CPT code 29879: Arthroscopic cartilage procedure, abrasion or microfracture2026 Medicare rate & RVUs in Montana
Report 29879 for knee arthroscopy that treats a focal articular cartilage defect by abrading or perforating underlying bone to stimulate repair.
In Montana, Medicare pays $623.14 for 29879 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 29879 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 29879 covers
During knee arthroscopy, the surgeon treats a focal articular cartilage defect by removing unstable cartilage and preparing the underlying subchondral bone with abrasion, drilling, or microfracture to encourage marrow-based repair. Orthopedic surgeons commonly perform this in an operating room or ambulatory surgery center for symptomatic cartilage damage. The operative note should identify the treated lesion and describe the marrow-stimulation technique.
Report this code for cartilage-restoration work, not routine cartilage smoothing alone; smoothing or debridement at the treated site is included. The operative report should distinguish this work from drilling for an osteochondritis dissecans lesion and document laterality, lesion location, and technique. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care through day 90. When related knee endoscopies are performed together, CMS endoscopy-family pricing applies. Modifier 50 identifies bilateral performance and CMS pays at 150%. Assistant-at-surgery payment requires documented medical necessity; 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 Montana compares for 29879
Across 109 of 109 payment localities, the facility rate for 29879 runs from $555.77 in Arkansas to $759.95 in Alaska. Montana pays $623.14. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$623.14
- Los Angeles, CA · California$664.17+$41.03
- Washington, DC area · District of Columbia$693.93+$70.79
- Miami, FL · Florida$727.26+$104.12
- Chicago, IL · Illinois$705.38+$82.24
- Manhattan, NY · New York$721.30+$98.16
- Alaska · Alaska$759.95+$136.81
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $563.18 |
| ArkansasArkansas | — | $555.77 |
| ArizonaArizona | — | $606.15 |
| Bakersfield, CACalifornia | — | $630.93 |
| Chico, CACalifornia | — | $625.91 |
| El Centro, CACalifornia | — | $626.21 |
| Fresno, CACalifornia | — | $625.91 |
| Hanford, CACalifornia | — | $625.91 |
| Madera, CACalifornia | — | $625.91 |
| Merced, CACalifornia | — | $625.91 |
| Modesto, CACalifornia | — | $625.91 |
| Napa, CACalifornia | — | $697.52 |
| Oxnard, CACalifornia | — | $657.60 |
| Redding, CACalifornia | — | $625.91 |
| Rest of CaliforniaCalifornia | — | $625.91 |
| Riverside, CACalifornia | — | $645.47 |
| Sacramento, CACalifornia | — | $649.54 |
| Salinas, CACalifornia | — | $646.99 |
| San Diego, CACalifornia | — | $657.04 |
| Marin County, CACalifornia | — | $728.72 |
| San Francisco, CACalifornia | — | $726.65 |
| San Benito County, CACalifornia | — | $746.42 |
| Santa Clara County, CACalifornia | — | $737.97 |
| San Luis Obispo, CACalifornia | — | $637.50 |
| Santa Cruz, CACalifornia | — | $659.16 |
| Santa Maria, CACalifornia | — | $648.00 |
| Santa Rosa, CACalifornia | — | $665.30 |
| Stockton, CACalifornia | — | $625.91 |
| Vallejo, CACalifornia | — | $694.54 |
| Visalia, CACalifornia | — | $625.91 |
| Yuba City, CACalifornia | — | $625.91 |
| ColoradoColorado | — | $630.71 |
| ConnecticutConnecticut | — | $662.64 |
| DelawareDelaware | — | $615.35 |
| Fort Lauderdale, FLFlorida | — | $675.88 |
| Rest of FloridaFlorida | — | $641.98 |
| Atlanta, GAGeorgia | — | $640.67 |
| Rest of GeorgiaGeorgia | — | $605.82 |
| Hawaii, Guam, HIHawaii | — | $634.60 |
| IowaIowa | — | $563.69 |
| IdahoIdaho | — | $569.66 |
| East St. Louis, ILIllinois | — | $663.34 |
| Rest of IllinoisIllinois | — | $634.03 |
| Suburban Chicago, ILIllinois | — | $679.52 |
| IndianaIndiana | — | $572.34 |
| KansasKansas | — | $567.23 |
| KentuckyKentucky | — | $588.17 |
| New Orleans, LALouisiana | — | $615.63 |
| Rest of LouisianaLouisiana | — | $589.71 |
| Metropolitan Boston, MAMassachusetts | — | $680.88 |
| Rest of MassachusettsMassachusetts | — | $629.89 |
| Baltimore area, MDMaryland | — | $662.03 |
| Rest of MarylandMaryland | — | $624.44 |
| Rest of MaineMaine | — | $578.72 |
| Southern Maine, MEMaine | — | $598.40 |
| Detroit, MIMichigan | — | $655.53 |
| Rest of MichiganMichigan | — | $607.65 |
| MinnesotaMinnesota | — | $588.28 |
| Metropolitan Kansas City, MOMissouri | — | $605.42 |
| Metropolitan St. Louis, MOMissouri | — | $610.44 |
| Rest of MissouriMissouri | — | $584.48 |
| MississippiMississippi | — | $569.93 |
| North CarolinaNorth Carolina | — | $583.26 |
| North DakotaNorth Dakota | — | $587.15 |
| NebraskaNebraska | — | $564.69 |
| New HampshireNew Hampshire | — | $626.71 |
| Northern New JerseyNew Jersey | — | $688.98 |
| Rest of New JerseyNew Jersey | — | $665.67 |
| New MexicoNew Mexico | — | $613.11 |
| NevadaNevada | — | $613.38 |
| NYC suburbs and Long Island, NYNew York | — | $745.05 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $674.82 |
| Queens, NYNew York | — | $717.93 |
| Rest of New YorkNew York | — | $591.73 |
| OhioOhio | — | $600.30 |
| OklahomaOklahoma | — | $580.86 |
| Portland, OROregon | — | $642.30 |
| Rest of OregonOregon | — | $604.13 |
| Metropolitan Philadelphia, PAPennsylvania | — | $651.32 |
| Rest of PennsylvaniaPennsylvania | — | $597.81 |
| Puerto RicoPuerto Rico | — | $625.31 |
| Rhode IslandRhode Island | — | $631.16 |
| South CarolinaSouth Carolina | — | $593.66 |
| South DakotaSouth Dakota | — | $582.90 |
| TennesseeTennessee | — | $570.59 |
| Austin, TXTexas | — | $632.55 |
| Beaumont, TXTexas | — | $594.69 |
| Brazoria, TXTexas | — | $609.80 |
| Dallas, TXTexas | — | $616.19 |
| Fort Worth, TXTexas | — | $614.28 |
| Galveston, TXTexas | — | $613.26 |
| Houston, TXTexas | — | $646.57 |
| Rest of TexasTexas | — | $603.62 |
| UtahUtah | — | $600.89 |
| VirginiaVirginia | — | $600.81 |
| Virgin Islands, VIUnited States Virgin Islands | — | $625.31 |
| VermontVermont | — | $590.54 |
| Rest of WashingtonWashington | — | $626.83 |
| King County, WAWashington | — | $687.97 |
| WisconsinWisconsin | — | $569.87 |
| West VirginiaWest Virginia | — | $614.15 |
| WyomingWyoming | — | $607.46 |
29879 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 29879 rate is calculated
Each of 29879’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 · 29879
RVUs × geographic indexes × conversion factor
Work8.77
8.77 RVUs× 1.000 GPCI
Practice expense8.07
8.07 RVUs× 1.000 GPCI
Malpractice1.82
1.82 RVUs× 1.000 GPCI
Adjusted RVUs
18.6600
Conversion factor
$33.4009
Medicare rate
$623.26
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,360
- Code
- 29879
- Physician work
- 8.77
- Practice expense
- 8.07
- Malpractice
- 1.82
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.77 | × 1.000 | 8.7700 |
| Practice expense | 8.07 | × 1.000 | 8.0700 |
| Malpractice | 1.82 | × 0.998 | 1.8164 |
| Total RVUs | 18.6564 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Montana$623.14
Facility: (8.77 × 1 + 8.07 × 1 + 1.82 × 0.998) × $33.4009 = $623.14
Payment rules and modifiers for 29879
29879 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 29879
Arthroscopic cartilage procedure, abrasion or microfracture
| 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) | 0 | Not paid without supporting documentation. |
| 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 · 29879
Arthroscopic cartilage procedure, abrasion or microfracture
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
29879 without 50 · national facility
$623.26
Arthroscopic cartilage procedure, abrasion or microfracture
29879-50 · Bilateral: 150%
$934.89
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 29879 has changed in Montana
29879 · 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 | $623.14 | RVU26D |
| 2026-07-01 | Not available in this setting | $623.14 | RVU26C |
| 2026-04-01 | Not available in this setting | $623.14 | RVU26B |
| 2026-01-01 | Not available in this setting | $623.14 | RVU26A |
| 2025-10-01 | Not available in this setting | $655.35 | RVU25D |
| 2025-07-01 | Not available in this setting | $655.35 | RVU25C |
| 2025-04-01 | Not available in this setting | $655.35 | RVU25B |
| 2025-01-01 | Not available in this setting | $655.35 | RVU25A |
| 2024-10-01 | Not available in this setting | $668.42 | RVU24D |
| 2024-07-01 | Not available in this setting | $668.42 | RVU24C |
| 2024-04-01 | Not available in this setting | $668.42 | RVU24B |
| 2024-03-09 | Not available in this setting | $668.42 | RVU24AR |
| 2024-01-01 | Not available in this setting | $657.51 | RVU24A |
| 2023-10-01 | Not available in this setting | $673.71 | RVU23D |
| 2023-07-01 | Not available in this setting | $673.71 | RVU23C |
| 2023-04-01 | Not available in this setting | $673.71 | RVU23B |
| 2023-01-01 | Not available in this setting | $673.71 | RVU23A |
| 2022-10-01 | Not available in this setting | $679.26 | RVU22D |
| 2022-07-01 | Not available in this setting | $679.26 | RVU22C |
| 2022-04-01 | Not available in this setting | $679.26 | RVU22B |
| 2022-01-01 | Not available in this setting | $679.26 | RVU22A |
| 2021-10-01 | Not available in this setting | $680.75 | RVU21D |
| 2021-07-01 | Not available in this setting | $680.75 | RVU21C |
| 2021-04-01 | Not available in this setting | $680.75 | RVU21B |
| 2021-01-01 | Not available in this setting | $680.75 | RVU21A |
| 2020-10-01 | Not available in this setting | $708.04 | RVU20D |
| 2020-07-01 | Not available in this setting | $708.04 | RVU20C |
| 2020-04-01 | Not available in this setting | $708.04 | RVU20B |
| 2020-01-01 | Not available in this setting | $708.04 | RVU20A |
| 2019-10-01 | Not available in this setting | $726.70 | RVU19D |
| 2019-07-01 | Not available in this setting | $726.70 | RVU19C |
| 2019-04-01 | Not available in this setting | $726.70 | RVU19B |
| 2019-01-01 | Not available in this setting | $726.70 | RVU19A |
| 2018-10-01 | Not available in this setting | $726.98 | RVU18D |
| 2018-07-01 | Not available in this setting | $726.98 | RVU18C |
| 2018-04-01 | Not available in this setting | $726.98 | RVU18B |
| 2018-01-01 | Not available in this setting | $726.98 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $710.78 | RVU17D |
| 2017-07-01 | Not available in this setting | $710.78 | RVU17C |
| 2017-04-01 | Not available in this setting | $710.78 | RVU17B |
| 2017-01-01 | Not available in this setting | $710.78 | RVU17A |
| 2016-10-01 | Not available in this setting | $697.19 | RVU16D |
| 2016-07-01 | Not available in this setting | $697.19 | RVU16C |
| 2016-04-01 | Not available in this setting | $697.19 | RVU16B |
| 2016-01-01 | Not available in this setting | $697.19 | RVU16A |
| 2015-10-01 | Not available in this setting | $701.23 | RVU15D |
| 2015-07-01 | Not available in this setting | $701.23 | RVU15C |
| 2015-04-01 | Not available in this setting | $697.74 | RVU15B |
| 2015-01-01 | Not available in this setting | $697.74 | RVU15A |
| 2014-10-01 | Not available in this setting | $688.83 | RVU14D |
| 2014-07-01 | Not available in this setting | $688.83 | RVU14C |
| 2014-04-01 | Not available in this setting | $688.83 | RVU14B |
| 2014-01-01 | Not available in this setting | $688.83 | RVU14A |
| 2013-10-01 | Not available in this setting | $679.52 | RVU13D |
| 2013-07-01 | Not available in this setting | $679.52 | RVU13C |
| 2013-04-01 | Not available in this setting | $679.52 | RVU13B |
| 2013-01-01 | Not available in this setting | $679.52 | RVU13AR |
Where the Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
29879 billing questions
How does 29879 differ from 29877?
29879 involves preparing subchondral bone with abrasion, drilling, or microfracture to stimulate repair. Use 29877 for arthroscopic debridement or shaving without that marrow-stimulation work.
Can 29877 be reported for chondroplasty performed at the same lesion?
No. Chondroplasty or smoothing at the site treated with 29879 is included in the cartilage-restoration service.
What documentation supports 29879?
Document the treated cartilage defect, its knee location and laterality, and the abrasion, drilling, or microfracture technique performed.
How is bilateral performance reported?
Report modifier 50 for bilateral performance; CMS pays the bilateral procedure at 150%.
How does payment work when other knee arthroscopies are performed in the same session?
CMS applies endoscopy-family pricing when related endoscopies are performed together. The operative report should support each distinct procedure performed.
Can an assistant or another surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. CMS does not permit co-surgeons or team surgery for this code.
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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