CPT code 29895: Ankle arthroscopy, partial synovectomy2026 Medicare rate & RVUs

Reports arthroscopic removal of a limited amount of inflamed ankle-joint synovium when synovial disease is treated surgically rather than incidental tissue cleanup.

CMS RVU26DEffective Oct 1, 2026109 payment localities367 Medicare services in 2024

Medicare pays $433.54 for 29895 nationally in a facility.

Medicare rate · 29895

Ankle arthroscopy, partial synovectomy

Office or facility?

Work RVUs
6.95
Total RVUs
12.98
Global days
090

National rate · 2026

$433.54

Facility setting, before claim adjustments.

See every locality for 29895 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 29895 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 29895 covers

An orthopedic foot-and-ankle surgeon uses an arthroscope and instruments through small portals to remove a limited amount of inflamed or thickened synovial tissue from the ankle joint. This may be performed for symptomatic synovitis in a hospital outpatient department or ambulatory surgery center. The operative report should identify the treated ankle and describe the synovial tissue removed and the extent of the resection.

Select this service when partial synovial removal is the operative work, rather than loose-body extraction or joint debridement. Document the clinical indication and distinguish synovectomy from incidental synovial cleanup during another procedure. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeons require supporting documentation, and team surgery is 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.

Where 29895 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

29895 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$398.15
AlaskaUnavailable$545.71
ArizonaUnavailable$423.56
ArkansasUnavailable$393.77
Atlanta, GAUnavailable$443.58
Austin, TXUnavailable$440.00
Bakersfield, CAUnavailable$441.19
Baltimore area, MDUnavailable$457.38
Beaumont, TXUnavailable$416.05
Brazoria, TXUnavailable$426.61

29895 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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29895 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

How the 29895 rate is calculated

Each of 29895’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 · 29895

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.95

6.95 RVUs× 1.000 GPCI

Practice expense5.04

5.04 RVUs× 1.000 GPCI

Malpractice0.99

0.99 RVUs× 1.000 GPCI

Adjusted RVUs

12.9800

Conversion factor

$33.4009

Medicare rate

$433.54

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

Payment rules and modifiers for 29895

29895 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 29895

Ankle arthroscopy, partial synovectomy

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)1Permitted with supporting documentation.
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 · 29895

Ankle arthroscopy, partial synovectomy

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

29895 without 50 · national facility

$433.54

Ankle arthroscopy, partial synovectomy

29895-50 · Bilateral: 150%

$650.31

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

29895 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 29895

    Ankle arthroscopy, partial synovectomy6.95 wRVU

    Not priced

  • 29897

    Ankle arthroscopy, limited debridement7.14 wRVU

    Not priced

  • 29898

    Ankle arthroscopy, extensive debridement8.28 wRVU

    Not priced

  • 29894

    Ankle arthroscopy, loose or foreign body removal7.17 wRVU

    Not priced

How to choose

29897Ankle arthroscopyLimited debridement
29897 describes limited ankle-joint debridement. This code is for partial removal of diseased synovium, not general joint cleanup.
29898Ankle arthroscopyExtensive debridement
29898 is for extensive ankle debridement. Use this code when the documented primary work is partial synovectomy rather than extensive debridement.
29894Ankle arthroscopyLoose or foreign body removal
29894 is for arthroscopic removal of a loose body or foreign body. It does not describe excision of inflamed synovium.

29895 billing questions

How does partial synovectomy differ from major ankle synovectomy?

This code describes removal of a limited amount of ankle-joint synovium. The major synovectomy code is for more extensive work involving two or more compartments.

When should ankle debridement be coded instead?

Use an ankle debridement code when the documented work is removal of pathologic tissue or debris for joint cleanup, rather than partial excision of diseased synovium.

Can this be reported with loose-body removal?

A separately performed loose-body removal may be documented as distinct work, but do not separately report overlapping or incidental work. Check applicable coding edits for the code pair.

What documentation supports this code?

The operative report should establish ankle-joint synovitis, identify the side, and describe the location and limited extent of synovial tissue excision.

How is bilateral ankle surgery reported?

For bilateral procedures, report modifier 50; CMS pays the bilateral procedure at 150%.

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 29895PPRRVU2026_Oct_nonQPP.csv, line 3,375 (RVU26D)

Open CMS sourceHow we calculate rates

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