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Billing code 29807: Shoulder arthroscopyMedicare rate & RVUs

Reports arthroscopic repair of a superior labrum anterior-to-posterior lesion, typically when the surgeon reattaches the injured labrum and biceps anchor.

CMS RVU26DEffective Oct 1, 2026109 payment localities1.7K Medicare services in 2024

Medicare pays $951.93 for 29807 nationally in a facility.

Medicare rate · 29807

Shoulder arthroscopy

Swap in your local Medicare rate.

Work RVUs
14.3
Total RVUs
28.50
Global days
090

National rate · 2026

$951.93

Facility setting, before claim adjustments.

See every locality for 29807 → · 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.

On this page 10 sections
  1. Medicare rate
  2. What 29807 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 29807 covers

An orthopedic surgeon uses a shoulder arthroscope and instruments to repair a superior labrum anterior-to-posterior (SLAP) lesion, often securing the labrum near the biceps anchor with suture anchors. The procedure is performed in a surgical setting for a symptomatic tear selected for repair; the operative report should identify the lesion and describe the repair. A diagnostic inspection alone does not represent this therapeutic service.

Select this code when the surgeon repairs the superior labrum, not for an anterior-inferior capsular stabilization or a rotator cuff repair. Documentation should establish the operative findings and the work performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care through day 90. When related endoscopies are performed together, endoscopy-family pricing applies. For a bilateral procedure, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery; 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 29807 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

29807 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$862.40
Alaska*Unavailable$1,171.27
ArizonaUnavailable$926.16
ArkansasUnavailable$851.38
AtlantaUnavailable$979.05
AustinUnavailable$963.56
BakersfieldUnavailable$958.87
Baltimore/Surr. CntysUnavailable$1,010.24
BeaumontUnavailable$911.10
BrazoriaUnavailable$930.83

29807 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.

View every state and territory as a table
29807 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 29807 rate is calculated

Each of 29807’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 · 29807

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 14.30Practice expense 11.27Malpractice 2.93

28.5000 adjusted RVUs×$33.4009 conversion factor=$951.93

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 29807

29807 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 29807

Shoulder arthroscopy

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures3Endoscopy family rules apply.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
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 · 29807

Shoulder arthroscopy

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

29807 without 50 · national facility

$951.93

Shoulder arthroscopy

29807-50 · Bilateral: 150%

$1,427.90

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

29807 compared with similar codes

Compare codes

29807 vs 29805 vs 29806 vs 29828 vs 29827: national Medicare rates

Swap in your local Medicare rate.

  • 29807
    Shoulder arthroscopy · 14.3 wRVU
    —
  • 29805
    Shoulder arthroscopy · 5.88 wRVU
    —
  • 29806
    Shoulder stabilization · 14.76 wRVU
    —
  • 29828
    Biceps tenodesis · 12.83 wRVU
    —
  • 29827
    Rotator cuff repair · 15.2 wRVU
    —

How to choose

29805Shoulder arthroscopy
29805 describes diagnostic shoulder arthroscopy, with or without synovial biopsy. Use 29807 when the surgeon therapeutically repairs a superior labral lesion.
29806Shoulder stabilization
29806 is for arthroscopic capsular stabilization, commonly addressing shoulder instability. Code 29807 is for repair of the superior labrum near the biceps anchor.
29828Biceps tenodesis
29828 reports arthroscopic biceps tenodesis, which changes the biceps tendon’s attachment. Code 29807 reports repair of the superior labrum; report the procedure performed.
29827Rotator cuff repair
29827 is for arthroscopic rotator cuff repair. It addresses a cuff tendon tear rather than a superior labral lesion.

Codes related to 29807

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 29807
CodeHow it relatesNational office range
Often billed with
29806Shoulder stabilizationMay accompany SLAP repair when a separately treated capsular or instability lesion is also repaired.No office rate
29827Rotator cuff repairMay accompany SLAP repair when a rotator cuff tear is also repaired arthroscopically.No office rate
Used instead
29828Biceps tenodesisArthroscopic biceps tenodesis may be selected instead of superior labral repair for some biceps-anchor lesions.No office rate

29807 billing questions

How is this different from shoulder capsulorrhaphy?

This code is for repair of a superior labral lesion near the biceps anchor. Capsulorrhaphy (29806) addresses capsular or labral stabilization for shoulder instability.

Can this be reported with a rotator cuff repair?

A separate rotator cuff tear may be repaired during the same arthroscopic session. The operative note should describe the distinct findings and work for each service; CMS endoscopy-family pricing applies when related endoscopies are performed together.

When is biceps tenodesis used instead?

Arthroscopic biceps tenodesis (29828) may be selected instead of repairing the superior labrum in some cases involving the biceps anchor. The reported service should match the procedure actually performed.

What documentation supports reporting this code?

Document the superior labral lesion found during surgery and the arthroscopic repair performed, including the site and method of fixation when applicable. A diagnostic inspection without repair does not support this code.

How does the global period affect postoperative billing?

The 90-day global period includes the day-before preoperative visit and related postoperative care through day 90. CMS also applies the listed endoscopy-family pricing when related endoscopies are performed together.

How are bilateral procedures and surgical assistants handled?

For a bilateral procedure, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery; co-surgeons require supporting documentation, and team surgery is not permitted.

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 29807PPRRVU2026_Oct_nonQPP.csv, line 3,318 (RVU26D)

Open CMS sourceHow we calculate rates

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