CPT code 29892: Talar lesion repair, large talar dome lesion2026 Medicare rate & RVUs in Montana

Arthroscopically aided repair of a large talar dome osteochondritis dissecans lesion, including drilling and any bone grafting or fixation performed.

CMS RVU26DEffective Oct 1, 2026One payment locality185 Medicare services in 2024

In Montana, Medicare pays $597.46 for 29892 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$597.46Hospital or facility

Check a contract rate as a % of Medicare · 29892 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 29892 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Montana
  2. What 29892 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 29892 covers

This code covers arthroscopically aided repair of a large osteochondritis dissecans lesion on the talar dome. The ankle surgeon may drill the lesion and use bone grafting or fixation as needed to support repair. It is typically performed by an orthopedic foot and ankle surgeon in a hospital or ambulatory surgery center for a symptomatic talar lesion, often after an ankle injury. The repair addresses the osteochondral lesion itself, rather than a loose body or routine ankle debridement alone.

Select the code when the operative report supports repair of a large talar dome lesion; drilling, grafting, and fixation are included aspects of that repair. The record should identify the talar lesion and describe the arthroscopic repair performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care for 90 days. With multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures at 50%. For bilateral reporting with modifier 50, CMS pays 150%. Assistant-at-surgery payment may be made; 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 29892

Across 109 of 109 payment localities, the facility rate for 29892 runs from $545.95 in Arkansas to $760.19 in Alaska. Montana pays $597.46. The RVUs are the same everywhere; the geographic indexes change the dollars.

29892 in Montana vs other payment areas
  1. Montana · this page$597.46
  2. Los Angeles, CA · California$637.57+$40.11
  3. Washington, DC area · District of Columbia$659.71+$62.25
  4. Miami, FL · Florida$670.96+$73.50
  5. Chicago, IL · Illinois$655.49+$58.03
  6. Manhattan, NY · New York$679.42+$81.96
  7. Alaska · Alaska$760.19+$162.73

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

Every other payment area

29892 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$551.64
ArkansasArkansas—$545.95
ArizonaArizona—$584.63
Bakersfield, CACalifornia—$608.67
Chico, CACalifornia—$604.93
El Centro, CACalifornia—$605.14
Fresno, CACalifornia—$604.93
Hanford, CACalifornia—$604.93

29892 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

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29892 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 29892 in every payment locality

How the 29892 rate is calculated

Each of 29892’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 · 29892

RVUs × geographic indexes × conversion factor

Office or facility?

Work10.01

10.01 RVUs× 1.000 GPCI

Practice expense6.62

6.62 RVUs× 1.000 GPCI

Malpractice1.26

1.26 RVUs× 1.000 GPCI

Adjusted RVUs

17.8900

Conversion factor

$33.4009

Medicare rate

$597.54

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

3,372

Code
29892
Physician work
10.01
Practice expense
6.62
Malpractice
1.26

GPCI2026.csv

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Facility calculation for 29892 in Montana
ComponentRVULocality factorAdjusted
Physician work10.01× 1.00010.0100
Practice expense6.62× 1.0006.6200
Malpractice1.26× 0.9981.2575
Total RVUs17.8875
Conversion factor× 33.4009

Facility rate, Montana$597.46

Facility: (10.01 × 1 + 6.62 × 1 + 1.26 × 0.998) × $33.4009 = $597.46

Open 29892 in the RVU calculator

Payment rules and modifiers for 29892

29892 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 29892

Talar lesion repair, large talar dome lesion

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
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 · 29892

Talar lesion repair, large talar dome lesion

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

29892 without 50 · national facility

$597.54

Talar lesion repair, large talar dome lesion

29892-50 · Bilateral: 150%

$896.31

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 29892 has changed in Montana

29892 · 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$597.46RVU26D
2026-07-01Not available in this setting$597.46RVU26C
2026-04-01Not available in this setting$597.46RVU26B
2026-01-01Not available in this setting$597.46RVU26A
2025-10-01Not available in this setting$632.14RVU25D
2025-07-01Not available in this setting$632.14RVU25C
2025-04-01Not available in this setting$632.14RVU25B
2025-01-01Not available in this setting$632.14RVU25A
2024-10-01Not available in this setting$645.19RVU24D
2024-07-01Not available in this setting$645.19RVU24C
2024-04-01Not available in this setting$645.19RVU24B
2024-03-09Not available in this setting$645.19RVU24AR
2024-01-01Not available in this setting$634.66RVU24A
2023-10-01Not available in this setting$650.38RVU23D
2023-07-01Not available in this setting$650.38RVU23C
2023-04-01Not available in this setting$650.38RVU23B
2023-01-01Not available in this setting$650.38RVU23A
2022-10-01Not available in this setting$650.30RVU22D
2022-07-01Not available in this setting$650.30RVU22C
2022-04-01Not available in this setting$650.30RVU22B
2022-01-01Not available in this setting$650.30RVU22A
2021-10-01Not available in this setting$659.82RVU21D
2021-07-01Not available in this setting$659.82RVU21C
2021-04-01Not available in this setting$659.82RVU21B
2021-01-01Not available in this setting$659.82RVU21A
2020-10-01Not available in this setting$691.48RVU20D
2020-07-01Not available in this setting$691.48RVU20C
2020-04-01Not available in this setting$691.48RVU20B
2020-01-01Not available in this setting$691.48RVU20A
2019-10-01Not available in this setting$707.76RVU19D
2019-07-01Not available in this setting$707.76RVU19C
2019-04-01Not available in this setting$707.76RVU19B
2019-01-01Not available in this setting$707.76RVU19A
2018-10-01Not available in this setting$755.23RVU18D
2018-07-01Not available in this setting$755.23RVU18C
2018-04-01Not available in this setting$755.23RVU18B
2018-01-01Not available in this setting$755.23RVU18AR1
2017-10-01Not available in this setting$686.42RVU17D
2017-07-01Not available in this setting$686.42RVU17C
2017-04-01Not available in this setting$686.42RVU17B
2017-01-01Not available in this setting$686.42RVU17A
2016-10-01Not available in this setting$606.07RVU16D
2016-07-01Not available in this setting$606.07RVU16C
2016-04-01Not available in this setting$606.07RVU16B
2016-01-01Not available in this setting$606.07RVU16A
2015-10-01Not available in this setting$652.97RVU15D
2015-07-01Not available in this setting$652.97RVU15C
2015-04-01Not available in this setting$649.73RVU15B
2015-01-01Not available in this setting$649.73RVU15A
2014-10-01Not available in this setting$648.99RVU14D
2014-07-01Not available in this setting$648.99RVU14C
2014-04-01Not available in this setting$648.99RVU14B
2014-01-01Not available in this setting$648.99RVU14A
2013-10-01Not available in this setting$630.69RVU13D
2013-07-01Not available in this setting$630.69RVU13C
2013-04-01Not available in this setting$630.69RVU13B
2013-01-01Not available in this setting$630.69RVU13AR

Price 29892 for an earlier date of service

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

Browse all communities in Montana

29892 billing questions

How is this different from 29891?

This code describes arthroscopically aided repair of a large talar dome lesion. Code 29891 describes excision of an osteochondral defect, including drilling, rather than repair of a large lesion.

Are drilling, grafting, and fixation separately reported?

They are included aspects of the lesion repair described by this code. Do not report them as separate services merely because the surgeon used them during the repair.

What documentation supports choosing this code?

Document the talar dome lesion, its size or extent supporting repair, and the arthroscopic repair performed. Include details of drilling, grafting, or fixation when those steps are performed.

How should bilateral procedures be reported?

CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%. Document the repair on each ankle.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. CMS also permits assistant-at-surgery payment, but not co-surgeons or team surgery.

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 29892PPRRVU2026_Oct_nonQPP.csv, line 3,372 (RVU26D)
Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

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