CPT code 29892: Talar lesion repair, large talar dome lesion2026 Medicare rate & RVUs in South Carolina
Arthroscopically aided repair of a large talar dome osteochondritis dissecans lesion, including drilling and any bone grafting or fixation performed.
In South Carolina, Medicare pays $574.42 for 29892 in a facility. There’s no office rate.
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.
On this page 11 sections
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 South Carolina 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. South Carolina pays $574.42. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Carolina · this page$574.42
- Los Angeles, CA · California$637.57+$63.15
- Washington, DC area · District of Columbia$659.71+$85.29
- Miami, FL · Florida$670.96+$96.54
- Chicago, IL · Illinois$655.49+$81.07
- Manhattan, NY · New York$679.42+$105.00
- Alaska · Alaska$760.19+$185.77
Other areas in South Carolina first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $604.93 |
| Merced, CACalifornia | — | $604.93 |
| Modesto, CACalifornia | — | $604.93 |
| Napa, CACalifornia | — | $668.21 |
| Oxnard, CACalifornia | — | $631.28 |
| Redding, CACalifornia | — | $604.93 |
| Rest of CaliforniaCalifornia | — | $604.93 |
| Riverside, CACalifornia | — | $618.60 |
| Sacramento, CACalifornia | — | $626.09 |
| Salinas, CACalifornia | — | $623.54 |
| San Diego, CACalifornia | — | $631.64 |
| Marin County, CACalifornia | — | $697.19 |
| San Francisco, CACalifornia | — | $695.76 |
| San Benito County, CACalifornia | — | $712.52 |
| Santa Clara County, CACalifornia | — | $706.67 |
| San Luis Obispo, CACalifornia | — | $614.43 |
| Santa Cruz, CACalifornia | — | $632.58 |
| Santa Maria, CACalifornia | — | $624.08 |
| Santa Rosa, CACalifornia | — | $638.46 |
| Stockton, CACalifornia | — | $604.93 |
| Vallejo, CACalifornia | — | $666.15 |
| Visalia, CACalifornia | — | $604.93 |
| Yuba City, CACalifornia | — | $604.93 |
| ColoradoColorado | — | $606.49 |
| ConnecticutConnecticut | — | $630.09 |
| DelawareDelaware | — | $592.31 |
| Fort Lauderdale, FLFlorida | — | $634.42 |
| Rest of FloridaFlorida | — | $608.98 |
| Atlanta, GAGeorgia | — | $610.54 |
| Rest of GeorgiaGeorgia | — | $581.74 |
| Hawaii, Guam, HIHawaii | — | $610.12 |
| IowaIowa | — | $553.37 |
| IdahoIdaho | — | $557.67 |
| East St. Louis, ILIllinois | — | $622.53 |
| Rest of IllinoisIllinois | — | $602.00 |
| Suburban Chicago, ILIllinois | — | $638.34 |
| IndianaIndiana | — | $559.77 |
| KansasKansas | — | $555.44 |
| KentuckyKentucky | — | $569.42 |
| New Orleans, LALouisiana | — | $590.22 |
| Rest of LouisianaLouisiana | — | $570.35 |
| Metropolitan Boston, MAMassachusetts | — | $649.52 |
| Rest of MassachusettsMassachusetts | — | $606.07 |
| Baltimore area, MDMaryland | — | $629.01 |
| Rest of MarylandMaryland | — | $600.09 |
| Rest of MaineMaine | — | $563.94 |
| Southern Maine, MEMaine | — | $580.02 |
| Detroit, MIMichigan | — | $618.67 |
| Rest of MichiganMichigan | — | $583.73 |
| MinnesotaMinnesota | — | $574.33 |
| Metropolitan Kansas City, MOMissouri | — | $583.09 |
| Metropolitan St. Louis, MOMissouri | — | $587.01 |
| Rest of MissouriMissouri | — | $565.93 |
| MississippiMississippi | — | $555.82 |
| MontanaMontana | — | $597.46 |
| North CarolinaNorth Carolina | — | $567.53 |
| North DakotaNorth Dakota | — | $572.54 |
| NebraskaNebraska | — | $554.34 |
| New HampshireNew Hampshire | — | $601.35 |
| Northern New JerseyNew Jersey | — | $656.85 |
| Rest of New JerseyNew Jersey | — | $635.34 |
| New MexicoNew Mexico | — | $587.65 |
| NevadaNevada | — | $590.73 |
| NYC suburbs and Long Island, NYNew York | — | $696.80 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $642.43 |
| Queens, NYNew York | — | $677.78 |
| Rest of New YorkNew York | — | $573.99 |
| OhioOhio | — | $578.64 |
| OklahomaOklahoma | — | $564.50 |
| Portland, OROregon | — | $616.66 |
| Rest of OregonOregon | — | $584.16 |
| Metropolitan Philadelphia, PAPennsylvania | — | $620.75 |
| Rest of PennsylvaniaPennsylvania | — | $577.10 |
| Puerto RicoPuerto Rico | — | $599.34 |
| Rhode IslandRhode Island | — | $606.65 |
| South DakotaSouth Dakota | — | $569.60 |
| TennesseeTennessee | — | $557.94 |
| Austin, TXTexas | — | $606.24 |
| Beaumont, TXTexas | — | $574.65 |
| Brazoria, TXTexas | — | $588.97 |
| Dallas, TXTexas | — | $593.69 |
| Fort Worth, TXTexas | — | $592.03 |
| Galveston, TXTexas | — | $591.43 |
| Houston, TXTexas | — | $614.49 |
| Rest of TexasTexas | — | $582.18 |
| UtahUtah | — | $579.98 |
| VirginiaVirginia | — | $581.41 |
| Virgin Islands, VIUnited States Virgin Islands | — | $599.34 |
| VermontVermont | — | $574.54 |
| Rest of WashingtonWashington | — | $603.55 |
| King County, WAWashington | — | $656.75 |
| WisconsinWisconsin | — | $559.13 |
| West VirginiaWest Virginia | — | $586.71 |
| WyomingWyoming | — | $586.60 |
29892 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 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
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 South Carolina 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
93
- Locality
- South Carolina
- Physician work
- 1.000
- Practice expense
- 0.924
- Malpractice
- 0.850
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.01 | × 1.000 | 10.0100 |
| Practice expense | 6.62 | × 0.924 | 6.1169 |
| Malpractice | 1.26 | × 0.850 | 1.0710 |
| Total RVUs | 17.1979 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, South Carolina$574.42
Facility: (10.01 × 1 + 6.62 × 0.924 + 1.26 × 0.85) × $33.4009 = $574.42
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
| 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) | 2 | Paid. |
| 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 · 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.
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).
How 29892 has changed in South Carolina
29892 · 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 | $574.42 | RVU26D |
| 2026-07-01 | Not available in this setting | $574.42 | RVU26C |
| 2026-04-01 | Not available in this setting | $574.42 | RVU26B |
| 2026-01-01 | Not available in this setting | $574.42 | RVU26A |
| 2025-10-01 | Not available in this setting | $603.00 | RVU25D |
| 2025-07-01 | Not available in this setting | $603.00 | RVU25C |
| 2025-04-01 | Not available in this setting | $603.00 | RVU25B |
| 2025-01-01 | Not available in this setting | $603.00 | RVU25A |
| 2024-10-01 | Not available in this setting | $615.65 | RVU24D |
| 2024-07-01 | Not available in this setting | $615.65 | RVU24C |
| 2024-04-01 | Not available in this setting | $615.65 | RVU24B |
| 2024-03-09 | Not available in this setting | $615.65 | RVU24AR |
| 2024-01-01 | Not available in this setting | $605.60 | RVU24A |
| 2023-10-01 | Not available in this setting | $616.97 | RVU23D |
| 2023-07-01 | Not available in this setting | $616.97 | RVU23C |
| 2023-04-01 | Not available in this setting | $616.97 | RVU23B |
| 2023-01-01 | Not available in this setting | $616.97 | RVU23A |
| 2022-10-01 | Not available in this setting | $613.66 | RVU22D |
| 2022-07-01 | Not available in this setting | $613.66 | RVU22C |
| 2022-04-01 | Not available in this setting | $613.66 | RVU22B |
| 2022-01-01 | Not available in this setting | $613.66 | RVU22A |
| 2021-10-01 | Not available in this setting | $622.02 | RVU21D |
| 2021-07-01 | Not available in this setting | $622.02 | RVU21C |
| 2021-04-01 | Not available in this setting | $622.02 | RVU21B |
| 2021-01-01 | Not available in this setting | $622.02 | RVU21A |
| 2020-10-01 | Not available in this setting | $636.43 | RVU20D |
| 2020-07-01 | Not available in this setting | $636.43 | RVU20C |
| 2020-04-01 | Not available in this setting | $636.43 | RVU20B |
| 2020-01-01 | Not available in this setting | $636.43 | RVU20A |
| 2019-10-01 | Not available in this setting | $635.95 | RVU19D |
| 2019-07-01 | Not available in this setting | $635.95 | RVU19C |
| 2019-04-01 | Not available in this setting | $635.95 | RVU19B |
| 2019-01-01 | Not available in this setting | $635.95 | RVU19A |
| 2018-10-01 | Not available in this setting | $650.99 | RVU18D |
| 2018-07-01 | Not available in this setting | $650.99 | RVU18C |
| 2018-04-01 | Not available in this setting | $650.99 | RVU18B |
| 2018-01-01 | Not available in this setting | $650.99 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $630.10 | RVU17D |
| 2017-07-01 | Not available in this setting | $630.10 | RVU17C |
| 2017-04-01 | Not available in this setting | $630.10 | RVU17B |
| 2017-01-01 | Not available in this setting | $630.10 | RVU17A |
| 2016-10-01 | Not available in this setting | $574.41 | RVU16D |
| 2016-07-01 | Not available in this setting | $574.41 | RVU16C |
| 2016-04-01 | Not available in this setting | $574.41 | RVU16B |
| 2016-01-01 | Not available in this setting | $574.41 | RVU16A |
| 2015-10-01 | Not available in this setting | $616.98 | RVU15D |
| 2015-07-01 | Not available in this setting | $616.98 | RVU15C |
| 2015-04-01 | Not available in this setting | $613.91 | RVU15B |
| 2015-01-01 | Not available in this setting | $613.91 | RVU15A |
| 2014-10-01 | Not available in this setting | $593.49 | RVU14D |
| 2014-07-01 | Not available in this setting | $593.49 | RVU14C |
| 2014-04-01 | Not available in this setting | $593.49 | RVU14B |
| 2014-01-01 | Not available in this setting | $593.49 | RVU14A |
| 2013-10-01 | Not available in this setting | $572.08 | RVU13D |
| 2013-07-01 | Not available in this setting | $572.08 | RVU13C |
| 2013-04-01 | Not available in this setting | $572.08 | RVU13B |
| 2013-01-01 | Not available in this setting | $572.08 | RVU13AR |
Where the South Carolina rate applies
South Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 475 cities and communities in South Carolina. Some span more than one payment area; confirm with the service ZIP.
- Abbeville
- Abney Crossroads
- Adams Run
- Aiken
- Alcolu
- Allendale
- Anderson
- Andrews
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
Fee sheets
Put 29892 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet