Not available in this setting | $518.14 | RVU13B |
| 2013-01-01 | Not available in this setting | $518.14 | 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
29848 billing questions
How does 29848 differ from 64721?
29848 reports endoscopic carpal tunnel release. 64721 reports the open approach; select the code that matches the operative technique documented.
Is diagnostic wrist arthroscopy included in 29848?
No. 29848 describes endoscopic carpal tunnel decompression, not examination of the wrist joint. Code 29840 is for diagnostic wrist arthroscopy.
How should bilateral releases be reported?
Report bilateral surgery with modifier 50. CMS pays this code at 150% when billed bilaterally with that modifier.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for 29848. Co-surgeons and team surgery are not permitted.
What documentation supports 29848?
Document the carpal tunnel indication, the endoscopic approach, and release of the transverse carpal ligament. The operative report should make clear that the service was carpal tunnel decompression rather than wrist-joint arthroscopy.
How does the 90-day global period affect postoperative visits?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
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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